Patient-reported outcome measures after routine periodontal and implant surgical procedures
Objectives To compare patient‐reported outcome measures (PROMs) after different dental surgical procedures over a 1‐week post‐surgical period and in relation to duration of the surgery, and periosteal releasing incisions. To evaluate the prevalence of post‐surgical complications. Material & Meth...
Gespeichert in:
| Veröffentlicht in: | Journal of clinical periodontology 2014-06, Vol.41 (6), p.618-624 |
|---|---|
| Hauptverfasser: | , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 624 |
|---|---|
| container_issue | 6 |
| container_start_page | 618 |
| container_title | Journal of clinical periodontology |
| container_volume | 41 |
| creator | Tan, Wah Ching Krishnaswamy, Gita Ong, Marianne M. A. Lang, Niklaus P. |
| description | Objectives
To compare patient‐reported outcome measures (PROMs) after different dental surgical procedures over a 1‐week post‐surgical period and in relation to duration of the surgery, and periosteal releasing incisions. To evaluate the prevalence of post‐surgical complications.
Material & Methods
Four hundred and sixty‐eight healthy dental patients requiring surgeries, such as crown lengthening (CL), open flap debridement (OFD) and implant installation (IMP) in the National Dental Centre, Singapore (2009–2011), were consecutively recruited. PROMs on bleeding, swelling, pain and bruising were obtained using Visual Analogue Scales (VAS) on days 0, 3, 5 and 7 post‐operatively.
Results
On the day of surgery, the IMP procedure gave the lowest median VAS for all four PROM parameters. After a week, OFD still had a significantly higher VAS for swelling, pain and bruising. Patients who underwent procedures lasting more than 60 min. had higher VAS for all parameters except bleeding. After considering other important confounders, type of surgery procedure was no longer associated with the VAS score for any of the parameters. Time after surgery, male gender and shorter surgery duration reduced post‐operative VAS for one or more of the parameters. Longer surgeon experience helps reduce VAS scores only for bleeding. Prevalence for tenderness to palpation was 11.6%, 8.9% and 12.2% for IMP, CL and OFD, respectively, 1‐week post‐operatively. Swelling and suppuration occurred rarely.
Conclusions
The median VAS scores for all PROM parameters were generally low and reduced to near zero over a week following all three surgical procedures tested. Time after surgery and shorter surgery duration were associated with lower VAS scores in all the PROM parameters in this cohort of patients. Surgery type was not associated significantly with VAS after adjustment with other important confounders. Low prevalences of post‐surgical complications were reported. |
| doi_str_mv | 10.1111/jcpe.12248 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1524817260</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>3302048441</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4318-ca1826344dd33ee27508693204727f4e103896f26eb64fc3ee8cdc4a1653d39a3</originalsourceid><addsrcrecordid>eNp9kMFqFTEUhoMo9ra68QFkwI0IU5OcTGay1NtataUWURRchDQ5I7nOTMYkQ-3bm9vbduHCbA4cvv_P4SPkGaOHrLzXGzvjIeNcdA_IiklKa9qw7w_JigKFWqpW7ZH9lDaUshYAHpM9LhoFXSNW5MeFyR6nXEecQ8zoqrBkG0asRjRpiZgq02eMVSx7P2E1Y_TBhSmboTKTq_w4D2bKVWF_eluWcwwW3Tb5hDzqzZDw6e08IF_fHX9Zv6_PPp18WL85q60A1tXWsI5LEMI5AETeNrSTCjgVLW97gYxCp2TPJV5K0duCdNZZYZhswIEycEBe7nrL178XTFmPPlkcyl0YlqRZU9Swlkta0Bf_oJuwxKlcd0PRRnGmCvVqR9kYUorY6zn60cRrzajeKtdb5fpGeYGf31YulyO6e_TOcQHYDrjyA17_p0p_XF8c35XWu4xPGf_cZ0z8pWULbaO_nZ_o089vz4-OqNKn8Bf3pJsF</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1524059219</pqid></control><display><type>article</type><title>Patient-reported outcome measures after routine periodontal and implant surgical procedures</title><source>MEDLINE</source><source>Wiley Online Library All Journals</source><creator>Tan, Wah Ching ; Krishnaswamy, Gita ; Ong, Marianne M. A. ; Lang, Niklaus P.</creator><creatorcontrib>Tan, Wah Ching ; Krishnaswamy, Gita ; Ong, Marianne M. A. ; Lang, Niklaus P.</creatorcontrib><description>Objectives
To compare patient‐reported outcome measures (PROMs) after different dental surgical procedures over a 1‐week post‐surgical period and in relation to duration of the surgery, and periosteal releasing incisions. To evaluate the prevalence of post‐surgical complications.
