| Expert audiance |
Hans Olov Adami, Thomas Albrektsson, Per-Olof Glantz,
Kerstin Gröndahl, Sten Isaksson, Stig Karlsson,
Thomas Kallus, Lars Lidgren, Lars Toresson |
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This register was instituted in 2006. Due to lack of resources the construction of the register was delayed during 2007 and 2008. However, it is planned to be in full operation late in 2009.
Background:
There are major gaps in knowledge about the long-term results and the occurrence of complications of dental implant technique. New implants and new treatments are introduced without any known systematic follow up. Evidence-based knowledge about patient satisfaction, recreated oral function and quality of life data are mainly missing.
Therefore, there is a large need for quality control within this expanding area and a national quality register should help to define good clinical practice. Recently an unexpected large number of bone degradations have been reported to the Medical Products Agency after use of certain implants. This incident further supports the reason for creating a national register of dental implant procedures.
Purpose:
The purpose of this register is
- To identify the volume of dental implant procedures
- To study patient satisfaction
- To explore chewing function
- To study loss of implants and other complications.
By use of the register the success rate of different implants and techniques can be studied. Poor methods and materials can also be sorted out through analysis of register data.
Key indicators for process and outcomes:
Loss of tooth, previous use of dental plate, surgical area (jaw), number of implants, trade mark, smoking, use of medication, general health, waiting time, distribution of special or general dental service and public or private care, chewing function, satisfaction of treatment, complications, loss of implant, re-operation, peri-implantitis and technical bridge complication.
By use of a register with an “early warning system” possible patient injuries can be minimized and poor implant systems and techniques can be sorted out at an early stage. The register can also follow the “ordered introduction” of new implants and surgical technique included in the new governmental program for subsidized dental care.
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