Prognosis after treatment with multiple dental implants under general anesthesia and sedation in a cerebral palsy patient with mental retardation: A case report
Identifieur interne : 001D93 ( Pmc/Curation ); précédent : 001D92; suivant : 001D94Prognosis after treatment with multiple dental implants under general anesthesia and sedation in a cerebral palsy patient with mental retardation: A case report
Auteurs : Young-Joon Hong [Corée du Sud] ; Jung-Bae Dan [Corée du Sud] ; Myung-Jin Kim [Corée du Sud] ; Hyun Jeong Kim [Corée du Sud] ; Kwang-Suk Seo [Corée du Sud]Source :
- Journal of Dental Anesthesia and Pain Medicine [ 2383-9309 ] ; 2017.
Abstract
Cerebral palsy is a non-progressive disorder resulting from central nervous system damage caused by multiple factors. Almost all cerebral palsy patients have a movement disorder that makes dental treatment difficult. Oral hygiene management is difficult and the risks for periodontitis, dental caries and loss of multiple teeth are high. Placement of dental implants for multiple missing teeth in cerebral palsy patients needs multiple rounds of general anesthesia, and the prognosis is poor despite the expense. Therefore, making the decision to perform multiple dental implant treatments on cerebral palsy patients is difficult. A 33-year-old female patient with cerebral palsy and mental retardation was scheduled for multiple implant treatments. She underwent computed tomography (CT) under sedation and the operation of nine dental implants under general anesthesia. Implant-supported fixed prosthesis treatment was completed. During follow-up, she had the anterior incisors extracted and underwent the surgery of 3 additional dental implants, completing the prosthetic treatment. Although oral parafunctions existed due to cerebral palsy, no implant failure was observed 9 years after the first implant surgery.
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DOI: 10.17245/jdapm.2017.17.2.149
PubMed: 28879344
PubMed Central: 5564150
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Prognosis after treatment with multiple dental implants under general anesthesia and sedation in a cerebral palsy patient with mental retardation: A case report</title><author><name sortKey="Hong, Young Joon" sort="Hong, Young Joon" uniqKey="Hong Y" first="Young-Joon" last="Hong">Young-Joon Hong</name><affiliation wicri:level="1"><nlm:aff id="A1">Department of Oral and Maxillofacial Surgery, Seoul National University, School of Dentistry, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Oral and Maxillofacial Surgery, Seoul National University, School of Dentistry, Seoul</wicri:regionArea></affiliation></author><author><name sortKey="Dan, Jung Bae" sort="Dan, Jung Bae" uniqKey="Dan J" first="Jung-Bae" last="Dan">Jung-Bae Dan</name><affiliation wicri:level="1"><nlm:aff id="A2">Woojung Dental Clinic, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Woojung Dental Clinic, Seoul</wicri:regionArea></affiliation></author><author><name sortKey="Kim, Myung Jin" sort="Kim, Myung Jin" uniqKey="Kim M" first="Myung-Jin" last="Kim">Myung-Jin Kim</name><affiliation wicri:level="1"><nlm:aff id="A1">Department of Oral and Maxillofacial Surgery, Seoul National University, School of Dentistry, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Oral and Maxillofacial Surgery, Seoul National University, School of Dentistry, Seoul</wicri:regionArea></affiliation></author><author><name sortKey="Kim, Hyun Jeong" sort="Kim, Hyun Jeong" uniqKey="Kim H" first="Hyun Jeong" last="Kim">Hyun Jeong Kim</name><affiliation wicri:level="1"><nlm:aff id="A3">Department of Dental Anesthesiology, Seoul National University, School of Dentistry, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Dental Anesthesiology, Seoul National University, School of Dentistry, 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, Seoul National University, School of Dentistry, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Dental Anesthesiology, Seoul National University, School of Dentistry, Seoul</wicri:regionArea></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">28879344</idno><idno type="pmc">5564150</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5564150</idno><idno type="RBID">PMC:5564150</idno><idno type="doi">10.17245/jdapm.2017.17.2.149</idno><date when="2017">2017</date><idno 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of Dentistry, Seoul</wicri:regionArea></affiliation></author><author><name sortKey="Dan, Jung Bae" sort="Dan, Jung Bae" uniqKey="Dan J" first="Jung-Bae" last="Dan">Jung-Bae Dan</name><affiliation wicri:level="1"><nlm:aff id="A2">Woojung Dental Clinic, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Woojung