Please use this identifier to cite or link to this item: doi:10.22028/D291-33453
Title: Decision-Making in Implantology—A Cross-Sectional Vignette-Based Study to Determine Clinical Treatment Routines for the Edentulous Atrophic Mandible
Author(s): Korsch, Michael
Walther, Winfried
Robra, Bernt-Peter
Sahin, Aynur
Hannig, Matthias
Bartols, Andreas
Language: English
Title: International Journal of Environmental Research and Public Health
Volume: 18
Issue: 4
Publisher/Platform: MDPI
Year of Publication: 2021
Free key words: dental implant
oral surgeon
maxillofacial surgeon
pre-implantological treatment
bone augmentation
bone resection
edentulous mandible
DDC notations: 610 Medicine and health
Publikation type: Journal Article
Abstract: This cross-sectional study aimed to investigate the influence of possible factors in the patient history on decision making in the therapy for a severely atrophied edentulous mandible. A vignette-based survey among 250 maxillofacial and oral surgeons was conducted. Determinants that could influence the therapy decision were patient age, smoking, fear of surgery, and radiotherapy in the head and neck area (the implant region is not in the direct radiation area). To achieve a suitable implant site, the options offered to the surgeons were bone split, bone block, augmentation with bone substitute material, and bone resection. There also was the option of rejecting any therapy. The response rate was 47%. Patient age, radiotherapy, and fear of surgery did not influence the approval of a therapy. Smoking was associated with a significantly lower endorsement of a treatment. Resection was preferred by a large majority to all other forms of therapy, regardless of the four determinants. Surgeons tend to refrain from bone block transplants in older patients. In summary, it can be said that, of the four determinants, only smoking influenced treatment refusal. Bone resection is the preferred therapy independent of all determinants.
DOI of the first publication: 10.3390/ijerph18041596
Link to this record: urn:nbn:de:bsz:291--ds-334532
ISSN: 1660-4601
Date of registration: 1-Mar-2021
Description of the related object: Supplementary Materials
Related object:
Faculty: M - Medizinische Fakultät
Department: M - Zahn-, Mund- und Kieferheilkunde
Professorship: M - Prof. Dr. Matthias Hannig
Collections:SciDok - Der Wissenschaftsserver der Universität des Saarlandes

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