İliak Kemik Grefti ile Rekonstrüksiyon Yapılmış Hastalarda İmplant Destekli Protez Sonrası Klinik İmplant Başarısı, Ağız Sağlığı Etki Profili (Ohip-14) ve Hasta Memnuniyeti Değerlendirilmesi

Abstract

Reconstruction of severely atrophic jaws for rehabilitation with dental implants is widely used in oral and maxillofacial surgery. Autogenous bone grafts are still considered as the ‘gold standard’ because of its osteogenic and non-immunological properties. The most common donor site for the augmentation of large bony defects is the iliac crest. Although the term of clinical success for dental implants is implied the dentist's technical success and osseointegration of the implants, it does not include the treatment’s effect on patients. In the recent years, the concept of oral health quality of life and patient satisfaction become popular topics since they are patient- oriented assessments and the success criteria for implants. The aim of this study is to assess the quality of life of patients who had reconstruction of severely atrophic jaws with anterior iliac crest and rehabilitation with dental implants and implant supported prosthesis by using the OHIP-14 scale. Level of satisfaction of the patients related to the whole treatment process was also determined with Likert-type questions and the periodontal health status of patients was evaluated with periodontal indices. The results of this study showed that, reconstruction of severely atrophic jaws with anterior iliac crest and rehabilitation with dental implants and implant supported prosthesis have positive effects on quality of life; this effect has increased over time. It was observed that the satisfaction levels of the patients related to this procedure were high and their expectations regarding this treatment were met at high levels. When periodontal health status is evaluated, relationship between plaque index and gingival index values were statistically significant. There was an increase in pocket depth as these values increase. Both index values were higher in men population, advanced age group, smoker group, and the implants placed in posterior regions. A significant increase in pocket depths was observed in male patients and in the implants placed in posterior regions.