Dental Clinic, Seoul</wicri:regionArea></affiliation></author><author><name sortKey="Kim, Myung Jin" sort="Kim, Myung Jin" uniqKey="Kim M" first="Myung-Jin" last="Kim">Myung-Jin Kim</name><affiliation wicri:level="1"><nlm:aff id="A1">Department of Oral and Maxillofacial Surgery, Seoul National University, School of Dentistry, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Oral and Maxillofacial Surgery, Seoul National University, School of Dentistry, Seoul</wicri:regionArea></affiliation></author><author><name sortKey="Kim, Hyun Jeong" sort="Kim, Hyun Jeong" uniqKey="Kim H" first="Hyun Jeong" last="Kim">Hyun Jeong Kim</name><affiliation wicri:level="1"><nlm:aff id="A3">Department of Dental Anesthesiology, Seoul National University, School of Dentistry, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Dental Anesthesiology, Seoul National University, School of Dentistry, 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, Seoul National University, School of Dentistry, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Dental Anesthesiology, Seoul National University, School of Dentistry, 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="2017">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>Cerebral palsy is a non-progressive disorder resulting from central nervous system damage caused by multiple factors. Almost all cerebral palsy patients have a movement disorder that makes dental treatment difficult. Oral hygiene management is difficult and the risks for periodontitis, dental caries and loss of multiple teeth are high. Placement of dental implants for multiple missing teeth in cerebral palsy patients needs multiple rounds of general anesthesia, and the prognosis is poor despite the expense. Therefore, making the decision to perform multiple dental implant treatments on cerebral palsy patients is difficult. A 33-year-old female patient with cerebral palsy and mental retardation was scheduled for multiple implant treatments. She underwent computed tomography (CT) under sedation and the operation of nine dental implants under general anesthesia. Implant-supported fixed prosthesis treatment was completed. During follow-up, she had the anterior incisors extracted and underwent the surgery of 3 additional dental implants, completing the prosthetic treatment. Although oral parafunctions existed due to cerebral palsy, no implant failure was observed 9 years after the first implant surgery.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Bax, Mc" uniqKey="Bax M">MC Bax</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Nelson, K" uniqKey="Nelson K">K Nelson</name></author><author><name sortKey="Emery, Es" uniqKey="Emery E">ES Emery</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Nolan, J" uniqKey="Nolan J">J Nolan</name></author><author><name sortKey="Chalkiadis, G" uniqKey="Chalkiadis G">G Chalkiadis</name></author><author><name sortKey="Low, J" uniqKey="Low J">J Low</name></author><author><name sortKey="Olesch, C" uniqKey="Olesch C">C Olesch</name></author><author><name sortKey="Brown, T" uniqKey="Brown T">T Brown</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Seo, Ks" uniqKey="Seo 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<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">28879344</article-id><article-id pub-id-type="pmc">5564150</article-id><article-id pub-id-type="doi">10.17245/jdapm.2017.17.2.149</article-id><article-categories><subj-group subj-group-type="heading"><subject>Case Report</subject></subj-group></article-categories><title-group><article-title>Prognosis after treatment with multiple dental implants under general anesthesia and sedation in a cerebral palsy patient with mental retardation: A case report</article-title></title-group><contrib-group><contrib contrib-type="author"><contrib-id contrib-id-type="orcid" authenticated="true">https://orcid.org/0000-0002-4521-1982</contrib-id><name><surname>Hong</surname><given-names>Young-Joon</given-names></name><xref ref-type="aff" rid="A1">1</xref></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid" authenticated="true">https://orcid.org/0000-0003-0448-1596</contrib-id><name><surname>Dan</surname><given-names>Jung-Bae</given-names></name><xref ref-type="aff" rid="A2">2</xref></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid" authenticated="true">https://orcid.org/0000-0003-3175-4422</contrib-id><name><surname>Kim</surname><given-names>Myung-Jin</given-names></name><xref ref-type="aff" rid="A1">1</xref></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid" authenticated="true">https://orcid.org/0000-0002-9265-7549</contrib-id><name><surname>Kim</surname><given-names>Hyun Jeong</given-names></name><xref ref-type="aff" rid="A3">3</xref></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid" authenticated="true">https://orcid.org/0000-0001-5906-0639</contrib-id><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, Seoul National University, School of Dentistry, Seoul, Korea.