Dental endosseous implants in the medically compromised patient
Identifieur interne : 002633 ( Istex/Corpus ); précédent : 002632; suivant : 002634Dental endosseous implants in the medically compromised patient
Auteurs : C. Scully ; J. Hobkirk ; P. D DiosSource :
- Journal of Oral Rehabilitation [ 0305-182X ] ; 2007-08.
English descriptors
- KwdEn :
- Alcoholism, Animal models, Animal studies, Antibiotic, Antibiotic prophylaxis, Antimicrobial prophylaxis, Bisphosphonate, Bisphosphonate therapy, Blackwell publishing, Bone disease, Bone disorders, Bone mineral density, Cardiac disease, Cardiac disorders, Case report, Case reports, Case series, Cerebral palsy, Chemotherapy, Clin, Clin periodontol, Clinical report, Compend contin educ dent, Contraindication, Corticosteroid, Corticosteroid therapy, Dent, Dent assoc, Dental endosseous implants, Dental implant, Dental implants, Diabetes mellitus, Diabetic patient, Diabetic patients, Disease patients, Early childhood, Edentulous mandible, Endosseous, Endosseous implants, General anaesthesia, Gingival surgery, Good risk group, Health risks, Higher risk, Hyperbaric oxygen, Immunosuppressive therapy, Implant, Implant dent, Implant failure, Implant placement, Implant success, Implant surgery, Implant survival, Implant treatment, Individualized assessment, Journal compilation, Life expectancy, Mandibular, Maxillofac, Medical advice, Medical condition, Necrotizing mediastinitis, Numerous observations, Oral cancer patients, Oral maxillofac implants, Oral maxillofac surg, Oral pathol, Oral surg, Orthognathic surgery, Osseointegration, Osteoporosis, Osteoporotic patients, Other aspects, Patient selection, Periodontol, Prophylaxis, Prosthesis, Prosthet dent, Radiation therapy, Radiol endod, Radiotherapy, Reliable evidence, Retrospective study, Scully, Severe osteoporosis, Spec care dentist, Strict asepsis, Successful osseointegration, Such patients, Surg, Syndrome, Systematic review, Systematic studies, Systemic, Systemic corticosteroid therapy, Systemic corticosteroids, Systemic disorders, Systemic medication, Titanium implants, Treatment failure, University college london, Wound healing.
- Teeft :
- Alcoholism, Animal models, Animal studies, Antibiotic, Antibiotic prophylaxis, Antimicrobial prophylaxis, Bisphosphonate, Bisphosphonate therapy, Blackwell publishing, Bone disease, Bone disorders, Bone mineral density, Cardiac disease, Cardiac disorders, Case report, Case reports, Case series, Cerebral palsy, Chemotherapy, Clin, Clin periodontol, Clinical report, Compend contin educ dent, Contraindication, Corticosteroid, Corticosteroid therapy, Dent, Dent assoc, Dental endosseous implants, Dental implant, Dental implants, Diabetes mellitus, Diabetic patient, Diabetic patients, Disease patients, Early childhood, Edentulous mandible, Endosseous, Endosseous implants, General anaesthesia, Gingival surgery, Good risk group, Health risks, Higher risk, Hyperbaric oxygen, Immunosuppressive therapy, Implant, Implant dent, Implant failure, Implant placement, Implant success, Implant surgery, Implant survival, Implant treatment, Individualized assessment, Journal compilation, Life expectancy, Mandibular, Maxillofac, Medical advice, Medical condition, Necrotizing mediastinitis, Numerous observations, Oral cancer patients, Oral maxillofac implants, Oral maxillofac surg, Oral pathol, Oral surg, Orthognathic surgery, Osseointegration, Osteoporosis, Osteoporotic patients, Other aspects, Patient selection, Periodontol, Prophylaxis, Prosthesis, Prosthet dent, Radiation therapy, Radiol endod, Radiotherapy, Reliable evidence, Retrospective study, Scully, Severe osteoporosis, Spec care dentist, Strict asepsis, Successful osseointegration, Such patients, Surg, Syndrome, Systematic review, Systematic studies, Systemic, Systemic corticosteroid therapy, Systemic corticosteroids, Systemic disorders, Systemic medication, Titanium implants, Treatment failure, University college london, Wound healing.
