Indications and contraindications of dental implants in medically compromised patients: Update
Identifieur interne : 000844 ( Pmc/Curation ); précédent : 000843; suivant : 000845Indications and contraindications of dental implants in medically compromised patients: Update
Auteurs : Rafael G Mez-De Diego [Espagne] ; María Del Rocío Mang-De La Rosa [Espagne] ; María J. Romero-Pérez [Espagne] ; Antonio Cutando-Soriano [Espagne] ; Antonio L Pez-Valverde-Centeno [Espagne]Source :
- Medicina Oral, Patología Oral y Cirugía Bucal [ 1698-4447 ] ; 2014.
Abstract
The aim of this study was to review the current scientific literature in order to analyse the indications and contraindications of dental implants in medically compromised patients. A reference research was carried out on PubMed using the key words “implant” AND (oral OR dental) AND (systemic disease OR medically compromised), in articles published between 1993 and 2013. The inclusion criteria were the following: clinical studies in which, at least, 10 patients were treated, consensus articles, reviewed articles and meta-analysis performed in humans treated with dental implants, and which included the disease diagnosis. A total of 64 articles were found, from which 16 met the inclusion criteria. Cardiac systemic diseases, diabetic endocrine pathologies or controlled metabolic disorders do not seem to be a total or partial contraindication to the placement of dental implants. Tobacco addiction, and head and neck radiotherapy are correlated to a higher loss of dental implants. Patients suffering from osteoporosis undergoing biphosphonates therapy show an increased risk of developing bone necrosis after an oral surgery, especially if the drugs are administered intravenously or they are associated to certain concomitant medication.
Url:
DOI: 10.4317/medoral.19565
PubMed: 24608222
PubMed Central: 4192572
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<front><div type="abstract" xml:lang="en"><p>The aim of this study was to review the current scientific literature in order to analyse the indications and contraindications of dental implants in medically compromised patients. A reference research was carried out on PubMed using the key words “implant” AND (oral OR dental) AND (systemic disease OR medically compromised), in articles published between 1993 and 2013. The inclusion criteria were the following: clinical studies in which, at least, 10 patients were treated, consensus articles, reviewed articles and meta-analysis performed in humans treated with dental implants, and which included the disease diagnosis. A total of 64 articles were found, from which 16 met the inclusion criteria.
Cardiac systemic diseases, diabetic endocrine pathologies or controlled metabolic disorders do not seem to be a total or partial contraindication to the placement of dental implants. Tobacco addiction, and head and neck radiotherapy are correlated to a higher loss of dental implants. Patients suffering from osteoporosis undergoing biphosphonates therapy show an increased risk of developing bone necrosis after an oral surgery, especially if the drugs are administered intravenously or they are associated to certain concomitant medication.
</p>
<p><bold> Key words:</bold>
Dental implants, medically compromised patient, systemic diseases.</p>
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<author><name sortKey="Shayesteh, Ys" uniqKey="Shayesteh Y">YS Shayesteh</name>
</author>
<author><name sortKey="Khojasteh, A" uniqKey="Khojasteh A">A Khojasteh</name>
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<pmc article-type="review-article"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Med Oral Patol Oral Cir Bucal</journal-id>
<journal-id journal-id-type="iso-abbrev">Med Oral Patol Oral Cir Bucal</journal-id>
<journal-id journal-id-type="publisher-id">Medicina Oral S.L.</journal-id>
<journal-title-group><journal-title>Medicina Oral, Patología Oral y Cirugía Bucal</journal-title>
</journal-title-group>
<issn pub-type="ppub">1698-4447</issn>
<issn pub-type="epub">1698-6946</issn>
<publisher><publisher-name>Medicina Oral S.L.</publisher-name>
</publisher>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">24608222</article-id>
<article-id pub-id-type="pmc">4192572</article-id>
<article-id pub-id-type="publisher-id">19565</article-id>
<article-id pub-id-type="doi">10.4317/medoral.19565</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Review</subject>
<subj-group><subject>Medically compromised patients in Dentistry</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group><article-title>Indications and contraindications of dental implants in
medically compromised patients: Update</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Gómez-de Diego</surname>
<given-names>Rafael</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Mang-de la Rosa</surname>
<given-names>María del Rocío</given-names>
</name>
<xref ref-type="aff" rid="A2">2</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Romero-Pérez</surname>
<given-names>María J.</given-names>
</name>
<xref ref-type="aff" rid="A3">3</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Cutando-Soriano</surname>
<given-names>Antonio</given-names>
</name>
<xref ref-type="aff" rid="A4">4</xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>López-Valverde-Centeno</surname>
<given-names>Antonio</given-names>
</name>
<xref ref-type="aff" rid="A5">5</xref>
</contrib>
</contrib-group>
<aff id="A1"><label>1</label>
Department of Stomatology, University Rey Juan Carlos, Madrid, Spain</aff>
<aff id="A2"><label>2</label>
Department of Special Care patients, School of Dentistry, University of Granada, Spain</aff>
<aff id="A3"><label>3</label>
Department of Special Care patients, School of Dentistry, University of Granada, Granada, Spain</aff>
<aff id="A4"><label>4</label>
Special Care Professor, University of Granada, Department of Special Care Dentistry, School of Dentistry, University of Granada, Granada, Spain</aff>
<aff id="A5"><label>5</label>
Department of Surgery, School of Dentistry, Faculty of Medicine, University of Salamanca, Salamanca, Spain</aff>
<author-notes><corresp> Departamento Cirugía
Universidad de Salamanca
Avda. Alfonso X El Sabio S/N
37007 Salamanca. España
, E-mail: <email>anlopezvalverde@gmail.com</email>
</corresp>
</author-notes>
<pub-date pub-type="ppub"><month>9</month>
<year>2014</year>
</pub-date>
<pub-date pub-type="epub"><day>8</day>
<month>3</month>
<year>2014</year>
</pub-date>
<volume>19</volume>
<issue>5</issue>
<fpage>e483</fpage>
<lpage>e489</lpage>
<history><date date-type="accepted"><day>29</day>
<month>9</month>
<year>2013</year>
</date>
<date date-type="received"><day>20</day>
<month>9</month>
<year>2013</year>
</date>
</history>
<permissions><copyright-statement>Copyright: © 2014 Medicina Oral S.L.</copyright-statement>
<copyright-year>2014</copyright-year>
<license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by/2.5/"><license-p>This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
</license>
</permissions>
<abstract><p>The aim of this study was to review the current scientific literature in order to analyse the indications and contraindications of dental implants in medically compromised patients. A reference research was carried out on PubMed using the key words “implant” AND (oral OR dental) AND (systemic disease OR medically compromised), in articles published between 1993 and 2013. The inclusion criteria were the following: clinical studies in which, at least, 10 patients were treated, consensus articles, reviewed articles and meta-analysis performed in humans treated with dental implants, and which included the disease diagnosis. A total of 64 articles were found, from which 16 met the inclusion criteria.
Cardiac systemic diseases, diabetic endocrine pathologies or controlled metabolic disorders do not seem to be a total or partial contraindication to the placement of dental implants. Tobacco addiction, and head and neck radiotherapy are correlated to a higher loss of dental implants. Patients suffering from osteoporosis undergoing biphosphonates therapy show an increased risk of developing bone necrosis after an oral surgery, especially if the drugs are administered intravenously or they are associated to certain concomitant medication.
</p>
<p><bold> Key words:</bold>
Dental implants, medically compromised patient, systemic diseases.</p>
</abstract>
</article-meta>
</front>
</pmc>
</record>
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