背景:已经发表了关于不同手术方法的研究,以非常好的成功率植入。关于与使用这种植入物相关的并发症,相同的出版物提供了不同的结果。关于颧骨植入干预的共识方案尚未记录在案。
目的:寻求在治疗的每个步骤中建立共识,包括使用zy骨种植体固定修复体进行口腔修复,并分享这一过程的结果,作为从业者和研究人员的基础。
方法:根据先前进行的文献综述的结果,确定了各种各样的方案。所有参与者都收到了系统文献检索的结果。使用改进的Delphi过程来建立共识协议。定义了六个部分:诊断和适应症,规划,药物治疗,手术,假肢,和后续。第一轮17个不限成员名额的问题与63名与会者分享,他们都是颧骨种植康复方面的专家,也是ZAGA中心网络的一部分。在分析对前17个问题的答复后,总共产生了77个后续问题。
结果:在注册的63位专家中,48回答了两轮问题。共识是根据协议的百分比确定的:<70%被认为是“无共识”,≥70%被认为是“共识”。达成了高度共识。协议百分比最低的部分是药物和手术,其中67%的问题达成了共识。在两轮后续部分中包含的问题中,达成了80%的共识。总的来说,在71%的主题上达成了一致。
结论:使用改良的Delphi方法导致创建了第一个用于固定于of骨植入物的口腔修复的共识方案。
BACKGROUND: Studies on different surgical approaches have been published with excellent success rates for zygomatic implants. The same publications offer different results regarding the complications associated with the use of such implants. A
consensus protocol on zygomatic implant interventions has yet to be documented.
OBJECTIVE: To seek to establish a consensus at each step of treatment consisting of oral rehabilitation using zygomatic implant-anchored restorations, and to share the outcome of the process to serve as a basis for practitioners and researchers.
METHODS: A wide variety of protocols were identified based on the results of a literature review conducted previously. All participants received the results of the systematic literature search. A modified Delphi process was used to establish a
consensus protocol. Six sections were defined: Diagnosis and indications, Planning, Medication, Surgery, Prosthesis, and Follow-up. The first round of 17 open-ended questions was shared with 63 participants, all of whom were experts in zygomatic implant rehabilitation and part of the ZAGA Centers network. A total of 77 follow-up questions were then generated after analysis of the responses to the first 17 questions.
RESULTS: Of the 63 experts enrolled, 48 responded to both rounds of questions.
Consensus was determined based on the percentage of agreement: < 70% was considered \"no
consensus\" and ≥ 70% was considered \"
consensus\". A high level of
consensus was reached. The sections with the lowest percentage of agreement were Medication and Surgery, where a consensus was reached for 67% of the questions. Of the questions included in the Follow-up section in both rounds, a consensus was reached for 80%. Overall, agreement was obtained on 71% of the topics.
CONCLUSIONS: Use of the modified Delphi process led to the creation of the first consensus protocol for oral restorations anchored to zygomatic implants.