Implant surgical treatments in compromised patients
Abstract
Implant surgical treatments represent one of the most advanced and effective solutions for restoring oral function and aesthetics. However, the application of implant surgical treatments in compromised patients presents special clinical challenges due to systemic conditions that may affect the osseointegration pro - cess and oral soft tissue healing. Factors such as diabetes, osteoporosis, smoking, cardiovascular disease or immunosuppressive drug therapy may limit the success of the treatment in the absence of careful plan- ning and personalized surgical protocol. The modern approach to implantology emphasizes the impor - tance of multidisciplinary patient assessment, careful selection of biomimetic materials and the application of atraumatic techniques that minimize the risk of complications. This paper presents a clinical case of implant surgical treatment in a compromised patient, emphasizing the importance of careful management before, during and after the intervention to achieve long-term results.Keywords:
Dental implants, compromised patients, surgical treatment, osseointegration, implant suc - cess, oral rehabilitationDownloads
References
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Misch, Carl E. Contemporary implant dentistry. 3rd ed. St. Louis, Missouri, 2008, 23–60.
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Fonseca, Raymond J. Oral and Maxillofacial Surgery. Vol. 1. Philadelphia, 2020, 56–71.
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Diz, P., C. Scully, and M. Sanz. 2013. “Dental implants in the medically compromised patient.” Journal of Dentistry 41(3):195–206.
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Dirschnabel, A. J., L. P. Martins, and F. M. Souza. 2021. “Implant rehabilitation in patients with systemic conditions: A review of current evidence and clinical guidelines.” Clinical Implant Dentistry and Related Research 23(1):45–56.
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Mosaddad, S. A., S. Talebi, S. O. Keyhan, H. R. Fallahi, M. Darvishi, S. S. Aghili, N. Tavahodi, R. A. Namanloo, A. Heboyan, and A. Fathi. 2024. “Dental implant considerations in patients with systemic diseases: An updated comprehensive review.” J Oral Rehabil. 51(7):1250–1302.
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Cune, M. S., H. Strooker, W. A. van der Reijden, C. de Putter, M. L. Laine, and J. W. Verhoeven. 2009. “Dental implants in persons with severe epilepsy and multiple disabilities: a long-term retrospective study.” Int J Oral Maxillofac Implants. 24(3):534–540. PMID: 19587878.
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Fisher, R. S., C. Acevedo, A. Arzimanoglou, A. Bogacz, J. H. Cross, C. E. Elger, J. Engel Jr., L. Forsgren, J. A. French, M. Glynn, D. C. Hesdorffer, B. I. Lee, G. W. Mathern, S. L. Moshé, E. Perucca, I. E. Scheffer, T. Tomson, M. Watanabe, and S. Wiebe. 2014. “ILAE official report: a practical clinical definition of epilepsy.” Epilepsia 55(4):475–482.
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Bornstein, M. M., N. Cionca, and A. Mombelli. 2009. “Systemic conditions and treatments as risks for implant therapy.” Int J Oral Maxillofac Implants. 24(Suppl):12–27. PMID: 19885432.
References
Misch, Carl E. Contemporary implant dentistry. 3rd ed. St. Louis, Missouri, 2008, 23–60.
Fonseca, Raymond J. Oral and Maxillofacial Surgery. Vol. 1. Philadelphia, 2020, 56–71.
Diz, P., C. Scully, and M. Sanz. 2013. “Dental implants in the medically compromised patient.” Journal of Dentistry 41(3):195–206.
Dirschnabel, A. J., L. P. Martins, and F. M. Souza. 2021. “Implant rehabilitation in patients with systemic conditions: A review of current evidence and clinical guidelines.” Clinical Implant Dentistry and Related Research 23(1):45–56.
Mosaddad, S. A., S. Talebi, S. O. Keyhan, H. R. Fallahi, M. Darvishi, S. S. Aghili, N. Tavahodi, R. A. Namanloo, A. Heboyan, and A. Fathi. 2024. “Dental implant considerations in patients with systemic diseases: An updated comprehensive review.” J Oral Rehabil. 51(7):1250–1302.
Cune, M. S., H. Strooker, W. A. van der Reijden, C. de Putter, M. L. Laine, and J. W. Verhoeven. 2009. “Dental implants in persons with severe epilepsy and multiple disabilities: a long-term retrospective study.” Int J Oral Maxillofac Implants. 24(3):534–540. PMID: 19587878.
Fisher, R. S., C. Acevedo, A. Arzimanoglou, A. Bogacz, J. H. Cross, C. E. Elger, J. Engel Jr., L. Forsgren, J. A. French, M. Glynn, D. C. Hesdorffer, B. I. Lee, G. W. Mathern, S. L. Moshé, E. Perucca, I. E. Scheffer, T. Tomson, M. Watanabe, and S. Wiebe. 2014. “ILAE official report: a practical clinical definition of epilepsy.” Epilepsia 55(4):475–482.
Bornstein, M. M., N. Cionca, and A. Mombelli. 2009. “Systemic conditions and treatments as risks for implant therapy.” Int J Oral Maxillofac Implants. 24(Suppl):12–27. PMID: 19885432.
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