Immediate implant placement for schizophrenic patient with outpatient general anesthesia
Identifieur interne : 001085 ( Main/Exploration ); précédent : 001084; suivant : 001086Immediate implant placement for schizophrenic patient with outpatient general anesthesia
Auteurs : Hojin Nam [Corée du Sud] ; Ki-Woong Sung [Corée du Sud] ; Min Gyun Kim [Corée du Sud] ; Kyungjin Lee [Corée du Sud] ; Dohyun Kwon [Corée du Sud] ; Seong In Chi [Corée du Sud] ; Kwang-Suk Seo [Corée du Sud]Source :
- Journal of Dental Anesthesia and Pain Medicine [ 2383-9309 ] ; 2015.
Abstract
The difficult oral healthcare in intellectually disabled patients with poor behavioral control has led to debate over the cost-effectiveness and validity of implant treatment in these patients. The patient in the present report had schizophrenia that had led to poor oral care and severe dental caries in the full mouth. Tooth extraction and a removable prosthesis were planned, but the guardian wanted an implant procedure. Since the guardian showed strong will and cooperation with regard to the patient's oral healthcare, extraction followed by immediate implant placement was performed across two rounds of general anesthesia. Since the outcome appears successful, we present this case report. Immediate implant placement after tooth extraction requires fewer surgeries and rounds of general anesthesia, reduces horizontal bone resorption, and can achieve better esthetic results. Therefore, as long as a certain degree of oral care is possible, this can be a positive option for restoration of a partially edentulous mouth, even in intellectually disabled patients.
Url:
DOI: 10.17245/jdapm.2015.15.3.147
PubMed: 28879272
PubMed Central: 5564171
Affiliations:
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<front><div type="abstract" xml:lang="en"><p>The difficult oral healthcare in intellectually disabled patients with poor behavioral control has led to debate over the cost-effectiveness and validity of implant treatment in these patients. The patient in the present report had schizophrenia that had led to poor oral care and severe dental caries in the full mouth. Tooth extraction and a removable prosthesis were planned, but the guardian wanted an implant procedure. Since the guardian showed strong will and cooperation with regard to the patient's oral healthcare, extraction followed by immediate implant placement was performed across two rounds of general anesthesia. Since the outcome appears successful, we present this case report. Immediate implant placement after tooth extraction requires fewer surgeries and rounds of general anesthesia, reduces horizontal bone resorption, and can achieve better esthetic results. Therefore, as long as a certain degree of oral care is possible, this can be a positive option for restoration of a partially edentulous mouth, even in intellectually disabled patients.</p>
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