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Authors
Abstract(s)
Introdução: a International Team for Implantology desenvolveu a ferramenta
SAC Assessment Tool para categorizar o grau de risco e complexidade das
reabilitações implanto-suportadas. Os objetivos definidos para esta investigação
centraram-se: na análise da aplicação desta ferramenta nos casos clínicos
efetuados; no estudo da relação entre cada variável e o resultado final da
ferramenta; na análise dos resultados clínicos, particularmente taxa de
sucesso/sobrevivência e complicações mecânicas e biológicas da reabilitação.
Materiais e Métodos: estudo observacional, longitudinal retrospetivo. Foram
analisadas todas as variáveis registadas pela SAC Assessment Tool e os
resultados clínicos em pacientes com reabilitações protéticas implantosuportadas executadas numa Clínica Dentária Universitária. Os dados
recolhidos foram alvo de análise estatística descritiva e inferencial.
Resultados: foram analisados dados da avaliação cirúrgica de 78 pacientes
(131 zonas edêntulas), sendo que 38 desses tinham também avaliação protética
(58 zonas edêntulas). Tempo de follow-up cirúrgico: 8 meses. A maioria dos
pacientes era do sexo feminino, 46-65 anos, saudáveis, com expectativas
médias-altas, higiene oral suficiente, sem hábitos tabágicos e acesso para
reabilitar adequado. Maioritariamente realizaram-se reabilitações unitárias, sem
risco estético, com protocolo de carga convencional e retenção aparafusada. A
maioria das avaliações cirúrgicas apresentaram grau de dificuldade simples e
avançado, e as protéticas um grau simples. A maior parte das variáveis da
avaliação cirúrgica e os resultados clínicos apresentaram uma relação
estatisticamente significativa com o resultado final da SAC, o mesmo não se
verificando na avaliação protética.
Conclusões: a SAC Assessment Tool é uma ferramenta muito importante na
avaliação das reabilitações implanto-suportadas pela categorização exaustiva
que faz dos fatores de risco envolvidos. As variáveis que demonstraram uma
relação significativa com o resultado final da SAC Assessment Tool demonstram
a importância da sua inclusão nesta ferramenta. O resultado final da avaliação
com esta ferramenta tem relação com o resultado clínico do tratamento.
Introduction: the International Team for Implantology developed the SAC Assessment Tool to categorize the degree of risk and complexity of implantsupported rehabilitations. The objectives defined for this investigation focused on: the analysis of the application of this tool in the clinical cases performed; the study of the relationship between each variable and the tool’s final result; the analysis of clinical results, particularly success/survival rate and mechanical and biological complications of the rehabilitation. Materials and Methods: observational, longitudinal retrospective study. All variables recorded by the SAC Assessment Tool and clinical outcomes in patients with implant-supported prosthetic rehabilitations performed in a University Dental Clinic were analyzed. The data collected was subjected to descriptive and inferential statistical analysis. Results: data from the surgical evaluation of 78 patients (131 edentulous areas) was analyzed, 38 of these also had prosthetic evaluation (58 edentulous areas). Surgical follow-up time: 8 months. Most patients were female, 46-65 years old, healthy, with medium-high expectations, sufficient oral hygiene, no smoking habits, and adequate access to rehabilitation. Mostly single unit rehabilitations were performed, without esthetic risk, with conventional loading protocol and screw-retained retention. Most of the surgical evaluations presented a simple and advanced degree of difficulty, and the prosthetic ones a simple degree. Most of the variables in the surgical evaluation and clinical results showed a statistically significant relationship with the final outcome of the SAC Assessment Tool, while the same wasn’t true for the prosthetic evaluation. Conclusion: the SAC Assessment Tool is very important at assessing implantsupported rehabilitations because of its comprehensive categorization of the risk factors involved. The variables that showed a significant relationship with the final result of the SAC Assessment Tool demonstrate the importance of its inclusion in this tool. The final result of the assessment with this tool is related to the clinical outcome of the treatment.
Introduction: the International Team for Implantology developed the SAC Assessment Tool to categorize the degree of risk and complexity of implantsupported rehabilitations. The objectives defined for this investigation focused on: the analysis of the application of this tool in the clinical cases performed; the study of the relationship between each variable and the tool’s final result; the analysis of clinical results, particularly success/survival rate and mechanical and biological complications of the rehabilitation. Materials and Methods: observational, longitudinal retrospective study. All variables recorded by the SAC Assessment Tool and clinical outcomes in patients with implant-supported prosthetic rehabilitations performed in a University Dental Clinic were analyzed. The data collected was subjected to descriptive and inferential statistical analysis. Results: data from the surgical evaluation of 78 patients (131 edentulous areas) was analyzed, 38 of these also had prosthetic evaluation (58 edentulous areas). Surgical follow-up time: 8 months. Most patients were female, 46-65 years old, healthy, with medium-high expectations, sufficient oral hygiene, no smoking habits, and adequate access to rehabilitation. Mostly single unit rehabilitations were performed, without esthetic risk, with conventional loading protocol and screw-retained retention. Most of the surgical evaluations presented a simple and advanced degree of difficulty, and the prosthetic ones a simple degree. Most of the variables in the surgical evaluation and clinical results showed a statistically significant relationship with the final outcome of the SAC Assessment Tool, while the same wasn’t true for the prosthetic evaluation. Conclusion: the SAC Assessment Tool is very important at assessing implantsupported rehabilitations because of its comprehensive categorization of the risk factors involved. The variables that showed a significant relationship with the final result of the SAC Assessment Tool demonstrate the importance of its inclusion in this tool. The final result of the assessment with this tool is related to the clinical outcome of the treatment.
Description
Keywords
Sistemas de apoio à decisão clínica Implantes dentários Prótese dentária suportada por implantes Avaliação de risco Clinical decision support systems Dental Implants Implant supported dental prothesis Risk assessment