Evaluation of pain intensity and amount of edema in patients treated with immediate and conventional implants

Abstract

Background: Tooth loss is generally a common thing and a person can lose their teeth due to trauma or disease. But today, with the use of dental implants, function and beauty can be returned to the dental system. There is always some pain during surgery or after implant surgery. Patients who visit the dental office must have concerns such as fear of pain, which can be related to implant surgery. Considering that the implant procedure is rarely life-threatening, but its physical and mental effects are what make patients avoid going to the dental office to restore the health and function of their oral system. Therefore, due to the fact that the amount of pain during or after the operation is an important factor in patients' decision-making, and the amount of edema and pain play an important role in the success of implantation, so we intend to investigate the mentioned cases in the study and the amount of edema and severity Compare the pain in two types of immediate and regular implants. Materials and methods: In this randomized, blinded clinical trial, 20 patients were divided into two groups (10 patients in each group), in the first group, an immediate implant was placed after the extraction of the anterior tooth, and in the second group, after the extraction of the tooth and restoration of the extraction site, the implant was placed in the usual way. .)) were examined in terms of pain intensity and edema level on the 1st, 3rd and 7th days. Results: Independent T-test was used to compare the average types of edema and the amount of pain on days 1, 3 and 7 between the two groups (between-group comparison). There was a statistically significant difference in the mean (severity) of pain among the study groups in all three intervals of pain measurement (1, 3 and 7) and the mean (severity) of pain in the Immediate method was significantly higher than the Conventional group (05 p</0). Also, there was no significant difference in the size (mean) of the types of edema in all the time intervals measured between the two methods (p>0.05). Also, the pain scale and the size of edema on days 1, 3 and 7 were analyzed using repeated measure ANOVA and in both groups it decreased with time and there was a statistically significant difference within both groups with time. time was observed (p<0.05). It should be noted that the significance level in all tests was considered less than 0.05. Conclusion: The result of the present study shows that the amount of pain experienced after immediate implant placement during the first week is more than the usual method of placement, and it seems that the reason for that trauma is more due to implant placement immediately after

tooth extraction. Immediate drilling done and the implant is placed in the same place. Also, the result of the present study shows that there is no special difference between the two types of immediate and normal implants in terms of edema after surgery.