Abstract
summary The literature contains numerous observations on the significance of systemic disorders as contraindications to dental endosseous implant treatment, but the justification for these statements is often apparently allegorical. Although implants are increasingly used in healthy patients, their appropriateness in medically compromised patients is less equivocal. Perhaps surprisingly, the evidence of their efficacy in these groups of patients is quite sparse. Indeed, there are few if any randomized controlled trials (RCTs) in this field. Furthermore, any health risks from the placement of implants are unclear. We review the current evidence for the risks associated with endosseous implants in a range of systemic disorders. There is clearly a need for prospective systematic trials. The degree of disease‐control may be far more important that the nature of the disorder itself, and individualized assessment, including the medical condition, quality of life and life expectancy is indicated. The benefits of implants to many of these patients may outweigh any risks. However, proper informed consent is mandatory.
Url:
DOI: 10.1111/j.1365-2842.2007.01755.x
Links to Exploration step
ISTEX:4DEC26709145999DCC52B9571F15FB640E94371FLe document en format XML
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D Dios</name><affiliation><mods:affiliation>Special Needs Unit, School of Medicine and Dentistry, University of Santiago de Compostela, Compostela, Spain</mods:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">ISTEX</idno><idno type="RBID">ISTEX:4DEC26709145999DCC52B9571F15FB640E94371F</idno><date when="2007" year="2007">2007</date><idno type="doi">10.1111/j.1365-2842.2007.01755.x</idno><idno type="url">https://api.istex.fr/document/4DEC26709145999DCC52B9571F15FB640E94371F/fulltext/pdf</idno><idno type="wicri:Area/Istex/Corpus">002633</idno><idno type="wicri:explorRef" wicri:stream="Istex" wicri:step="Corpus" wicri:corpus="ISTEX">002633</idno></publicationStmt><sourceDesc><biblStruct><analytic><title level="a" type="main">Dental endosseous implants in the medically compromised patient<ref type="note" target="#fn1"><hi rend="superscript">1</hi></ref></title><author><name sortKey="Scully, C" sort="Scully, C" uniqKey="Scully C" first="C." last="Scully">C. Scully</name><affiliation><mods:affiliation>Eastman Dental Institute, University College London, London, UK</mods:affiliation></affiliation></author><author><name sortKey="Hobkirk, J" sort="Hobkirk, J" uniqKey="Hobkirk J" first="J." last="Hobkirk">J. Hobkirk</name><affiliation><mods:affiliation>Eastman Dental Institute, University College London, London, UK</mods:affiliation></affiliation></author><author><name sortKey="D Dios, P" sort="D Dios, P" uniqKey="D Dios P" first="P." last="D Dios">P. D Dios</name><affiliation><mods:affiliation>Special Needs Unit, School of Medicine and Dentistry, University of Santiago de Compostela, Compostela, Spain</mods:affiliation></affiliation></author></analytic><monogr></monogr><series><title level="j" type="main">Journal of Oral Rehabilitation</title><title level="j" type="alt">JOURNAL ORAL REHABILITATION</title><idno type="ISSN">0305-182X</idno><idno type="eISSN">1365-2842</idno><imprint><biblScope unit="vol">34</biblScope><biblScope unit="issue">8</biblScope><biblScope unit="page" from="590">590</biblScope><biblScope unit="page" to="599">599</biblScope><biblScope unit="page-count">10</biblScope><publisher>Blackwell Publishing Ltd</publisher><pubPlace>Oxford, UK</pubPlace><date type="published" when="2007-08">2007-08</date></imprint><idno type="ISSN">0305-182X</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0305-182X</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" 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patients</term><term>Early childhood</term><term>Edentulous mandible</term><term>Endosseous</term><term>Endosseous implants</term><term>General anaesthesia</term><term>Gingival surgery</term><term>Good risk group</term><term>Health risks</term><term>Higher risk</term><term>Hyperbaric oxygen</term><term>Immunosuppressive therapy</term><term>Implant</term><term>Implant dent</term><term>Implant failure</term><term>Implant placement</term><term>Implant success</term><term>Implant surgery</term><term>Implant survival</term><term>Implant treatment</term><term>Individualized assessment</term><term>Journal compilation</term><term>Life expectancy</term><term>Mandibular</term><term>Maxillofac</term><term>Medical advice</term><term>Medical condition</term><term>Necrotizing mediastinitis</term><term>Numerous observations</term><term>Oral cancer patients</term><term>Oral maxillofac implants</term><term>Oral maxillofac surg</term><term>Oral pathol</term><term>Oral surg</term><term>Orthognathic surgery</term><term>Osseointegration</term><term>Osteoporosis</term><term>Osteoporotic patients</term><term>Other aspects</term><term>Patient