</aff><aff id="A2"><label>2</label>Woojung Dental Clinic, Seoul, Korea.</aff><aff id="A3"><label>3</label>Department of Dental Anesthesiology, Seoul National University, School of Dentistry, Seoul, Korea.</aff><author-notes><corresp>Corresponding Author: Kwang-Suk Seo, Department of Dental Anesthesiology, Seoul National University Dental Hospital, 101 Daehak-ro, 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>6</month><year>2017</year></pub-date><pub-date pub-type="epub"><day>29</day><month>6</month><year>2017</year></pub-date><volume>17</volume><issue>2</issue><fpage>149</fpage><lpage>155</lpage><history><date date-type="received"><day>19</day><month>6</month><year>2017</year></date><date date-type="rev-recd"><day>23</day><month>6</month><year>2017</year></date><date date-type="accepted"><day>26</day><month>6</month><year>2017</year></date></history><permissions><copyright-statement>Copyright © 2017 Journal of Dental Anesthesia and Pain Medicine</copyright-statement><copyright-year>2017</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>Cerebral palsy is a non-progressive disorder resulting from central nervous system damage caused by multiple factors. Almost all cerebral palsy patients have a movement disorder that makes dental treatment difficult. Oral hygiene management is difficult and the risks for periodontitis, dental caries and loss of multiple teeth are high. Placement of dental implants for multiple missing teeth in cerebral palsy patients needs multiple rounds of general anesthesia, and the prognosis is poor despite the expense. Therefore, making the decision to perform multiple dental implant treatments on cerebral palsy patients is difficult. A 33-year-old female patient with cerebral palsy and mental retardation was scheduled for multiple implant treatments. She underwent computed tomography (CT) under sedation and the operation of nine dental implants under general anesthesia. Implant-supported fixed prosthesis treatment was completed. During follow-up, she had the anterior incisors extracted and underwent the surgery of 3 additional dental implants, completing the prosthetic treatment. Although oral parafunctions existed due to cerebral palsy, no implant failure was observed 9 years after the first implant surgery.</p></abstract><kwd-group><kwd>Cerebral Palsy</kwd><kwd>Dental Implants</kwd><kwd>Disabled Persons</kwd><kwd>General Anesthesia</kwd><kwd>Prognosis</kwd></kwd-group></article-meta></front><floats-group><fig id="F1" orientation="portrait" position="float"><label>Fig. 1</label><caption><title>The pre-operative full mouth intraoral radiograph obtained under general anesthesia.</title></caption><graphic xlink:href="jdapm-17-149-g001"></graphic></fig><fig id="F2" orientation="portrait" position="float"><label>Fig. 2</label><caption><title>Implant CT images obtained with a stent under intravenous sedation.</title></caption><graphic xlink:href="jdapm-17-149-g002"></graphic></fig><fig id="F3" orientation="portrait" position="float"><label>Fig. 3</label><caption><title>Post-operative CT images (4 months after the 1st implant surgery).</title></caption><graphic xlink:href="jdapm-17-149-g003"></graphic></fig><fig id="F4" orientation="portrait" position="float"><label>Fig. 4</label><caption><title>Post-operative cephalograms after 2nd implant operation.</title></caption><graphic xlink:href="jdapm-17-149-g004"></graphic></fig><table-wrap id="T1" orientation="portrait" position="float"><label>Table 1</label><caption><title>The location, diameter and length of 9-fixtures used for 1st implant operation</title></caption><alternatives><graphic xlink:href="jdapm-17-149-i001"></graphic><table frame="hsides" rules="rows"><col width="22%" span="1"></col><col width="13%" span="1"></col><col width="13%" span="1"></col><col width="13%" span="1"></col><col width="13%" span="1"></col><col width="13%" span="1"></col><col width="13%" span="1"></col><thead><tr><th valign="top" align="center" rowspan="1" colspan="1" style="background-color:rgb(238,238,221)">Tooth Number</th><th valign="top" align="center" rowspan="1" colspan="1" style="background-color:rgb(238,238,221)">#15</th><th valign="top" align="center" rowspan="1" colspan="1" style="background-color:rgb(238,238,221)">#14</th><th valign="top" align="center" rowspan="1" colspan="1" style="background-color:rgb(238,238,221)">#23</th><th