Καταγραφή και αξιολόγηση των των περιστατικών στην χειρουργική οδοντικών εμφυτευμάτων του μεταπτυχιακού προγράμματος της οδοντοφατνιακής χειρουργικής, χειρουργικής εμφυτευματολογίας και ακτινολογίας στόματος από το 2003 εώς το 2013
Creators: name: Κασφίκης, Γεώργιος Δημητρίου
Publisher: name: Aristotle University of Thessaloniki
Year: 2017
Subjects: Καταγραφή περιστατικών
Οδοντικά εμφυτεύματα
Οδοντοφατνιακή Χειρουργική
Audit
Dental implants
Dentoalveoral Surgery

description: Το επίσημο μεταπτυχιακό πρόγραμμα σπουδών του εργαστηρίου της Οδοντοφατνιακής Χειρουργικής, Χειρουργικής Εμφυτευματολογίας και Ακτινολογίας λειτουργεί από το 2003. Η καταγραφή των περιστατικών της κλινικής (AUDIT) είναι ένα πολύ καλό εργαλείο για την αξιολόγηση κάθε εργαστηρίου αλλά και για την εξέλιξή του και αποτελεί συνηθισμένη και χρήσιμη διαδικασία αξιολόγησης για πολλές κλινικές. Σκοπός της παρούσας διπλωματικής εργασίας είναι η καταγραφή και η αξιολόγηση των περιστατικών χειρουργικής τοποθέτησης οδοντικών εμφυτευμάτων που πραγματοποιήθηκαν κατά τη δεκαετία 2003-2013 στη μεταπτυχιακή κλινική του Εργαστηρίου Οδοντοφατνιακής Χειρουργικής, Χειρουργικής Εμφυτευματολογίας και Ακτινολογίας . Για τον σκοπό αυτό συγκεντρώθηκαν στοιχεία από τους φακέλους των ασθενών που προσήλθαν στην κλινική τη δεκαετία αυτή. Από τη μελέτη αυτή προέκυψαν πολλά αποτελέσματα που αφορούν τόσο στα εμφυτεύματα όσο και στους ασθενείς που υποβλήθηκαν σε επέμβαση τοποθέτησής τους. Από τα αποτελέσματα της μελέτης αυτής εξήχθησαν χρήσιμα συμπεράσματα σχετικά με τον όγκο και την ποιότητα των παροχών της κλινικής, όσον αφορά στα οδοντικά εμφυτεύματα
description: Clinical audit is a process that has been defined as "a quality improvement process that seeks to improve patient care and outcomes through systematic review of care against explicit criteria and the implementation of change”. The key component of clinical audit is that performance is reviewed to ensure that what should be done is being done, and if not it provides a framework to enable improvements to be made. It had been formally incorporated in the healthcare systems of a number of countries, for instance in 1993 into the United Kingdom's National Health Service (NHS), and within the NHS there is a clinical audit guidance group in the UK. OBJECTIVES: The purpose of this thesis is to record all the parameters related to dental implant surgery that took place in Dentoalveoral Surgery clinic of Dental School of Aristotle University of Thessaloniki during the decade 2003-2013. METHODS: For this reason, data were collected from the patients’ records of the clinic from 2003 to 2013. The patients’ records included data from medical and dental history and from radiological or other medical examinations. RESULT: As a result it was observed that from 2003 to 2013 769 patients visited our clinic interested in dental implant restoration. From those only 414 had a dental implant surgery. The average age was 47,3 ± 14,6 years while the male female ratio was 0,89. From the total number of the patients, 85% where Thessalonikis’ county residents. Most of the patients (80,4%) where healthy while the rest were medically compromised for diseases such as cardiovascular disease, diabetes mellitus and hypertension. The total number of implants placed this decade was 1138. The mostly used brands were Biomed 3i (497 implants) Friadent / Xive S (347) and Friadent / Frialit-2 (205). A percentage of 10,7% of the implants were immediately placed after tooth extraction while 278 implants where placed with guided bone regeneration. During this decade 77 sinus lift elevations took place, 66 of whose where with simultaneous implant placement. The number of implants that where immediately loaded was 58. From the total number of 1138 implants there where 16 implant losses during the first 3 months after placement while there also were 3 incidents of mental nerve injuries and 3 incidents of hemorrhage caused by artery injury. The average number of implants placed by every postgraduate student was 30,7 . The average interval from patient’s first visit to first surgery was 127,5 days while the average interval from implant placement to healing cup surgery was 175,4 days. CONCLUSION: Most of the patients receiving dental implant restoration are healthy young individuals. However the number of the patients visiting Dentoalveoral Surgery Clinic of Dental School of Thessaloniki is being decreased year by year. Measures should be taken to stop this decrease in favor of the better postgraduate students’ training. The therapy cost should be reduced and the delay of therapies should be minimized so that implant restoration in the university clinic becomes more delightful