Material & Methods
Four hundred and sixty‐eight healthy dental patients requiring surgeries, such as crown lengthening (CL), open flap debridement (OFD) and implant installation (IMP) in the National Dental Centre, Singapore (2009–2011), were consecutively recruited. PROMs on bleeding, swelling, pain and bruising were obtained using Visual Analogue Scales (VAS) on days 0, 3, 5 and 7 post‐operatively.
Results
On the day of surgery, the IMP procedure gave the lowest median VAS for all four PROM parameters. After a week, OFD still had a significantly higher VAS for swelling, pain and bruising. Patients who underwent procedures lasting more than 60 min. had higher VAS for all parameters except bleeding. After considering other important confounders, type of surgery procedure was no longer associated with the VAS score for any of the parameters. Time after surgery, male gender and shorter surgery duration reduced post‐operative VAS for one or more of the parameters. Longer surgeon experience helps reduce VAS scores only for bleeding. Prevalence for tenderness to palpation was 11.6%, 8.9% and 12.2% for IMP, CL and OFD, respectively, 1‐week post‐operatively. Swelling and suppuration occurred rarely.
Conclusions
The median VAS scores for all PROM parameters were generally low and reduced to near zero over a week following all three surgical procedures tested. Time after surgery and shorter surgery duration were associated with lower VAS scores in all the PROM parameters in this cohort of patients. Surgery type was not associated significantly with VAS after adjustment with other important confounders. Low prevalences of post‐surgical complications were reported.</description><identifier>ISSN: 0303-6979</identifier><identifier>EISSN: 1600-051X</identifier><identifier>DOI: 10.1111/jcpe.12248</identifier><identifier>PMID: 24593854</identifier><language>eng</language><publisher>United States: Blackwell Publishing Ltd</publisher><subject>Cohort Studies ; Contusions - etiology ; Crown Lengthening ; Debridement - methods ; Dental Audit ; Dental Implantation, Endosseous ; Dental surgery ; Dentistry ; Edema - etiology ; Female ; Follow-Up Studies ; Humans ; implant ; Male ; Operative Time ; Oral Surgical Procedures ; Pain, Postoperative - etiology ; Patient Outcome Assessment ; patient-reported outcome measures ; periodontal ; Periosteum - surgery ; Postoperative Complications ; Postoperative Hemorrhage - etiology ; Sex Factors ; surgery ; Surgical Flaps - surgery ; Surgical outcomes ; Transplants & implants ; Visual Analog Scale</subject><ispartof>Journal of clinical periodontology, 2014-06, Vol.41 (6), p.618-624</ispartof><rights>2014 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd</rights><rights>2014 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.</rights><rights>Copyright © 2014 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4318-ca1826344dd33ee27508693204727f4e103896f26eb64fc3ee8cdc4a1653d39a3</citedby><cites>FETCH-LOGICAL-c4318-ca1826344dd33ee27508693204727f4e103896f26eb64fc3ee8cdc4a1653d39a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fjcpe.12248$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fjcpe.12248$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1416,27923,27924,45573,45574</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24593854$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Tan, Wah Ching</creatorcontrib><creatorcontrib>Krishnaswamy, Gita</creatorcontrib><creatorcontrib>Ong, Marianne M. A.</creatorcontrib><creatorcontrib>Lang, Niklaus P.</creatorcontrib><title>Patient-reported outcome measures after routine periodontal and implant surgical procedures</title><title>Journal of clinical periodontology</title><addtitle>J Clin Periodontol</addtitle><description>Objectives
To compare patient‐reported outcome measures (PROMs) after different dental surgical procedures over a 1‐week post‐surgical period and in relation to duration of the surgery, and periosteal releasing incisions. To evaluate the prevalence of post‐surgical complications.
Material & Methods
Four hundred and sixty‐eight healthy dental patients requiring surgeries, such as crown lengthening (CL), open flap debridement (OFD) and implant installation (IMP) in the National Dental Centre, Singapore (2009–2011), were consecutively recruited. PROMs on bleeding, swelling, pain and bruising were obtained using Visual Analogue Scales (VAS) on days 0, 3, 5 and 7 post‐operatively.