selection</term><term>Periodontol</term><term>Prophylaxis</term><term>Prosthesis</term><term>Prosthet dent</term><term>Radiation therapy</term><term>Radiol endod</term><term>Radiotherapy</term><term>Reliable evidence</term><term>Retrospective study</term><term>Scully</term><term>Severe osteoporosis</term><term>Spec care dentist</term><term>Strict asepsis</term><term>Successful osseointegration</term><term>Such patients</term><term>Surg</term><term>Syndrome</term><term>Systematic review</term><term>Systematic studies</term><term>Systemic</term><term>Systemic corticosteroid therapy</term><term>Systemic corticosteroids</term><term>Systemic disorders</term><term>Systemic medication</term><term>Titanium implants</term><term>Treatment failure</term><term>University college london</term><term>Wound healing</term></keywords><keywords scheme="Teeft" xml:lang="en"><term>Alcoholism</term><term>Animal models</term><term>Animal studies</term><term>Antibiotic</term><term>Antibiotic prophylaxis</term><term>Antimicrobial prophylaxis</term><term>Bisphosphonate</term><term>Bisphosphonate therapy</term><term>Blackwell publishing</term><term>Bone disease</term><term>Bone disorders</term><term>Bone mineral density</term><term>Cardiac disease</term><term>Cardiac disorders</term><term>Case report</term><term>Case reports</term><term>Case series</term><term>Cerebral palsy</term><term>Chemotherapy</term><term>Clin</term><term>Clin periodontol</term><term>Clinical report</term><term>Compend contin educ dent</term><term>Contraindication</term><term>Corticosteroid</term><term>Corticosteroid therapy</term><term>Dent</term><term>Dent assoc</term><term>Dental endosseous implants</term><term>Dental implant</term><term>Dental implants</term><term>Diabetes mellitus</term><term>Diabetic patient</term><term>Diabetic patients</term><term>Disease patients</term><term>Early childhood</term><term>Edentulous mandible</term><term>Endosseous</term><term>Endosseous implants</term><term>General anaesthesia</term><term>Gingival surgery</term><term>Good risk group</term><term>Health risks</term><term>Higher risk</term><term>Hyperbaric oxygen</term><term>Immunosuppressive therapy</term><term>Implant</term><term>Implant dent</term><term>Implant failure</term><term>Implant placement</term><term>Implant success</term><term>Implant surgery</term><term>Implant survival</term><term>Implant treatment</term><term>Individualized assessment</term><term>Journal compilation</term><term>Life expectancy</term><term>Mandibular</term><term>Maxillofac</term><term>Medical advice</term><term>Medical condition</term><term>Necrotizing mediastinitis</term><term>Numerous observations</term><term>Oral cancer patients</term><term>Oral maxillofac implants</term><term>Oral maxillofac surg</term><term>Oral pathol</term><term>Oral surg</term><term>Orthognathic surgery</term><term>Osseointegration</term><term>Osteoporosis</term><term>Osteoporotic patients</term><term>Other aspects</term><term>Patient selection</term><term>Periodontol</term><term>Prophylaxis</term><term>Prosthesis</term><term>Prosthet dent</term><term>Radiation therapy</term><term>Radiol endod</term><term>Radiotherapy</term><term>Reliable evidence</term><term>Retrospective study</term><term>Scully</term><term>Severe osteoporosis</term><term>Spec care dentist</term><term>Strict asepsis</term><term>Successful osseointegration</term><term>Such patients</term><term>Surg</term><term>Syndrome</term><term>Systematic review</term><term>Systematic studies</term><term>Systemic</term><term>Systemic corticosteroid therapy</term><term>Systemic corticosteroids</term><term>Systemic disorders</term><term>Systemic medication</term><term>Titanium implants</term><term>Treatment failure</term><term>University college london</term><term>Wound healing</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract">summary The literature contains numerous observations on the significance of systemic disorders as contraindications to dental endosseous implant treatment, but the justification for these statements is often apparently allegorical. Although implants are increasingly used in healthy patients, their appropriateness in medically compromised patients is less equivocal. Perhaps surprisingly, the evidence of their efficacy in these groups of patients is quite sparse. Indeed, there are few if any randomized controlled trials (RCTs) in this field. Furthermore, any health risks from the placement of implants are unclear. We review the current evidence for the risks associated with endosseous implants in a range of systemic disorders. There is clearly a need for prospective systematic trials. The degree of disease‐control may be far more important that the nature of the disorder itself, and individualized assessment, including the medical condition, quality of life and life expectancy is indicated. The benefits of implants to many of these patients may outweigh any risks. However, proper informed consent is mandatory.