Immediate implant placement for schizophrenic patient with outpatient general anesthesia
Identifieur interne : 001D91 ( Pmc/Curation ); précédent : 001D90; suivant : 001D92Immediate 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.
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DOI: 10.17245/jdapm.2015.15.3.147
PubMed: 28879272
PubMed Central: 5564171
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Immediate implant placement for schizophrenic patient with outpatient general anesthesia</title><author><name sortKey="Nam, Hojin" sort="Nam, Hojin" uniqKey="Nam H" first="Hojin" last="Nam">Hojin Nam</name><affiliation wicri:level="1"><nlm:aff id="A1">Department of Oral and Maxillofacial Surgery, School of Dentistry, Seoul National University, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Oral and Maxillofacial Surgery, School of Dentistry, Seoul National University, Seoul</wicri:regionArea></affiliation></author><author><name sortKey="Sung, Ki Woong" sort="Sung, Ki Woong" uniqKey="Sung K" first="Ki-Woong" last="Sung">Ki-Woong Sung</name><affiliation wicri:level="1"><nlm:aff id="A1">Department of Oral and Maxillofacial Surgery, School of Dentistry, Seoul National University, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Oral and Maxillofacial Surgery, School of Dentistry, Seoul National University, Seoul</wicri:regionArea></affiliation></author><author><name sortKey="Kim, Min Gyun" sort="Kim, Min Gyun" uniqKey="Kim M" first="Min Gyun" last="Kim">Min Gyun Kim</name><affiliation wicri:level="1"><nlm:aff id="A2">Oral Oncology Clinic, National Cancer Center, Goyang, Gyeonggido, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Oral Oncology Clinic, National Cancer Center, Goyang, Gyeonggido</wicri:regionArea></affiliation></author><author><name sortKey="Lee, Kyungjin" sort="Lee, Kyungjin" uniqKey="Lee K" first="Kyungjin" last="Lee">Kyungjin Lee</name><affiliation wicri:level="1"><nlm:aff id="A1">Department of Oral and Maxillofacial Surgery, School of Dentistry, Seoul National University, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Oral and Maxillofacial Surgery, School of Dentistry, Seoul National University, Seoul</wicri:regionArea></affiliation></author><author><name sortKey="Kwon, Dohyun" sort="Kwon, Dohyun" uniqKey="Kwon D" first="Dohyun" last="Kwon">Dohyun Kwon</name><affiliation wicri:level="1"><nlm:aff id="A1">Department of Oral and Maxillofacial Surgery, School of Dentistry, Seoul National University, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Oral and Maxillofacial Surgery, School of Dentistry, Seoul National University, Seoul</wicri:regionArea></affiliation></author><author><name sortKey="Chi, Seong In" sort="Chi, Seong In" uniqKey="Chi S" first="Seong In" last="Chi">Seong In Chi</name><affiliation wicri:level="1"><nlm:aff id="A3">Department of Dental Anesthesiology, Dental Research Institute, School of Dentistry, Seoul National University, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Dental Anesthesiology, Dental Research Institute, School of Dentistry, Seoul National University, Seoul</wicri:regionArea></affiliation></author><author><name sortKey="Seo, Kwang Suk" sort="Seo, Kwang Suk" uniqKey="Seo K" first="Kwang-Suk" last="Seo">Kwang-Suk Seo</name><affiliation wicri:level="1"><nlm:aff id="A3">Department of Dental Anesthesiology, Dental Research Institute, School of Dentistry, Seoul National University, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Dental Anesthesiology, Dental Research Institute, School of Dentistry, Seoul National University, Seoul</wicri:regionArea></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">28879272</idno><idno type="pmc">5564171</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5564171</idno><idno type="RBID">PMC:5564171</idno><idno type="doi">10.17245/jdapm.2015.15.3.147</idno><date when="2015">2015</date><idno type="wicri:Area/Pmc/Corpus">001D91</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">001D91</idno><idno type="wicri:Area/Pmc/Curation">001D91</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">001D91</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Immediate implant placement for schizophrenic patient with outpatient general