valign="top" align="center" rowspan="1" colspan="1" style="background-color:rgb(238,238,221)">#25</th><th valign="top" align="center" rowspan="1" colspan="1" style="background-color:rgb(238,238,221)">#36</th><th valign="top" align="center" rowspan="1" colspan="1" style="background-color:rgb(238,238,221)">#33</th></tr></thead><tbody><tr><td valign="top" align="left" rowspan="1" colspan="1">Implant fixture diameter and length</td><td valign="top" align="center" rowspan="1" colspan="1">Ø3.75 × 15 mm</td><td valign="top" align="center" rowspan="1" colspan="1">Ø3.75 × 15 mm</td><td valign="top" align="center" rowspan="1" colspan="1">Ø3.75 × 13 mm</td><td valign="top" align="center" rowspan="1" colspan="1">Ø3.75 × 13 mm</td><td valign="top" align="center" rowspan="1" colspan="1">Ø3.75 × 7 mm</td><td valign="top" align="center" rowspan="1" colspan="1">Ø3.75 × 15 mm</td></tr></tbody></table><table frame="hsides" rules="rows"><col width="22%" span="1"></col><col width="13%" span="1"></col><col width="13%" span="1"></col><col width="13%" span="1"></col><col width="13%" span="1"></col><col width="13%" span="1"></col><col width="13%" span="1"></col><thead><tr><th valign="top" align="center" rowspan="1" colspan="1" style="background-color:rgb(238,238,221)">Tooth Number</th><th valign="top" align="center" rowspan="1" colspan="1" style="background-color:rgb(238,238,221)">#32</th><th valign="top" align="center" rowspan="1" colspan="1" style="background-color:rgb(238,238,221)">#31</th><th valign="top" align="center" rowspan="1" colspan="1" style="background-color:rgb(238,238,221)">#42</th><th valign="top" align="center" rowspan="1" colspan="1" style="background-color:rgb(238,238,221)">#43</th><th valign="top" align="center" rowspan="1" colspan="1" style="background-color:rgb(238,238,221)">#46</th><th valign="top" align="center" rowspan="1" colspan="1" style="background-color:rgb(238,238,221)"></th></tr></thead><tbody><tr><td valign="top" align="left" rowspan="1" colspan="1">Implant fixture diameter and length</td><td valign="top" align="center" rowspan="1" colspan="1">Ø3.75 × 15 mm</td><td valign="top" align="center" rowspan="1" colspan="1">Ø3.75 × 15 mm</td><td valign="top" align="center" rowspan="1" colspan="1">Ø3.75 × 15 mm</td><td valign="top" align="center" rowspan="1" colspan="1">Ø3.75 × 15 mm</td><td valign="top" align="center" rowspan="1" colspan="1">Ø3.75 × 7 mm</td><td valign="top" align="center" rowspan="1" colspan="1"></td></tr></tbody></table></alternatives></table-wrap><table-wrap id="T2" orientation="portrait" position="float"><label>Table 2</label><caption><title>Total treatment flow</title></caption><alternatives><graphic xlink:href="jdapm-17-149-i002"></graphic><table frame="hsides" rules="rows"><col width="10%" span="1"></col><col width="7.5%" span="1"></col><col width="7.5%" span="1"></col><col width="7.5%" span="1"></col><col width="7.5%" span="1"></col><col width="7.5%" span="1"></col><col width="7.5%" span="1"></col><col width="7.5%" span="1"></col><col width="7.5%" span="1"></col><col width="7.5%" span="1"></col><col width="7.5%" span="1"></col><col width="7.5%" span="1"></col><col width="7.5%" span="1"></col><thead><tr><th valign="middle" align="center" rowspan="1" colspan="1" style="background-color:rgb(238,238,221)"></th><th valign="middle" align="center" rowspan="1" colspan="1" style="background-color:rgb(238,238,221)">08.01.24</th><th valign="middle" align="center" rowspan="1" colspan="1" style="background-color:rgb(238,238,221)">08.03.10</th><th valign="middle" align="center" rowspan="1" colspan="1" style="background-color:rgb(238,238,221)">08.04.07</th><th valign="middle" align="center" rowspan="1" colspan="1" style="background-color:rgb(238,238,221)">08.08.19</th><th valign="middle" align="center" rowspan="1" colspan="1" style="background-color:rgb(238,238,221)">08.11.20</th><th valign="middle" align="center" rowspan="1" colspan="1" style="background-color:rgb(238,238,221)">09.01.06</th><th valign="middle" align="center" rowspan="1" colspan="1" style="background-color:rgb(238,238,221)">09.02.24</th><th valign="middle" align="center" rowspan="1" colspan="1" style="background-color:rgb(238,238,221)">09.03.05</th><th valign="middle" align="center" rowspan="1" colspan="1" style="background-color:rgb(238,238,221)">09.05.06</th><th valign="middle" align="center" rowspan="1" colspan="1" style="background-color:rgb(238,238,221)">09.07.01</th><th valign="middle" align="center" rowspan="1" colspan="1" style="background-color:rgb(238,238,221)">09.08.04</th><th valign="middle" align="center" rowspan="1" colspan="1" style="background-color:rgb(238,238,221)">11.04.04</th></tr></thead><tbody><tr><td valign="middle" align="center" rowspan="1" colspan="1">Anesthesia</td><td