Results
On the day of surgery, the IMP procedure gave the lowest median VAS for all four PROM parameters. After a week, OFD still had a significantly higher VAS for swelling, pain and bruising. Patients who underwent procedures lasting more than 60 min. had higher VAS for all parameters except bleeding. After considering other important confounders, type of surgery procedure was no longer associated with the VAS score for any of the parameters. Time after surgery, male gender and shorter surgery duration reduced post‐operative VAS for one or more of the parameters. Longer surgeon experience helps reduce VAS scores only for bleeding. Prevalence for tenderness to palpation was 11.6%, 8.9% and 12.2% for IMP, CL and OFD, respectively, 1‐week post‐operatively. Swelling and suppuration occurred rarely.
Conclusions
The median VAS scores for all PROM parameters were generally low and reduced to near zero over a week following all three surgical procedures tested. Time after surgery and shorter surgery duration were associated with lower VAS scores in all the PROM parameters in this cohort of patients. Surgery type was not associated significantly with VAS after adjustment with other important confounders. Low prevalences of post‐surgical complications were reported.</description><subject>Cohort Studies</subject><subject>Contusions - etiology</subject><subject>Crown Lengthening</subject><subject>Debridement - methods</subject><subject>Dental Audit</subject><subject>Dental Implantation, Endosseous</subject><subject>Dental surgery</subject><subject>Dentistry</subject><subject>Edema - etiology</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>implant</subject><subject>Male</subject><subject>Operative Time</subject><subject>Oral Surgical Procedures</subject><subject>Pain, Postoperative - etiology</subject><subject>Patient Outcome Assessment</subject><subject>patient-reported outcome measures</subject><subject>periodontal</subject><subject>Periosteum - surgery</subject><subject>Postoperative Complications</subject><subject>Postoperative Hemorrhage - etiology</subject><subject>Sex Factors</subject><subject>surgery</subject><subject>Surgical Flaps - surgery</subject><subject>Surgical outcomes</subject><subject>Transplants & implants</subject><subject>Visual Analog Scale</subject><issn>0303-6979</issn><issn>1600-051X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kMFqFTEUhoMo9ra68QFkwI0IU5OcTGay1NtataUWURRchDQ5I7nOTMYkQ-3bm9vbduHCbA4cvv_P4SPkGaOHrLzXGzvjIeNcdA_IiklKa9qw7w_JigKFWqpW7ZH9lDaUshYAHpM9LhoFXSNW5MeFyR6nXEecQ8zoqrBkG0asRjRpiZgq02eMVSx7P2E1Y_TBhSmboTKTq_w4D2bKVWF_eluWcwwW3Tb5hDzqzZDw6e08IF_fHX9Zv6_PPp18WL85q60A1tXWsI5LEMI5AETeNrSTCjgVLW97gYxCp2TPJV5K0duCdNZZYZhswIEycEBe7nrL178XTFmPPlkcyl0YlqRZU9Swlkta0Bf_oJuwxKlcd0PRRnGmCvVqR9kYUorY6zn60cRrzajeKtdb5fpGeYGf31YulyO6e_TOcQHYDrjyA17_p0p_XF8c35XWu4xPGf_cZ0z8pWULbaO_nZ_o089vz4-OqNKn8Bf3pJsF</recordid><startdate>201406</startdate><enddate>201406</enddate><creator>Tan, Wah Ching</creator><creator>Krishnaswamy, Gita</creator><creator>Ong, Marianne M. A.</creator><creator>Lang, Niklaus P.</creator><general>Blackwell Publishing Ltd</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>K9.</scope><scope>7X8</scope></search><sort><creationdate>201406</creationdate><title>Patient-reported outcome measures after routine periodontal and implant surgical procedures</title><author>Tan, Wah Ching ; Krishnaswamy, Gita ; Ong, Marianne M. A. ; Lang, Niklaus P.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4318-ca1826344dd33ee27508693204727f4e103896f26eb64fc3ee8cdc4a1653d39a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Cohort Studies</topic><topic>Contusions - etiology</topic><topic>Crown Lengthening</topic><topic>Debridement - methods</topic><topic>Dental Audit</topic><topic>Dental Implantation, Endosseous</topic><topic>Dental surgery</topic><topic>Dentistry</topic><topic>Edema - etiology</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>implant</topic><topic>Male</topic><topic>Operative Time</topic><topic>Oral Surgical Procedures</topic><topic>Pain, Postoperative - etiology</topic><topic>Patient Outcome Assessment</topic><topic>patient-reported outcome measures</topic><topic>periodontal</topic><topic>Periosteum - surgery</topic><topic>Postoperative Complications</topic><topic>Postoperative Hemorrhage - etiology</topic><topic>Sex Factors</topic><topic>surgery</topic><topic>Surgical Flaps - surgery</topic><topic>Surgical outcomes</topic><topic>Transplants & implants</topic><topic>Visual Analog Scale</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Tan, Wah Ching</creatorcontrib><creatorcontrib>Krishnaswamy, Gita</creatorcontrib><creatorcontrib>Ong, Marianne M. A.</creatorcontrib><creatorcontrib>Lang, Niklaus P.</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of clinical periodontology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Tan, Wah Ching</au><au>Krishnaswamy, Gita</au><au>Ong, Marianne M. A.</au><au>Lang, Niklaus P.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Patient-reported outcome measures after routine periodontal and implant surgical procedures</atitle><jtitle>Journal of clinical periodontology</jtitle><addtitle>J Clin Periodontol</addtitle><date>2014-06</date><risdate>2014</risdate><volume>41</volume><issue>6</issue><spage>618</spage><epage>624</epage><pages>618-624</pages><issn>0303-6979</issn><eissn>1600-051X</eissn><abstract>Objectives
To compare patient‐reported outcome measures (PROMs) after different dental surgical procedures over a 1‐week post‐surgical period and in relation to duration of the surgery, and periosteal releasing incisions. To evaluate the prevalence of post‐surgical complications.