anesthesia</title><author><name sortKey="Nam, Hojin" sort="Nam, Hojin" uniqKey="Nam H" first="Hojin" last="Nam">Hojin Nam</name><affiliation wicri:level="1"><nlm:aff id="A1">Department of Oral and Maxillofacial Surgery, School of Dentistry, Seoul National University, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Oral and Maxillofacial Surgery, School of Dentistry, Seoul National University, Seoul</wicri:regionArea></affiliation></author><author><name sortKey="Sung, Ki Woong" sort="Sung, Ki Woong" uniqKey="Sung K" first="Ki-Woong" last="Sung">Ki-Woong Sung</name><affiliation wicri:level="1"><nlm:aff id="A1">Department of Oral and Maxillofacial Surgery, School of Dentistry, Seoul National University, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Oral and Maxillofacial Surgery, School of Dentistry, Seoul National University, Seoul</wicri:regionArea></affiliation></author><author><name sortKey="Kim, Min Gyun" sort="Kim, Min Gyun" uniqKey="Kim M" first="Min Gyun" last="Kim">Min Gyun Kim</name><affiliation wicri:level="1"><nlm:aff id="A2">Oral Oncology Clinic, National Cancer Center, Goyang, Gyeonggido, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Oral Oncology Clinic, National Cancer Center, Goyang, Gyeonggido</wicri:regionArea></affiliation></author><author><name sortKey="Lee, Kyungjin" sort="Lee, Kyungjin" uniqKey="Lee K" first="Kyungjin" last="Lee">Kyungjin Lee</name><affiliation wicri:level="1"><nlm:aff id="A1">Department of Oral and Maxillofacial Surgery, School of Dentistry, Seoul National University, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Oral and Maxillofacial Surgery, School of Dentistry, Seoul National University, Seoul</wicri:regionArea></affiliation></author><author><name sortKey="Kwon, Dohyun" sort="Kwon, Dohyun" uniqKey="Kwon D" first="Dohyun" last="Kwon">Dohyun Kwon</name><affiliation wicri:level="1"><nlm:aff id="A1">Department of Oral and Maxillofacial Surgery, School of Dentistry, Seoul National University, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Oral and Maxillofacial Surgery, School of Dentistry, Seoul National University, Seoul</wicri:regionArea></affiliation></author><author><name sortKey="Chi, Seong In" sort="Chi, Seong In" uniqKey="Chi S" first="Seong In" last="Chi">Seong In Chi</name><affiliation wicri:level="1"><nlm:aff id="A3">Department of Dental Anesthesiology, Dental Research Institute, School of Dentistry, Seoul National University, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Dental Anesthesiology, Dental Research Institute, School of Dentistry, Seoul National University, Seoul</wicri:regionArea></affiliation></author><author><name sortKey="Seo, Kwang Suk" sort="Seo, Kwang Suk" uniqKey="Seo K" first="Kwang-Suk" last="Seo">Kwang-Suk Seo</name><affiliation wicri:level="1"><nlm:aff id="A3">Department of Dental Anesthesiology, Dental Research Institute, School of Dentistry, Seoul National University, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Dental Anesthesiology, Dental Research Institute, School of Dentistry, Seoul National University, Seoul</wicri:regionArea></affiliation></author></analytic><series><title level="j">Journal of Dental Anesthesia and Pain Medicine</title><idno type="ISSN">2383-9309</idno><idno type="eISSN">2383-9317</idno><imprint><date when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><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></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Jackowski, J" uniqKey="Jackowski J">J Jackowski</name></author><author><name sortKey="Dent, Dm" uniqKey="Dent D">DM Dent</name></author><author><name sortKey="Andrich, J" uniqKey="Andrich J">J Andrich</name></author><author><name sortKey="Kdppeler, H" uniqKey="Kdppeler H">H Kdppeler</name></author><author><name sortKey="Zollner, A" uniqKey="Zollner A">A Zöllner</name></author><author><name sortKey="Johren, P" uniqKey="Johren P">P Jöhren</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Lustig, Jp" uniqKey="Lustig J">JP Lustig</name></author><author><name sortKey="Yanko, R" uniqKey="Yanko R">R Yanko</name></author><author><name sortKey="Zilberman, U" uniqKey="Zilberman U">U Zilberman</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ekfeldt, A" uniqKey="Ekfeldt