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Multicenter study of patients’ preferences and concerns regarding the origin of bone grafts utilized in dentistry

PURPOSE: Bone graft materials can be obtained from the patient’s own body (autologous graft), animals (xenograft), human cadavers (allograft) and synthetic materials (alloplastic bone graft). Patients may have ethical, religious or medical concerns about the origin of bone grafts, which could lead t...

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Autores principales: Bucchi, Cristina, del Fabbro, Massimo, Arias, Alain, Fuentes, Ramón, Mendes, José Manuel, Ordonneau, Marie, Orti, Valérie, Manzanares-Céspedes, María-Cristina
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove Medical Press 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6342143/
https://www.ncbi.nlm.nih.gov/pubmed/30697038
http://dx.doi.org/10.2147/PPA.S186846
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author Bucchi, Cristina
del Fabbro, Massimo
Arias, Alain
Fuentes, Ramón
Mendes, José Manuel
Ordonneau, Marie
Orti, Valérie
Manzanares-Céspedes, María-Cristina
author_facet Bucchi, Cristina
del Fabbro, Massimo
Arias, Alain
Fuentes, Ramón
Mendes, José Manuel
Ordonneau, Marie
Orti, Valérie
Manzanares-Céspedes, María-Cristina
author_sort Bucchi, Cristina
collection PubMed
description PURPOSE: Bone graft materials can be obtained from the patient’s own body (autologous graft), animals (xenograft), human cadavers (allograft) and synthetic materials (alloplastic bone graft). Patients may have ethical, religious or medical concerns about the origin of bone grafts, which could lead them to reject the use of certain types of bone graft in their treatments. The aim of this multicenter study, which surveyed patients from five university clinics in Portugal, France, Italy, Spain and Chile, was to analyze patients’ opinions regarding the source of bone grafts. PATIENTS AND METHODS: A survey composed of ten questions was translated into local languages and validated. Patients were asked about the degree of acceptance/rejection of each graft and the reasons for rejection. A chi-squared test was used to analyze statistically significant differences. RESULTS: Three hundred thirty patients were surveyed. The grafts that elicited the highest percentage of refusal were allograft (40.4%), autologous bone graft from an extraoral donor site (34%) and xenograft (32.7%). The grafts with the lowest rate of refusal were alloplastic (6.3%) and autologous bone grafts from an intraoral donor site (24.5%). The main reason for autologous bone rejection was the fear of pain and discomfort, for xenograft it was the fear of disease transmission and the rejection of use of animals for human benefit, and for allograft it was ethical/moral motivations and the fear of disease transmission. Religious affiliation influenced patient’s preferences. CONCLUSION: The origin of bone grafts is still conflictive for a high percentage of patients.
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spelling pubmed-63421432019-01-29 Multicenter study of patients’ preferences and concerns regarding the origin of bone grafts utilized in dentistry Bucchi, Cristina del Fabbro, Massimo Arias, Alain Fuentes, Ramón Mendes, José Manuel Ordonneau, Marie Orti, Valérie Manzanares-Céspedes, María-Cristina Patient Prefer Adherence Original Research PURPOSE: Bone graft materials can be obtained from the patient’s own body (autologous graft), animals (xenograft), human cadavers (allograft) and synthetic materials (alloplastic bone graft). Patients may have ethical, religious or medical concerns about the origin of bone grafts, which could lead them to reject the use of certain types of bone graft in their treatments. The aim of this multicenter study, which surveyed patients from five university clinics in Portugal, France, Italy, Spain and Chile, was to analyze patients’ opinions regarding the source of bone grafts. PATIENTS AND METHODS: A survey composed of ten questions was translated into local languages and validated. Patients were asked about the degree of acceptance/rejection of each graft and the reasons for rejection. A chi-squared test was used to analyze statistically significant differences. RESULTS: Three hundred thirty patients were surveyed. The grafts that elicited the highest percentage of refusal were allograft (40.4%), autologous bone graft from an extraoral donor site (34%) and xenograft (32.7%). The grafts with the lowest rate of refusal were alloplastic (6.3%) and autologous bone grafts from an intraoral donor site (24.5%). The main reason for autologous bone rejection was the fear of pain and discomfort, for xenograft it was the fear of disease transmission and the rejection of use of animals for human benefit, and for allograft it was ethical/moral motivations and the fear of disease transmission. Religious affiliation influenced patient’s preferences. CONCLUSION: The origin of bone grafts is still conflictive for a high percentage of patients. Dove Medical Press 2019-01-18 /pmc/articles/PMC6342143/ /pubmed/30697038 http://dx.doi.org/10.2147/PPA.S186846 Text en © 2019 Bucchi et al. This work is published and licensed by Dove Medical Press Limited The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed.
spellingShingle Original Research
Bucchi, Cristina
del Fabbro, Massimo
Arias, Alain
Fuentes, Ramón
Mendes, José Manuel
Ordonneau, Marie
Orti, Valérie
Manzanares-Céspedes, María-Cristina
Multicenter study of patients’ preferences and concerns regarding the origin of bone grafts utilized in dentistry
title Multicenter study of patients’ preferences and concerns regarding the origin of bone grafts utilized in dentistry
title_full Multicenter study of patients’ preferences and concerns regarding the origin of bone grafts utilized in dentistry
title_fullStr Multicenter study of patients’ preferences and concerns regarding the origin of bone grafts utilized in dentistry
title_full_unstemmed Multicenter study of patients’ preferences and concerns regarding the origin of bone grafts utilized in dentistry
title_short Multicenter study of patients’ preferences and concerns regarding the origin of bone grafts utilized in dentistry
title_sort multicenter study of patients’ preferences and concerns regarding the origin of bone grafts utilized in dentistry
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6342143/
https://www.ncbi.nlm.nih.gov/pubmed/30697038
http://dx.doi.org/10.2147/PPA.S186846
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