Vestibular-evoked myogenic potentials before and after dental implant surgery

Abstract

Objectives: This study aims to examine the effects of dental implant surgery on vestibular-evoked myogenic potential VEMP responses. Patients and Methods: Between October 2012 and October 2014, a total of 60 consecutive patients undergoing dental implant surgery at Başkent University Hospital, Department of Otorhinolaryngology were included in the study. The control group consisted of 40 healthy subjects undergoing routine clinical examination. The VEMP response was evaluated at baseline, second and seventh days. Positional tests and DixHallpike testing for vertigo were performed at baseline, second and seventh days. Results: Hundred-eight dental implants were placed in 60 patients. There was no significant difference in the p1 and n1 latencies in the control group at baseline, second day, and seventh day p>0.05 . However, there was a significant increase at the second day for p1 latencies in the study group, compared to the baseline and seventh day p=0.038 . There was a significant increase at the second day for n1 compared to the baseline p=0.016 and seventh day in the study group p=0.005 . There was a significant increase at the seventh day for n1 compared to the baseline in the study group p=0.016 . Conclusion: The present study revealed a significant difference in the cervical VEMP response on the second postoperative day for p1 and n1 latencies compared to the baseline and seventh postoperative day in dental implantation patients. Dental implant patients should be informed of such possible temporary problems as dizziness and vestibular problems.

Keywords

• Dental implant surgery, dental prosthesis, vestibular-evoked myogenic potential

Dental implant cerrahisinden önce ve sonra vestibüler uyarılmış miyojenik potansiyeller

Abstract

Amaç: Bu çalışmada dental implant cerrahisinin vestibüler uyarılmış miyojenik potansiyel VEMP yanıtları üzerindeki etkileri değerlendirildi.Hastalar ve Yöntemler: Ekim 2012 - Ekim 2014 tarihleri arasında, Başkent Üniversitesi Hastanesi, Kulak Burun Boğaz Anabilim Dalı’nda dental implant cerrahisi yapılan toplam ardışık 60 hasta çalışmaya alındı. Kontrol grubu, rutin klinik muayene yapılan 40 sağlıklı kişiden oluşuyordu. Vestibüler uyarılmış miyojenik potansiyel yanıtı başlangıçta, ikinci ve yedinci günlerde değerlendirildi. Pozisyonel testler ve Dix-Hallpike vertigo testi başlangıçta, ikinci ve yedinci günlerde yapıldı.Bulgular: Altmış hastaya 108 dental implant uygulandı. Başlangıçta, ikinci günde ve yedinci günde kontrol grubunda p1 ve n1 latens açısından anlamlı bir fark gözlenmedi p>0.05 . Ancak, çalışma grubunda başlangıca ve yedinci güne kıyasla, ikinci günde p1 latensi açısından anlamlı bir artış izlendi p=0.038 . Başlangıca p=0.016 ve yedinci güne kıyasla p=0.005 , ikinci günde çalışma grubunda n1 açısından anlamlı bir artış gözlendi. Çalışma grubunda başlangıca kıyasla yedinci günde n1 açısından anlamlı bir artış gözlendi p=0.016 .Sonuç: Bu çalışma diş implantı yapılan hastaların servikal VEMP yanıtı olarak p1 ve n1 değerlerinin ameliyat sonrası ikinci günde başlangıca ve yedinci güne oranla anlamlı yüksek olduğunu göstermektedir. Diş implantı yapılacak hastaların baş dönmesi ve vestibüler sorunlar gibi olası geçici sorunlardan haberdar edilmeleri önerilmektedir

Keywords

• Dental implant cerrahisi, diş protezi, vestibüler uyarılmış miyojenik potansiyeller

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