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Dental endosseous implants in the medically compromised patient

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Dental endosseous implants in the medically compromised patient

Auteurs : C. Scully [Royaume-Uni] ; J. Hobkirk [Royaume-Uni] ; P. D Dios [Espagne]

Source :

Journal of Oral Rehabilitation [ 0305-182X ] ; 2007-08.

RBID : ISTEX:4DEC26709145999DCC52B9571F15FB640E94371F

Descripteurs français

Wicri :
- topic : Alcoolisme, Antibiotique, Petite enfance, Espérance de vie.

English descriptors

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.

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https://api.istex.fr/document/4DEC26709145999DCC52B9571F15FB640E94371F/fulltext/pdf

DOI: 10.1111/j.1365-2842.2007.01755.x

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ISTEX:4DEC26709145999DCC52B9571F15FB640E94371F

Le document en format XML

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<author><name sortKey="Hobkirk, J" sort="Hobkirk, J" uniqKey="Hobkirk J" first="J." last="Hobkirk">J. Hobkirk</name>
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<author><name sortKey="D Dios, P" sort="D Dios, P" uniqKey="D Dios P" first="P." last="D Dios">P. D Dios</name>
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<profileDesc><textClass><keywords scheme="KwdEn" 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>
<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>
<keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Alcoolisme</term>
<term>Antibiotique</term>
<term>Petite enfance</term>
<term>Espérance de vie</term>
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<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>
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Dental endosseous implants in the medically compromised patient

Dental endosseous implants in the medically compromised patient

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Descripteurs français

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Abstract

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