A">A Ekfeldt</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Quirynen, M" uniqKey="Quirynen M">M Quirynen</name></author><author><name sortKey="Van Assche, N" uniqKey="Van Assche N">N Van Assche</name></author><author><name sortKey="Botticelli, D" uniqKey="Botticelli D">D Botticelli</name></author><author><name sortKey="Berglundh, T" uniqKey="Berglundh T">T Berglundh</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kois, Jc" uniqKey="Kois J">JC Kois</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Botticelli, D" uniqKey="Botticelli D">D Botticelli</name></author><author><name sortKey="Berglundh, T" uniqKey="Berglundh T">T Berglundh</name></author><author><name sortKey="Lindhe, J" uniqKey="Lindhe J">J Lindhe</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Chen, St" uniqKey="Chen S">ST Chen</name></author><author><name sortKey="Wilson, Tg" uniqKey="Wilson T">TG Wilson</name></author><author><name sortKey="Hammerle, Ch" uniqKey="Hammerle C">CH Hammerle</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Covani, U" uniqKey="Covani U">U Covani</name></author><author><name sortKey="Bortolaia, C" uniqKey="Bortolaia C">C Bortolaia</name></author><author><name sortKey="Barone, A" uniqKey="Barone A">A Barone</name></author><author><name sortKey="Sbordone, L" uniqKey="Sbordone L">L Sbordone</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Chen, St" uniqKey="Chen S">ST Chen</name></author><author><name sortKey="Buser, D" uniqKey="Buser D">D Buser</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Mccreadie, Rg" uniqKey="Mccreadie R">RG McCreadie</name></author><author><name sortKey="Stevens, H" uniqKey="Stevens H">H Stevens</name></author><author><name sortKey="Henderson, J" uniqKey="Henderson J">J Henderson</name></author><author><name sortKey="Hall, D" uniqKey="Hall D">D Hall</name></author><author><name sortKey="Mccaul, R" uniqKey="Mccaul R">R McCaul</name></author><author><name sortKey="Filik, R" uniqKey="Filik R">R Filik</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Lopez Jimenez, J" uniqKey="Lopez Jimenez J">J Lopez-Jimenez</name></author><author><name sortKey="Romero Dominguez, A" uniqKey="Romero Dominguez A">A Romero-Dominguez</name></author><author><name sortKey="Gimenez Prats, Mj" uniqKey="Gimenez Prats M">MJ Gimenez-Prats</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Oczakir, C" uniqKey="Oczakir C">C Oczakir</name></author><author><name sortKey="Balmer, S" uniqKey="Balmer S">S Balmer</name></author><author><name sortKey="Merickse Stern, R" uniqKey="Merickse Stern R">R Merickse-Stern</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Morton, D" uniqKey="Morton D">D Morton</name></author><author><name sortKey="Chen, St" uniqKey="Chen S">ST Chen</name></author><author><name sortKey="Martin, Wc" uniqKey="Martin W">WC Martin</name></author><author><name sortKey="Levine, Ra" uniqKey="Levine R">RA Levine</name></author><author><name sortKey="Buser, D" uniqKey="Buser D">D Buser</name></author></analytic></biblStruct></listBibl></div1></back></TEI><pmc article-type="case-report"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">J Dent Anesth Pain Med</journal-id><journal-id journal-id-type="iso-abbrev">J Dent Anesth Pain Med</journal-id><journal-id journal-id-type="publisher-id">JDAPM</journal-id><journal-title-group><journal-title>Journal of Dental Anesthesia and Pain Medicine</journal-title></journal-title-group><issn pub-type="ppub">2383-9309</issn><issn pub-type="epub">2383-9317</issn><publisher><publisher-name>The Korean Dental Society of Anesthsiology</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">28879272</article-id><article-id pub-id-type="pmc">5564171</article-id><article-id pub-id-type="doi">10.17245/jdapm.2015.15.3.147</article-id><article-categories><subj-group subj-group-type="heading"><subject>Case Report</subject></subj-group></article-categories><title-group><article-title>Immediate implant placement for schizophrenic patient with outpatient general anesthesia</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Nam</surname><given-names>Hojin</given-names></name><xref ref-type="aff" rid="A1">1</xref></contrib><contrib contrib-type="author"><name><surname>Sung</surname><given-names>Ki-Woong</given-names></name><xref