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KMID : 1033920120080010032
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Journal of The Korean Academy of Geriatric Denstry
2012 Volume.8 No. 1 p.32 ~ p.37
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Implant treatment in eldering patients with systemic disease
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Lee Jae-Mok
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Abstract
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It has been known that various internal and external factors affect the successful healing of implant therapy. However, implant treatment is being done without the definite investigation of various affecting factors including hard tissue, soft tissue and the others and especially in the elderly, foods, oral hygiene, drugs and various systemic disease should be considered in osseointegration of implants and successful maintenance afterward but definitive evidence has not been suggested. Therefore, in elderly, it is needed to have knowledge about age, ectodermal dysplasia, smoking, systemic drug, chronically infected implant site, diabetes, osteoporosis, premalignant disease and oral lichen planus which may adversely influence the treatment outcome and the relation with implant therapy and relative effects. Especially, for patients with disease associated with bone metabolism such as diabetes and osteoporosis etc., close investigation and maintenance methods should be set up by time including initial healing phase, working phase and maintenance phase. It is necessary to develop materials and design of implants and surface treatment to have more favorable histologic healing process and physical response in initial osseointegration phase and to have more advantageous anti-infective effect in maintenance phase.
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KEYWORD
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Aging, Implant, Risk factor, Systemic disease
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