</div></front></TEI><istex><corpusName>wiley</corpusName><keywords><teeft><json:string>implant</json:string><json:string>endosseous</json:string><json:string>contraindication</json:string><json:string>maxillofac</json:string><json:string>dental implants</json:string><json:string>corticosteroid</json:string><json:string>osseointegration</json:string><json:string>periodontol</json:string><json:string>radiotherapy</json:string><json:string>oral maxillofac implants</json:string><json:string>endosseous implants</json:string><json:string>such patients</json:string><json:string>blackwell publishing</json:string><json:string>journal compilation</json:string><json:string>prophylaxis</json:string><json:string>chemotherapy</json:string><json:string>surg</json:string><json:string>prosthesis</json:string><json:string>good risk group</json:string><json:string>osteoporosis</json:string><json:string>mandibular</json:string><json:string>medical advice</json:string><json:string>bisphosphonate</json:string><json:string>case report</json:string><json:string>scully</json:string><json:string>implant placement</json:string><json:string>clin</json:string><json:string>dental endosseous implants</json:string><json:string>implant dent</json:string><json:string>bisphosphonate therapy</json:string><json:string>antibiotic prophylaxis</json:string><json:string>dent</json:string><json:string>implant survival</json:string><json:string>implant success</json:string><json:string>bone mineral density</json:string><json:string>oral maxillofac surg</json:string><json:string>hyperbaric oxygen</json:string><json:string>implant failure</json:string><json:string>animal models</json:string><json:string>implant treatment</json:string><json:string>dent assoc</json:string><json:string>alcoholism</json:string><json:string>antibiotic</json:string><json:string>higher risk</json:string><json:string>bone disease</json:string><json:string>case reports</json:string><json:string>severe osteoporosis</json:string><json:string>systematic review</json:string><json:string>oral cancer patients</json:string><json:string>oral surg</json:string><json:string>case series</json:string><json:string>systemic disorders</json:string><json:string>oral pathol</json:string><json:string>syndrome</json:string><json:string>systemic</json:string><json:string>animal studies</json:string><json:string>systemic medication</json:string><json:string>cardiac disorders</json:string><json:string>corticosteroid therapy</json:string><json:string>systemic corticosteroids</json:string><json:string>gingival surgery</json:string><json:string>systemic corticosteroid therapy</json:string><json:string>disease patients</json:string><json:string>wound healing</json:string><json:string>diabetes mellitus</json:string><json:string>reliable evidence</json:string><json:string>other aspects</json:string><json:string>diabetic patient</json:string><json:string>immunosuppressive therapy</json:string><json:string>treatment failure</json:string><json:string>orthognathic surgery</json:string><json:string>successful osseointegration</json:string><json:string>systematic studies</json:string><json:string>cerebral palsy</json:string><json:string>dental implant</json:string><json:string>medical condition</json:string><json:string>early childhood</json:string><json:string>strict asepsis</json:string><json:string>cardiac disease</json:string><json:string>edentulous mandible</json:string><json:string>individualized assessment</json:string><json:string>university college london</json:string><json:string>radiation therapy</json:string><json:string>necrotizing mediastinitis</json:string><json:string>implant surgery</json:string><json:string>bone disorders</json:string><json:string>compend contin educ dent</json:string><json:string>patient selection</json:string><json:string>health risks</json:string><json:string>titanium implants</json:string><json:string>general anaesthesia</json:string><json:string>prosthet dent</json:string><json:string>antimicrobial prophylaxis</json:string><json:string>spec care dentist</json:string><json:string>numerous observations</json:string><json:string>clin periodontol</json:string><json:string>retrospective study</json:string><json:string>diabetic patients</json:string><json:string>life expectancy</json:string><json:string>osteoporotic patients</json:string><json:string>radiol endod</json:string><json:string>clinical report</json:string></teeft></keywords><author><json:item><name>C. SCULLY</name><affiliations><json:string>Eastman Dental Institute, University College London, London, UK</json:string></affiliations></json:item><json:item><name>J. HOBKIRK</name><affiliations><json:string>Eastman Dental Institute, University College London, London, UK</json:string></affiliations></json:item><json:item><name>P. D DIOS</name><affiliations><json:string>Special Needs Unit, School of Medicine and Dentistry, University of Santiago de