Patient-reported outcomes and complication rates after lateral maxillary sinus floor elevation: a prospective study

Carlo Rengo,Marco Ferrari,Alessandro Cucchi,Antonio Nappo,Emanuele Randellini,Antonino Fiorino,Paolo Calamai

doi:10.1007/s00784-020-03755-x

Carlo Rengo, Marco Ferrari + Show 5 more

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https://doi.org/10.1007/s00784-020-03755-x

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Abstract

ObjectivesOral surgery morbidity is highly variable based on patients’ characteristics and kind of surgical intervention. However, poor data are available in the literature regarding patient outcomes after oral surgery. The aim of this retrospective study was to evaluate patient-reported outcome and complication rates after maxillary sinus floor elevation.Materials and methodsData from the records of patients undergoing maxillary sinus elevation have been collected from a private dental office. Patient-reported outcome has been assessed using a 100-mm visual analog scale to evaluate the post-operative pain (VASpain) experienced in the first week following surgery and visual rating scales to evaluate discomfort level (VRSdiscomfort: 0 to 4) and willingness to repeat the same surgical procedure (VRSwillingness: 0 to 3). Analgesics intake, swelling onset and duration, and ecchymosis have been also recorded.ResultsVASpain showed moderate values in the first 2 days (< 50) post-surgery, with a tendency to progressively decrease over the next 2 days. Average assumption of painkillers was 3.93 ± 3.03. Discomfort level (VRSdiscomfort) after surgery was low (median: 1; IR: 1–0), while willingness to undergo the same surgical procedure was very high (77.63% of patients). Swelling and ecchymosis were experienced by 97.36% and 51.32% of patients, respectively, with a mean duration of 4.09 ± 1.43 and 2.21 ± 2.31 days, respectively. Membrane perforation occurred in 4 cases. Other post-operative complications were not observed.ConclusionsMaxillary sinus grafting is a safe procedure, with a low complication rate and moderate morbidity that is well tolerated by patients. Particular attention is needed in case selection, surgical planning and operator expertise.Clinical relevanceThe analysis of patient-reported outcomes can be of great help in surgical planning and in providing correct and adequate treatment.

Highlights

Oral surgery morbidity is highly variable based on patients’ characteristics and kind of surgical intervention
2 Dentistry Unit, Catholic University of Sacred Heart, Rome, Italy 3 Private Practice, Bologna, Italy 4 Private Practice, Fucecchio, Italy 5 Private Practice, Florence, Italy poor data are available in the literature regarding patient outcomes after oral surgery
Dental patients are more worried about pain and fear of oral surgical interventions than costs or outcomes

Summary

Introduction

Oral surgery morbidity is highly variable based on patients’ characteristics and kind of surgical intervention. It is difficult to objectively assess pain, since it is affected by personal control of sensations and emotions [1]. Dental patients are more worried about pain and fear of oral surgical interventions than costs or outcomes. Management of the patient anxiety and pain is crucial in patients undergoing oral surgical procedures [2]. Conventional dental implant placement causes mild to moderate pain experience [3, 4]. Implant placement in the posterior maxilla often involves additional bone augmentation procedures, when, following tooth loss, the residual alveolar ridge is reduced due to pneumatisation of the maxillary sinus or vertical resorption of the edentulous bone crest [5, 6]

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