Material & Methods
Four hundred and sixty‐eight healthy dental patients requiring surgeries, such as crown lengthening (CL), open flap debridement (OFD) and implant installation (IMP) in the National Dental Centre, Singapore (2009–2011), were consecutively recruited. PROMs on bleeding, swelling, pain and bruising were obtained using Visual Analogue Scales (VAS) on days 0, 3, 5 and 7 post‐operatively.
Results
On the day of surgery, the IMP procedure gave the lowest median VAS for all four PROM parameters. After a week, OFD still had a significantly higher VAS for swelling, pain and bruising. Patients who underwent procedures lasting more than 60 min. had higher VAS for all parameters except bleeding. After considering other important confounders, type of surgery procedure was no longer associated with the VAS score for any of the parameters. Time after surgery, male gender and shorter surgery duration reduced post‐operative VAS for one or more of the parameters. Longer surgeon experience helps reduce VAS scores only for bleeding. Prevalence for tenderness to palpation was 11.6%, 8.9% and 12.2% for IMP, CL and OFD, respectively, 1‐week post‐operatively. Swelling and suppuration occurred rarely.
Conclusions
The median VAS scores for all PROM parameters were generally low and reduced to near zero over a week following all three surgical procedures tested. Time after surgery and shorter surgery duration were associated with lower VAS scores in all the PROM parameters in this cohort of patients. Surgery type was not associated significantly with VAS after adjustment with other important confounders. Low prevalences of post‐surgical complications were reported.</abstract><cop>United States</cop><pub>Blackwell Publishing Ltd</pub><pmid>24593854</pmid><doi>10.1111/jcpe.12248</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0303-6979 |
| ispartof | Journal of clinical periodontology, 2014-06, Vol.41 (6), p.618-624 |
| issn | 0303-6979 1600-051X |
| language | eng |
| recordid | cdi_proquest_miscellaneous_1524817260 |
| source | MEDLINE; Wiley Online Library All Journals |
| subjects | Cohort Studies Contusions - etiology Crown Lengthening Debridement - methods Dental Audit Dental Implantation, Endosseous Dental surgery Dentistry Edema - etiology Female Follow-Up Studies Humans implant Male Operative Time Oral Surgical Procedures Pain, Postoperative - etiology Patient Outcome Assessment patient-reported outcome measures periodontal Periosteum - surgery Postoperative Complications Postoperative Hemorrhage - etiology Sex Factors surgery Surgical Flaps - surgery Surgical outcomes Transplants & implants Visual Analog Scale |
| title | Patient-reported outcome measures after routine periodontal and implant surgical procedures |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-11T08%3A21%3A14IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Patient-reported%20outcome%20measures%20after%20routine%20periodontal%20and%20implant%20surgical%20procedures&rft.jtitle=Journal%20of%20clinical%20periodontology&rft.au=Tan,%20Wah%20Ching&rft.date=2014-06&rft.volume=41&rft.issue=6&rft.spage=618&rft.epage=624&rft.pages=618-624&rft.issn=0303-6979&rft.eissn=1600-051X&rft_id=info:doi/10.1111/jcpe.12248&rft_dat=%3Cproquest_cross%3E3302048441%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1524059219&rft_id=info:pmid/24593854&rfr_iscdi=true |