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  RESEARCH EVOLUTION IN DENTISTRY 

Minerva Stomatologica 2013 August;62(8 Suppl 1):55-63

Copyright © 2013 EDIZIONI MINERVA MEDICA

language: English, Italian

NobelGuide™ influence in the perception of postoperative pain

D. BERTOSSI 1 , R. GEROSA 2, E. SCHEMBRI 3, G. ZANOTTI 3, N. ROSSINI 3, G. COLLETTI 4, A. ROSSETTO 5, L. CHIARINI 6, P. F. NOCINI 1

1 Oral and Maxillofacial Surgery Dental School, University of Verona, Verona, Italy; 2 Azienda Ospedaliera Universitaria Integrata, Policlinico G. B. Rossi, Verona, Italy; 3 Private Practitioner, Verona, Italy; 4 Maxillo-Facial Surgeon, San Paolo Hospital, Milan, Italy; 5 School of Dentistry, Verona, Italy; 6 Department of Surgery, Main Section of Oral and Maxillofacial Surgery, University of Modena and Reggio Emilia, Modena, Italy


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AIM: The aim of this study was to evaluate the perception of pain after Computer-aided-implantology Implant Surgery (NobelGuideTM, Nobel Biocare, Göteborg, Sweden) compared to the conventional implant surgery.
METHODS: Eighteen patients from dental and maxillo-facial clinic of Policlinico G. B. Rossi (Verona, Italy) have been recruited: 9 were treated with the NobelGuide™ Technique, and 9 with the conventional one (approved by Local Ethical Committee) After the operation, painkillers (Ibuprofene tablets of 400 mg) were prescribed to the patients. Patients were asked to answer a questionnaire during the postoperative days and to report on the Visual Analogue Scale form (VAS), the intensity of pain and the number of painkillers used.
RESULTS: The VAS mean one day after the operation (peak of maximum pain) was 47.22 for the conventional technique, and 12.77 for the NobelGuide™ technique, and also the number of painkillers assumed is smaller for the NobelGuide™ technique. The 5th day after the operation all the patients treated with the NobelGuide™ Technique stopped painkillers and nobody felt pain, while the patients treated with the conventional technique felt more pain and for a longer period. They also took painkillers until the 7th day.
CONCLUSIONS: Pain is minor and disappears more quickly with the Nobelguide™ Implant Surgery compared with the conventional surgical technique. Nobelguide™ Implant Surgery can reduce hospitalization improving the compliance of odontophobic patients towards implant therapy.


KEY WORDS: Pain, postoperative - Dental implants - Surgical flaps

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