Patient-reported outcome measures comparing static computer-aided implant surgery and conventional implant surgery for single-tooth replacement: A randomized controlled trial

Clin Oral Implants Res. 2022 Mar;33(3):278-290. doi: 10.1111/clr.13886. Epub 2022 Jan 2.

Abstract

Objective: To compare static computer-aided implant surgery (s-CAIS) and conventional implant surgery (CIS) for single-tooth replacement in posterior sites in terms of patient-reported outcome measures (PROMs).

Methods: Forty patients were divided into two groups for treatment with s-CAIS (Test) and CIS (Control). Patients' anxiety level was measured using the modified dental anxiety score before implant surgery. After surgery, patients completed two questionnaires for 7 days. The first questionnaire assessed pain level using a visual analog scale (VAS) and the incident rate of pain using a 5-point Likert scale; analgesic intake was also recorded. The second questionnaire investigated patients' oral health-related quality of life (OHRQoL) including postoperative symptoms, oral function, and daily activity. The difference between data was compared at significance level (α = 0.05).

Results: There was no statistically significant difference in pretreatment dental anxiety level, postoperative pain scores, and OHRQoL between treatment groups. Overall, mild or moderate dental anxiety was reported by 70% and 20% of patients, respectively. Pain score was significantly reduced by postoperative Day 3 in the test group and Day 4 in the control group, compared with baseline. Both groups significant reduced analgesic intake by postoperative Day 5. Most OHRQoL-related complaints subsided approximately 3 days after surgery.

Conclusions: Overall, PROMs between s-CAIS and CIS were not significantly different for the single-tooth implant surgery in the posterior area. Postoperative symptoms after implant surgery still inevitably occurred, reflecting the normal process of oral wound healing.

Keywords: Oral Health-Related Quality of Life (OHRQoL); Patient-Reported Outcome Measures (PROMs); Static Computer-Aided Implant Surgery (s-CAIS); clinical research; dental Implant; dental anxiety; pain.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Computers
  • Dental Implantation, Endosseous
  • Humans
  • Patient Reported Outcome Measures
  • Quality of Life*
  • Surgery, Computer-Assisted*

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