Compostela, Compostela, Spain</json:string></affiliations></json:item></author><subject><json:item><lang><json:string>eng</json:string></lang><value>implants</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>cancer</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>systemic disease</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>osteoradionecrosis</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>oral</value></json:item></subject><articleId><json:string>JOOR1755</json:string></articleId><arkIstex>ark:/67375/WNG-Z87BC1JC-K</arkIstex><language><json:string>eng</json:string></language><originalGenre><json:string>article</json:string></originalGenre><abstract>summary The literature contains numerous observations on the significance of systemic disorders as contraindications to dental endosseous implant treatment, but the justification for these statements is often apparently allegorical. Although implants are increasingly used in healthy patients, their appropriateness in medically compromised patients is less equivocal. Perhaps surprisingly, the evidence of their efficacy in these groups of patients is quite sparse. Indeed, there are few if any randomized controlled trials (RCTs) in this field. Furthermore, any health risks from the placement of implants are unclear. We review the current evidence for the risks associated with endosseous implants in a range of systemic disorders. There is clearly a need for prospective systematic trials. The degree of disease‐control may be far more important that the nature of the disorder itself, and individualized assessment, including the medical condition, quality of life and life expectancy is indicated. The benefits of implants to many of these patients may outweigh any risks. However, proper informed consent is mandatory.</abstract><qualityIndicators><score>8.944</score><pdfWordCount>5440</pdfWordCount><pdfCharCount>37508</pdfCharCount><pdfVersion>1.3</pdfVersion><pdfPageCount>10</pdfPageCount><pdfPageSize>595.276 x 782.362 pts</pdfPageSize><refBibsNative>true</refBibsNative><abstractWordCount>162</abstractWordCount><abstractCharCount>1127</abstractCharCount><keywordCount>5</keywordCount></qualityIndicators><title>Dental endosseous implants in the medically compromised patient</title><pmid><json:string>17650169</json:string></pmid><genre><json:string>article</json:string></genre><host><title>Journal of Oral Rehabilitation</title><language><json:string>unknown</json:string></language><doi><json:string>10.1111/(ISSN)1365-2842</json:string></doi><issn><json:string>0305-182X</json:string></issn><eissn><json:string>1365-2842</json:string></eissn><publisherId><json:string>JOOR</json:string></publisherId><volume>34</volume><issue>8</issue><pages><first>590</first><last>599</last><total>10</total></pages><genre><json:string>journal</json:string></genre></host><namedEntities><unitex><date><json:string>2007</json:string></date><geogName></geogName><orgName><json:string>Blackwell Publishing Ltd</json:string><json:string>Parameter of Care Editorial</json:string></orgName><orgName_funder></orgName_funder><orgName_provider></orgName_provider><persName><json:string>Case</json:string><json:string>Medical</json:string></persName><placeName></placeName><ref_url><json:string>http://www.fds.rcseng.ac.uk</json:string><json:string>http://www.dentalphobia.com/lsd-procedures_implants.htm</json:string><json:string>http://www.mca.gov.uk/ ourwork/monitorsafequalmed/currentproblems/volume</json:string></ref_url><ref_bibl><json:string>Horner et al.</json:string></ref_bibl><bibl></bibl></unitex></namedEntities><ark><json:string>ark:/67375/WNG-Z87BC1JC-K</json:string></ark><categories><wos><json:string>1 - science</json:string><json:string>2 - dentistry, oral surgery & medicine</json:string></wos><scienceMetrix><json:string>1 - health sciences</json:string><json:string>2 - clinical medicine</json:string><json:string>3 - dentistry</json:string></scienceMetrix><scopus><json:string>1 - Health Sciences</json:string><json:string>2 - Dentistry</json:string><json:string>3 - General Dentistry</json:string></scopus></categories><publicationDate>2007</publicationDate><copyrightDate>2007</copyrightDate><doi><json:string>10.1111/j.1365-2842.2007.01755.x</json:string></doi><id>4DEC26709145999DCC52B9571F15FB640E94371F</id><score>1</score><fulltext><json:item><extension>pdf</extension><original>true</original><mimetype>application/pdf</mimetype><uri>https://api.istex.fr/document/4DEC26709145999DCC52B9571F15FB640E94371F/fulltext/pdf</uri></json:item><json:item><extension>zip</extension><original>false</original><mimetype>application/zip</mimetype><uri>https://api.istex.fr/document/4DEC26709145999DCC52B9571F15FB640E94371F/fulltext/zip</uri></json:item><istex:fulltextTEI uri="https://api.istex.fr/document/4DEC26709145999DCC52B9571F15FB640E94371F/fulltext/tei"><teiHeader><fileDesc><titleStmt><title level="a" type="main">Dental endosseous implants in the medically compromised