The impact of acute post-extraction oroantral communications surgical treatment on patients' quality of life in early post-operative period
DOI:
https://doi.org/10.14739/2310-1210.2017.6.115262Keywords:
oroantral fistula, quality of life, orthodontic space closureAbstract
The research objective is to study the impact of plastic surgery different methods of acute post-extraction oroantral communications treatment on patients' quality of life in early post-operative period.
Materials and methods. The study included 41 patient aged between 18 and 58 years receiving treatment of maxillary sinus perforation, which was caused by tooth extraction. The patients were divided into 3 groups – 14, 12 and 15 persons respectively. Plastic surgery of the oroantral communication in the first group was done in accordance with the methods suggested by the authors using collagen cone and membrane. The same surgery in the second group was done with PRF (Platelet-rich fibrin). In the third (control group), the communication was closed by the vestibular flap following the Rehrmann method.
Results of patients' quality of life evaluation after plastic surgery treatment of acute post-extraction oroantral communication show the decrease of its general indicator in early post-operative period in all groups of patients. The general quality of life indicator (well-being indicator) shows a tendency to increase over the first 24 hours after the surgery in both study and control groups. This may mean that a relatively small trauma in a maxillofacial area has a significant influence on patients' perception of their condition and well-being.
Absolute numbers of well-being indicator over the first 24 hours after the surgery in the third group were almost 1.5 times higher than those in the groups 1 and2. Ina comparative study of the groups 1 and 3 and then the groups 2 and 3, we observed a significant difference between well-being indicator levels (p < 0.01). The control group demonstrated the return to the pre-operative life quality values on the 7-th day after the surgery. While at the same time, those values in the study groups were equal to the pre-operative ones already on the 4-th day.
Conclusions. Operation trauma which was caused by the plastic surgery for closure of acute oroantral communication leads to the decrease of patients' quality of life (oral-related conditions), which correlates with the volume of a surgery and its complexity. The use of less traumatic methods of oroantral communication plastics facilitate the statistically significant decrease of these plastics negative impact on patients' quality of life in early post-operative period and enables the earlier recovery.
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