ref-type="aff" rid="A1">1</xref></contrib><contrib contrib-type="author"><name><surname>Kim</surname><given-names>Min Gyun</given-names></name><xref ref-type="aff" rid="A2">2</xref></contrib><contrib contrib-type="author"><name><surname>Lee</surname><given-names>Kyungjin</given-names></name><xref ref-type="aff" rid="A1">1</xref></contrib><contrib contrib-type="author"><name><surname>Kwon</surname><given-names>Dohyun</given-names></name><xref ref-type="aff" rid="A1">1</xref></contrib><contrib contrib-type="author"><name><surname>Chi</surname><given-names>Seong In</given-names></name><xref ref-type="aff" rid="A3">3</xref></contrib><contrib contrib-type="author" corresp="yes"><name><surname>Seo</surname><given-names>Kwang-Suk</given-names></name><xref ref-type="aff" rid="A3">3</xref></contrib></contrib-group><aff id="A1"><label>1</label>Department of Oral and Maxillofacial Surgery, School of Dentistry, Seoul National University, Seoul, Korea.</aff><aff id="A2"><label>2</label>Oral Oncology Clinic, National Cancer Center, Goyang, Gyeonggido, Korea.</aff><aff id="A3"><label>3</label>Department of Dental Anesthesiology, Dental Research Institute, School of Dentistry, Seoul National University, Seoul, Korea.</aff><author-notes><corresp>Corresponding Author: Kwang-Suk Seo, Department of Dental Anesthesiolosy, Seoul National University Dental Hospital, 101, Daehakro, Jongno-gu, Seoul, Korea. Tel: +82-2-2072-0622, Fax: +82-2-766-9427, <email>stone90@snu.ac.kr</email></corresp></author-notes><pub-date pub-type="ppub"><month>9</month><year>2015</year></pub-date><pub-date pub-type="epub"><day>30</day><month>9</month><year>2015</year></pub-date><volume>15</volume><issue>3</issue><fpage>147</fpage><lpage>151</lpage><history><date date-type="received"><day>14</day><month>9</month><year>2015</year></date><date date-type="rev-recd"><day>24</day><month>9</month><year>2015</year></date><date date-type="accepted"><day>02</day><month>10</month><year>2015</year></date></history><permissions><copyright-statement>Copyright © 2015 Journal of Dental Anesthesia and Pain Medicine</copyright-statement><copyright-year>2015</copyright-year><license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by-nc/3.0/"><license-p>This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by-nc/3.0/">http://creativecommons.org/licenses/by-nc/3.0/</ext-link>) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p></license></permissions><abstract><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></abstract><kwd-group><kwd>Immediate implant placement</kwd><kwd>Outpatient general anesthesia</kwd><kwd>Schizophrenia</kwd></kwd-group></article-meta></front><floats-group><fig id="F1" orientation="portrait" position="float"><label>Fig. 1</label><caption><title>Panoramic view in the initial examination.</title></caption><graphic xlink:href="jdapm-15-147-g001"></graphic></fig><fig id="F2" orientation="portrait" position="float"><label>Fig. 2</label><caption><title>A: Panoramic view of implant after the first operation (2014.10.24), B: After extraction, C: After implant placement.</title></caption><graphic xlink:href="jdapm-15-147-g002"></graphic></fig><fig id="F3" orientation="portrait" position="float"><label>Fig. 3</label><caption><title>A: Panoramic view of implant after the first operation (2014.10.30), B: After implant placement - right maxilla, C: After implant placement - left mandible.</title></caption><graphic xlink:href="jdapm-15-147-g003"></graphic></fig><fig id="F4" orientation="portrait" position="float"><label>Fig. 4</label><caption><title>A: Panoramic view before the second operation (2015.04.16), B: Before the second operation - maxilla, C: Before the second operation - mandible.</title></caption><graphic xlink:href="jdapm-15-147-g004"></graphic></fig><fig id="F5" orientation="portrait" position="float"><label>Fig. 5</label><caption><title>A: Panoramic view of the implant in the second operation (2015.4.16), B: Right maxilla/mandible, C: After the second operation.</title></caption><graphic xlink:href="jdapm-15-147-g005"></graphic></fig></floats-group></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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