patient<ref type="note" target="#fn1"><hi rend="superscript">1</hi></ref></title></titleStmt><publicationStmt><authority>ISTEX</authority><publisher>Blackwell Publishing Ltd</publisher><pubPlace>Oxford, UK</pubPlace><date type="published" when="2007-08"></date></publicationStmt><notesStmt><note type="content-type" subtype="article" source="article" scheme="https://content-type.data.istex.fr/ark:/67375/XTP-6N5SZHKN-D">article</note><note type="publication-type" subtype="journal" scheme="https://publication-type.data.istex.fr/ark:/67375/JMC-0GLKJH51-B">journal</note></notesStmt><sourceDesc><biblStruct type="article"><analytic><title level="a" type="main">Dental endosseous implants in the medically compromised patient<ref type="note" target="#fn1"><hi rend="superscript">1</hi></ref></title><title level="a" type="short">DENTAL ENDOSSEOUS IMPLANTS</title><author xml:id="author-0000"><persName><forename type="first">C.</forename><surname>SCULLY</surname></persName><affiliation>Eastman Dental Institute, University College London, London, UK<address><country key="GB"></country></address></affiliation></author><author xml:id="author-0001"><persName><forename type="first">J.</forename><surname>HOBKIRK</surname></persName><affiliation>Eastman Dental Institute, University College London, London, UK<address><country key="GB"></country></address></affiliation></author><author xml:id="author-0002"><persName><forename type="first">P.</forename><surname>D DIOS</surname></persName><affiliation>Special Needs Unit, School of Medicine and Dentistry, University of Santiago de Compostela, Compostela, Spain<address><country key="ES"></country></address></affiliation></author><idno type="istex">4DEC26709145999DCC52B9571F15FB640E94371F</idno><idno type="ark">ark:/67375/WNG-Z87BC1JC-K</idno><idno type="DOI">10.1111/j.1365-2842.2007.01755.x</idno><idno type="unit">JOOR1755</idno><idno type="toTypesetVersion">file:JOOR.JOOR1755.pdf</idno></analytic><monogr><title level="j" type="main">Journal of Oral Rehabilitation</title><title level="j" type="alt">JOURNAL ORAL REHABILITATION</title><idno type="pISSN">0305-182X</idno><idno type="eISSN">1365-2842</idno><idno type="book-DOI">10.1111/(ISSN)1365-2842</idno><idno type="book-part-DOI">10.1111/jor.2007.34.issue-8</idno><idno type="product">JOOR</idno><idno type="publisherDivision">ST</idno><imprint><biblScope unit="vol">34</biblScope><biblScope unit="issue">8</biblScope><biblScope unit="page" from="590">590</biblScope><biblScope unit="page" to="599">599</biblScope><biblScope unit="page-count">10</biblScope><publisher>Blackwell Publishing Ltd</publisher><pubPlace>Oxford, UK</pubPlace><date type="published" when="2007-08"></date></imprint></monogr></biblStruct></sourceDesc></fileDesc><profileDesc><abstract xml:lang="en" style="main"><p><hi rend="bold"><hi rend="smallCaps">summary</hi>
</hi> The literature contains numerous observations on the significance of systemic disorders as contraindications to dental endosseous implant treatment, but the justification for these statements is often apparently allegorical. Although implants are increasingly used in healthy patients, their appropriateness in medically compromised patients is less equivocal. Perhaps surprisingly, the evidence of their efficacy in these groups of patients is quite sparse. Indeed, there are few if any randomized controlled trials (RCTs) in this field. Furthermore, any health risks from the placement of implants are unclear. We review the current evidence for the risks associated with endosseous implants in a range of systemic disorders. There is clearly a need for prospective systematic trials. The degree of disease‐control may be far more important that the nature of the disorder itself, and individualized assessment, including the medical condition, quality of life and life expectancy is indicated. The benefits of implants to many of these patients may outweigh any risks. However, proper informed consent is mandatory.</p></abstract><textClass><keywords xml:lang="en"><term xml:id="k1">implants</term><term xml:id="k2">cancer</term><term xml:id="k3">systemic disease</term><term xml:id="k4">osteoradionecrosis</term><term xml:id="k5">oral</term></keywords><keywords rend="tocHeading1"><term>Original Articles</term></keywords></textClass><langUsage><language ident="en"></language></langUsage></profileDesc></teiHeader></istex:fulltextTEI><json:item><extension>txt</extension><original>false</original><mimetype>text/plain</mimetype><uri>https://api.istex.fr/document/4DEC26709145999DCC52B9571F15FB640E94371F/fulltext/txt</uri></json:item></fulltext><metadata><istex:metadataXml wicri:clean="Wiley, elements deleted: body"><istex:xmlDeclaration>version="1.0" encoding="UTF-8" standalone="yes"</istex:xmlDeclaration><istex:document><component version="2.0" type="serialArticle" xml:lang="en"><header><publicationMeta level="product"><publisherInfo><publisherName>Blackwell Publishing