Evidence map›Paper›PMID 38345517›Full record

ArticleClinical and experimental dental research2024

Factors influencing intraoperative and postoperative complication occurrence: A series of 1135 periodontal and implant-related surgeries.

Gary M Blyleven, Thomas M Johnson, Kimberly Ann Inouye, Brian W Stancoven, Adam R Lincicum

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Article in Clinical and experimental dental research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

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4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Gary M BlylevenDepartment of Periodontics, Army Postgraduate Dental School, Postgraduate Dental College, Uniformed Services University of the Health Sciences, Fort Eisenhower, Augusta, Georgia, USA.
Thomas M JohnsonDepartment of Periodontics, Army Postgraduate Dental School, Postgraduate Dental College, Uniformed Services University of the Health Sciences, Fort Eisenhower, Augusta, Georgia, USA.ORCID 0000-0001-8325-0803
Kimberly Ann InouyeDepartment of Periodontics, Army Postgraduate Dental School, Postgraduate Dental College, Uniformed Services University of the Health Sciences, Fort Eisenhower, Augusta, Georgia, USA.
Brian W StancovenDepartment of Periodontics, Army Postgraduate Dental School, Postgraduate Dental College, Uniformed Services University of the Health Sciences, Fort Eisenhower, Augusta, Georgia, USA.
Adam R LincicumDepartment of Periodontics, Army Postgraduate Dental School, Postgraduate Dental College, Uniformed Services University of the Health Sciences, Fort Eisenhower, Augusta, Georgia, USA.

Funding

Defense Health Agency
6 · The paper itself

Abstract

objectivesIn periodontology, it is widely recognized that evidence characterizing the incidence and effect of treatment complications is lacking. The objective of this study was to assess the influence of operator-, procedure-, patient-, and site-associated factors on intraoperative and postoperative complication occurrence. MATERIAL AND

methodsA single investigator reviewed records of patients treated by eight periodontics residents from July 2018 through June 2022. For each procedure, the investigator recorded each intraoperative and postoperative complication or indicated that no complication had occurred. These outcomes were analyzed against a panel of explanatory covariates. In addition, the severity of each postoperative complication was assessed using a standardized grading system.

resultsA total of 1135 procedures were included in the analysis. Intraoperative and postoperative complications were identified in 2.8% and 15.2% of procedures, respectively. The most common intraoperative complications were Schneiderian membrane perforation (1.3%) and gingival flap perforation/tear (1%), and the most common postoperative complications were dentin hypersensitivity (2.6%), excessive pain (2.5%), and infection (2.2%). Subepithelial connective tissue graft (odds ratio [OR]: 3.2, 95% confidence interval [CI]: 1.6, 6.1; p < .001), guided bone regeneration (OR: 3.0, 95% CI: 1.4, 6.5; p = .004), and guided bone regeneration with implant placement (OR: 3.1, 95% CI: 1.3, 7.6; p = .011) were associated with higher odds of postoperative complication, whereas lateral sinus elevation (OR: 102.5, 95% CI: 12.3, 852.9; p < .001), transalveolar sinus elevation (OR: 22.4, 95% CI: 2.2, 224.5; p = .008), open flap debridement (OR: 36.4, 95% CI: 3.0, 440.7; p = .005), and surgically facilitated orthodontic therapy (OR: 20.5, 95% CI: 1.2, 358.4; p = .039) were associated with higher odds of intraoperative complication occurrence.

conclusionsConsistent with previous reports, procedure type appears to be the predominant factor driving complication occurrence. As analyses of treatment complications increase, individualized risk-benefit assessments will become progressively meaningful for patients.

Indexed as

Dental ImplantsSinus Floor AugmentationBone TransplantationDental Implantation, EndosseousHumansPostoperative ComplicationsDental Implantsalveolar ridge augmentationintraoperative complicationspostoperative complicationstreatment outcome

Identifiers

PMID38345517
PMCPMC10847704

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.