Meeting abstract

Dental Implants In Medically Compromised Patients

Davor Brajdić
Darko Macan

Abstract

Today, therapy of partial or complete edentulousness by dental implants plays an increasingly significant role in the oral rehabilitation of patients, and is expected in the future to further increase in accordance with the development of other medical fields. However, all ardent advocates of dental implants and implantological enthusiasts, must know how to control and direct their activity through the prism of physiological and pathophysiological events in each patient, regardless of whether he/she is entirely healthy or effected by some pathological disorder, having in view his/her general and oral health.
Many medically compromised patients seek implantological therapy for the purpose of their oral rehabilitation. We are of the opinion that today guidelines for pre and post implantological therapy of such patients have still not been entirely clarified, and consequently are not completely clear to dental practitioners and oral surgeons. The purpose of our presentation is to give a critical assessment of opinions and literature to date, and to give clear and scientifically founded guidelines for implantological therapy in such patients.
Current knowledge will be discussed on the influence of the most frequent systemic and local diseases, impairments and conditions on therapy by dental implants. They include disorders and changes in bone metabolism (osteomalacia, osteopenia, osteoporosis, osteoradionecrosis) and ageing of the patient - diabetes mellitus, xerostomia, conditions in the area of the jaw following irradiation, ectodermal dysplasia, cardiopulmonary disease, smoking, hypothyrosis, autoimmune diseases (sclerodermia, Chron’s disease), Parkinson’s disease and haematological diseases (anaemia, leukaemia, haemostasis disorders....) and conditions caused by various medications (corticosteroids, cytostatics, phenitoin, blockers of calcium canals....).
Specific pathophysiological aspects of the influence of the aforementioned conditions on the process of osseointegration and their possible effect on dental implants, will be explained in detail for the purpose of their possible and more simple application in the daily practice of every clinician engaged in dental implantology. Accordingly, we will present our guidelines for pre and post surgical treatment of implanted, medically compromised patients.

Keywords

Hrčak ID:

568

URI

https://hrcak.srce.hr/568

Publication date:

15.12.2005.

Article data in other languages: croatian

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