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KMID : 0362720040420110798
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Journal of the Korean Dental Association
2004 Volume.42 No. 11 p.798 ~ p.806
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Kim Young-Kyun
Yun Pil-Young
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Abstract
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Dental implant therapy is useful and successful method for edentulous patients in the field of dentistry. Generally, systemic diseases and old age are considered as high risk factors in dental implant surgery. Many clinicians tend to apply dental implant only to the healthy patients. But there are no reliable evidences between success rate of dental implant therapy and systemic disease. As the average span of human life is extended, the demand of the consideration for the geriatric patients as well as medically compromised patients is increased. The main purpose of this study was to evaluate the early complications of dental implant therapy in the aged and medically compromised patients.
The patients who had been operated in the Seoul National University Bundang Hospital, from Jun 2003 to May 2004 were included. To evaluate factors associated with osseointegration, patients were classified according to gender, age, types of systemic disease, types of anesthesia. The early complications including post-operative complications were evaluated and analyzed.
From the 33 patients who showed complications, only 7 patients were medically compromised patients. The frequent complications were wound dehiscence, wound infection, soft tissue hypertrophy, failure of integration and so forth. And only 10 patients were over the age of 60.
From the analysis of preliminary data, the aged and medically compromised patients were not high risk group of implant therapy. More safe treatment can be supplied to the compromised patients through the consultation with their physicians. Also, to overcome these problems, it is important to provide against emergency situation related with systemic disease.
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KEYWORD
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dental implant, geriatric, medically compromised, complication, systemic disease
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