Ltd</publisherName><publisherLoc>Oxford, UK</publisherLoc></publisherInfo><doi origin="wiley" registered="yes">10.1111/(ISSN)1365-2842</doi><issn type="print">0305-182X</issn><issn type="electronic">1365-2842</issn><idGroup><id type="product" value="JOOR"></id><id type="publisherDivision" value="ST"></id></idGroup><titleGroup><title type="main" sort="JOURNAL ORAL REHABILITATION">Journal of Oral Rehabilitation</title></titleGroup></publicationMeta><publicationMeta level="part" position="08008"><doi origin="wiley">10.1111/jor.2007.34.issue-8</doi><numberingGroup><numbering type="journalVolume" number="34">34</numbering><numbering type="journalIssue" number="8">8</numbering></numberingGroup><coverDate startDate="2007-08">August 2007</coverDate></publicationMeta><publicationMeta level="unit" type="article" position="6" status="forIssue"><doi origin="wiley">10.1111/j.1365-2842.2007.01755.x</doi><idGroup><id type="unit" value="JOOR1755"></id></idGroup><countGroup><count type="pageTotal" number="10"></count></countGroup><titleGroup><title type="tocHeading1">Original Articles</title></titleGroup><eventGroup><event type="firstOnline" date="2007-07-23"></event><event type="publishedOnlineFinalForm" date="2007-07-23"></event><event type="xmlConverted" agent="Converter:BPG_TO_WML3G version:2.3.2 mode:FullText source:FullText result:FullText" date="2010-03-15"></event><event type="xmlConverted" agent="Converter:WILEY_ML3G_TO_WILEY_ML3GV2 version:4.0.1" date="2014-03-20"></event><event type="xmlConverted" agent="Converter:WML3G_To_WML3G version:4.1.7 mode:FullText,remove_FC" date="2014-10-30"></event></eventGroup><numberingGroup><numbering type="pageFirst" number="590">590</numbering><numbering type="pageLast" number="599">599</numbering></numberingGroup><correspondenceTo>Crispian Scully, Eastman Dental Institute for Oral Health Care Sciences, University College London, 256 Gray’s Inn Road, London WC1X 8LD, UK.
Email: <email>c.scully@eastman.ucl.ac.uk</email></correspondenceTo><linkGroup><link type="toTypesetVersion" href="file:JOOR.JOOR1755.pdf"></link></linkGroup></publicationMeta><contentMeta><unparsedEditorialHistory>Accepted for publication 25 February 2007</unparsedEditorialHistory><countGroup><count type="figureTotal" number="0"></count><count type="tableTotal" number="1"></count></countGroup><titleGroup><title type="main">Dental endosseous implants in the medically compromised patient<link href="#fn1"><sup>1</sup></link></title><title type="shortAuthors">C. SCULLY <i>et al.</i></title><title type="short">DENTAL ENDOSSEOUS IMPLANTS</title></titleGroup><creators><creator creatorRole="author" xml:id="cr1" affiliationRef="#a1"><personName><givenNames>C.</givenNames><familyName>SCULLY</familyName></personName></creator><creator creatorRole="author" xml:id="cr2" affiliationRef="#a1"><personName><givenNames>J.</givenNames><familyName>HOBKIRK</familyName></personName></creator><creator creatorRole="author" xml:id="cr3" affiliationRef="#a2"><personName><givenNames>P.</givenNames><familyName>D DIOS</familyName></personName></creator></creators><affiliationGroup><affiliation xml:id="a1" countryCode="GB"><unparsedAffiliation>Eastman Dental Institute, University College London, London, UK</unparsedAffiliation></affiliation><affiliation xml:id="a2" countryCode="ES"><unparsedAffiliation>Special Needs Unit, School of Medicine and Dentistry, University of Santiago de Compostela, Compostela, Spain</unparsedAffiliation></affiliation></affiliationGroup><keywordGroup xml:lang="en"><keyword xml:id="k1">implants</keyword><keyword xml:id="k2">cancer</keyword><keyword xml:id="k3">systemic disease</keyword><keyword xml:id="k4">osteoradionecrosis</keyword><keyword xml:id="k5">oral</keyword></keywordGroup><abstractGroup><abstract type="main" xml:lang="en"><p><b><sc>summary</sc> </b> The literature contains numerous observations on the significance of systemic disorders as contraindications to dental endosseous implant treatment, but the justification for these statements is often apparently allegorical. Although implants are increasingly used in healthy patients, their appropriateness in medically compromised patients is less equivocal. Perhaps surprisingly, the evidence of their efficacy in these groups of patients is quite sparse. Indeed, there are few if any randomized controlled trials (RCTs) in this field. Furthermore, any health risks from the placement of implants are unclear. We review the current evidence for the risks associated with endosseous implants in a range of systemic disorders. There is clearly a need for prospective systematic trials. The degree of disease‐control may be far more important that the nature of the disorder itself, and individualized assessment, including the medical condition, quality of life and life expectancy is indicated. The benefits of implants to many of these patients may outweigh any risks. However, proper informed consent is mandatory.