valign="middle" align="center" rowspan="1" colspan="1">G/A</td><td valign="middle" align="center" rowspan="1" colspan="1">IV/S</td><td valign="middle" align="center" rowspan="1" colspan="1">GA</td><td valign="middle" align="center" rowspan="1" colspan="1">IV/S</td><td valign="middle" align="center" rowspan="1" colspan="1">G/A</td><td valign="middle" align="center" rowspan="1" colspan="1">IV/S</td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td></tr><tr><td valign="middle" align="center" rowspan="1" colspan="1">#15</td><td valign="middle" align="center" rowspan="11" colspan="1">Periapical radiograph (Missing teeth)</td><td valign="middle" align="center" rowspan="11" colspan="1">Implant stent CT</td><td valign="middle" align="center" rowspan="11" colspan="1">1st implant surgery</td><td valign="middle" align="center" rowspan="11" colspan="1">Postoperative CT</td><td valign="middle" align="center" rowspan="11" colspan="1">2nd implant surgery Lateral, AP cephalograph</td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="2" colspan="1">Temporary Bridge</td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td></tr><tr><td valign="middle" align="center" rowspan="1" colspan="1">#14</td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td></tr><tr><td valign="middle" align="center" rowspan="1" colspan="1">#23</td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="2" colspan="1">Temporary Bridge</td><td valign="middle" align="center" rowspan="2" colspan="1">Permanent Bridge</td></tr><tr><td valign="middle" align="center" rowspan="1" colspan="1">#25</td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td></tr><tr><td valign="middle" align="center" rowspan="1" colspan="1">#36</td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="2" colspan="1">Temporary Bridge</td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td></tr><tr><td valign="middle" align="center" rowspan="1" colspan="1">#33</td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td></tr><tr><td valign="middle" align="center" rowspan="1" colspan="1">#32</td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="3" colspan="1">Temporary Bridge</td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td></tr><tr><td valign="middle" align="center" rowspan="1" colspan="1">#31</td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td></tr><tr><td valign="middle" align="center" rowspan="1" colspan="1">#42</td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td></tr><tr><td valign="middle" align="center" rowspan="1" colspan="1">#43</td><td valign="middle" align="center" rowspan="1" colspan="1">Gingivectomy</td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="2" colspan="1">Temporary Bridge</td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td></tr><tr><td valign="middle" align="center" rowspan="1" colspan="1">#46</td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td></tr><tr><td valign="middle" align="center" rowspan="1" colspan="1">#11</td><td valign="middle" align="center" rowspan="3" colspan="1">Periapical radiograph</td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td></tr><tr><td valign="middle" align="center" rowspan="1" colspan="1">#21</td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td></tr><tr><td valign="middle" align="center" rowspan="1" colspan="1">#22</td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td></tr></tbody></table><table frame="hsides" rules="rows"><col width="9%" span="1"></col><col width="7%" span="1"></col><col width="7%" span="1"></col><col width="7%" span="1"></col><col width="7%" span="1"></col><col width="7%" span="1"></col><col width="7%" span="1"></col><col width="7%" span="1"></col><col width="7%" span="1"></col><col width="7%" span="1"></col><col width="7%" span="1"></col><col width="7%" span="1"></col><col width="7%" span="1"></col><col width="7%" span="1"></col><thead><tr><th valign="middle" align="center" rowspan="1" colspan="1" style="background-color:rgb(238,238,221)"></th><th valign="middle" align="center" rowspan="1" colspan="1" style="background-color:rgb(238,238,221)">13.05.23</th><th valign="middle" align="center" rowspan="1" colspan="1" style="background-color:rgb(238,238,221)">13.07.12</th><th valign="middle" align="center" rowspan="1" colspan="1" style="background-color:rgb(238,238,221)">13.07.15</th><th valign="middle" align="center" rowspan="1" colspan="1" style="background-color:rgb(238,238,221)">14.03.24</th><th valign="middle" align="center" rowspan="1" colspan="1" style="background-color:rgb(238,238,221)">14.10.07</th><th valign="middle" align="center" rowspan="1" colspan="1" style="background-color:rgb(238,238,221)">14.11.03</th><th