Browsing by Subject "Dental implants/adverse effects"

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    Effects of the preoperative administration of Dexketoprofen Trometamol on pain and swelling after implant surgery: a randomized, double-blind controlled trial
    (American Academy of Implant Dentistry, 2018-04-01) Sánchez-Pérez, Arturo; Muñoz-Peñalver, Jesús; Moya Villaescusa, María José; Sánchez-Matás, Carmen; Dermatología, Estomatología, Radiología y Medicina Física
    The fear of postoperative pain is often mentioned by patients as one of the factors that is most frequently associated with dental implants. To reduce this factor, a single oral dose of 25 mg dexketoprofen trometamol (DKT) or placebo was administered 15 minutes before implant surgery. One hundred patients who required single-implant treatments were randomly assigned to 1 of 2 blinded groups. The patients in the test group were given 25 mg DKT (DKT group), and those in the control group were given 500 mg vitamin C as a placebo (PLACEBO group). A subjective visual analogue scale of 100 mm in length was used to evaluate pain. Inflammation and complications were assessed using a 5-point Likert scale. An analysis of variance, t-tests, and a Mann-Whitney U test were performed. Among the 100 patients, 83 completed the study (there were 8 dropouts in the PLACEBO group and 9 in the DKT group). The patients who received DKT reported a lower pain intensity during the immediate postoperative period. The inflammatory response was weaker in the DKT group than the control group at 48 hours, but bleeding was greater. There were no other complications in either of the groups. In conclusion, the preemptive use of 25 mg soluble DKT administered orally 15 minutes before implant surgery can reduce the severity of immediate postoperative pain.
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    Evaluation of the Wachtel healing Index and its correlation with early implantation success or failured at two months
    (MDPI, 2024-11-22) Moya Villaescusa, María José; Sánchez Pérez, Arturo; Lara Hernández, Nerea; Jornet García, Alfonso; Montoya Carralero, José María; Dermatología, Estomatología, Radiología y Medicina Física
    Implants are increasingly used in dentistry. Nevertheless, several factors can cause treatment failure. To assess initial wound healing, various indices have been developed. The purpose of this study was to assess the relationship between early wound healing and implant success. Fifty single implants (25 in women and 25 in men) were placed in patients meeting the inclusion criteria. The implants (Ticare®) were placed via the two-stage technique. Patients were assessed at 24 h, one week, one month, and two months post-implantation. At the final evaluation, implantation failure or success was recorded. Postoperative pain in these patients at one week after placement was assessed with a visual analogue scale (VAS), and the Wachtel soft tissue early healing index was used to measure healing. Two months after implant placement, the success rate was 92%. No statistically significant relationship was found between the Wachtel index and short-term implant success or failure. Additionally, there was no relationship between implant success or failure and variables such as smoking, diabetes status, age, sex, or guided bone regeneration (GBR). Neither the Wachtel index nor any of the other variables studied is a predictor of early implantation success.