</p></abstract></abstractGroup></contentMeta><noteGroup><note xml:id="fn1" numbered="no"><p> <sup>1</sup>This paper is based on a presentation to the European Association of Oral Medicine, Berlin, Germany, September 2004.</p></note></noteGroup></header></component></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>Dental endosseous implants in the medically compromised patient</title></titleInfo><titleInfo type="abbreviated" lang="en"><title>DENTAL ENDOSSEOUS IMPLANTS</title></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>Dental endosseous implants in the medically compromised patient1</title></titleInfo><name type="personal"><namePart type="given">C.</namePart><namePart type="family">SCULLY</namePart><affiliation>Eastman Dental Institute, University College London, London, UK</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">J.</namePart><namePart type="family">HOBKIRK</namePart><affiliation>Eastman Dental Institute, University College London, London, UK</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">P.</namePart><namePart type="family">D DIOS</namePart><affiliation>Special Needs Unit, School of Medicine and Dentistry, University of Santiago de Compostela, Compostela, Spain</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="article" displayLabel="article" authority="ISTEX" authorityURI="https://content-type.data.istex.fr" valueURI="https://content-type.data.istex.fr/ark:/67375/XTP-6N5SZHKN-D">article</genre><originInfo><publisher>Blackwell Publishing Ltd</publisher><place><placeTerm type="text">Oxford, UK</placeTerm></place><dateIssued encoding="w3cdtf">2007-08</dateIssued><edition>Accepted for publication 25 February 2007</edition><copyrightDate encoding="w3cdtf">2007</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><physicalDescription><extent unit="figures">0</extent><extent unit="tables">1</extent></physicalDescription><abstract>summary The literature contains numerous observations on the significance of systemic disorders as contraindications to dental endosseous implant treatment, but the justification for these statements is often apparently allegorical. Although implants are increasingly used in healthy patients, their appropriateness in medically compromised patients is less equivocal. Perhaps surprisingly, the evidence of their efficacy in these groups of patients is quite sparse. Indeed, there are few if any randomized controlled trials (RCTs) in this field. Furthermore, any health risks from the placement of implants are unclear. We review the current evidence for the risks associated with endosseous implants in a range of systemic disorders. There is clearly a need for prospective systematic trials. The degree of disease‐control may be far more important that the nature of the disorder itself, and individualized assessment, including the medical condition, quality of life and life expectancy is indicated. The benefits of implants to many of these patients may outweigh any risks. However, proper informed consent is mandatory.</abstract><note type="content">*1This paper is based on a presentation to the European Association of Oral Medicine, Berlin, Germany, September 2004.</note><subject lang="en"><genre>keywords</genre><topic>implants</topic><topic>cancer</topic><topic>systemic disease</topic><topic>osteoradionecrosis</topic><topic>oral</topic></subject><relatedItem type="host"><titleInfo><title>Journal of Oral Rehabilitation</title></titleInfo><genre type="journal" authority="ISTEX" authorityURI="https://publication-type.data.istex.fr" valueURI="https://publication-type.data.istex.fr/ark:/67375/JMC-0GLKJH51-B">journal</genre><identifier type="ISSN">0305-182X</identifier><identifier type="eISSN">1365-2842</identifier><identifier type="DOI">10.1111/(ISSN)1365-2842</identifier><identifier type="PublisherID">JOOR</identifier><part><date>2007</date><detail type="volume"><caption>vol.</caption><number>34</number></detail><detail type="issue"><caption>no.</caption><number>8</number></detail><extent unit="pages"><start>590</start><end>599</end><total>10</total></extent></part></relatedItem><identifier type="istex">4DEC26709145999DCC52B9571F15FB640E94371F</identifier><identifier type="ark">ark:/67375/WNG-Z87BC1JC-K</identifier><identifier type="DOI">10.1111/j.1365-2842.2007.01755.x</identifier><identifier type="ArticleID">JOOR1755</identifier><recordInfo><recordContentSource authority="ISTEX" authorityURI="https://loaded-corpus.data.istex.fr" valueURI="https://loaded-corpus.data.istex.fr/ark:/67375/XBH-L0C46X92-X">wiley</recordContentSource><recordOrigin>Blackwell Publishing Ltd</recordOrigin></recordInfo></mods><json:item><extension>json</extension><original>false</original><mimetype>application/json</mimetype><uri>https://api.istex.fr/document/4DEC26709145999DCC52B9571F15FB640E94371F/metadata/json</uri></json:item></metadata><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
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