valign="middle" align="center" rowspan="1" colspan="1" style="background-color:rgb(238,238,221)">15.05.26</th><th valign="middle" align="center" rowspan="1" colspan="1" style="background-color:rgb(238,238,221)">15.09.23</th><th valign="middle" align="center" rowspan="1" colspan="1" style="background-color:rgb(238,238,221)">15.12.09</th><th valign="middle" align="center" rowspan="1" colspan="1" style="background-color:rgb(238,238,221)">16.02.23</th><th valign="middle" align="center" rowspan="1" colspan="1" style="background-color:rgb(238,238,221)">16.04.21</th><th valign="middle" align="center" rowspan="1" colspan="1" style="background-color:rgb(238,238,221)">16.05.30</th><th valign="middle" align="center" rowspan="1" colspan="1" style="background-color:rgb(238,238,221)">17.05.15</th></tr></thead><tbody><tr><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1">L/A</td><td valign="middle" align="center" rowspan="1" colspan="1">L/A</td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1">L/A</td><td valign="middle" align="center" rowspan="1" colspan="1">L/A</td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td></tr><tr><td valign="middle" align="center" rowspan="1" colspan="1">#15</td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="2" colspan="1">Permanent Bridge</td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="14" colspan="1">Last visit (total 14 implants success rate: 100%)</td></tr><tr><td valign="middle" align="center" rowspan="1" colspan="1">#14</td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td></tr><tr><td valign="middle" align="center" rowspan="1" colspan="1">#23</td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td></tr><tr><td valign="middle" align="center" rowspan="1" colspan="1">#25</td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td></tr><tr><td valign="middle" align="center" rowspan="1" colspan="1">#36</td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="2" colspan="1">Permanent Bridge</td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td></tr><tr><td valign="middle" align="center" rowspan="1" colspan="1">#33</td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td></tr><tr><td valign="middle" align="center" rowspan="1" colspan="1">#32</td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="2" colspan="1">Permanent Bridge</td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td></tr><tr><td valign="middle" align="center" rowspan="1" colspan="1">#31</td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td></tr><tr><td valign="middle" align="center" rowspan="1" colspan="1">#42</td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td></tr><tr><td valign="middle" align="center" rowspan="1" colspan="1">#43</td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="2" colspan="1">Permanent Bridge</td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td></tr><tr><td valign="middle" align="center" rowspan="1" colspan="1">#46</td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td></tr><tr><td valign="middle" align="center" rowspan="1" colspan="1">#11</td><td valign="middle" align="center" rowspan="2" colspan="1">Endodontic Tx. (Access Opening)</td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="2" colspan="1">Endodontic Tx. (Canal filling)</td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1">Tooth exrtraction, Implant operation</td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1">Temporary crown</td><td valign="middle" align="center" rowspan="1" colspan="1">Permanent crown</td></tr><tr><td valign="middle" align="center" rowspan="1" colspan="1">#21</td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1">Tooth exrtraction, Implant operation</td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1">Temporary crown</td><td valign="middle" align="center" rowspan="1" colspan="1">Permanent crown</td></tr><tr><td valign="middle" align="center" rowspan="1" colspan="1">#22</td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1">Endodontic Tx. (Access Opening)</td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1">Endodontic Tx. (Canal filling)</td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1">Tooth exrtraction, Implant operation</td><td valign="middle" align="center" rowspan="1" colspan="1"></td><td valign="middle" align="center" rowspan="1" colspan="1">Temporary crown</td><td valign="middle" align="center" rowspan="1" colspan="1">Permanent crown</td></tr></tbody></table></alternatives><table-wrap-foot><fn><p>G/A: general anesthesia, IV/S: intravenous sedation, L/A: Local anesthesia.</p></fn></table-wrap-foot></table-wrap></floats-group></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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