Department of Oral and Maxillofacial Surgery and Maxillofacial Prosthodontics, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands.
Gerodontology. 2011 Mar;28(1):76-80. doi: 10.1111/j.1741-2358.2009.00314.x.
Implant-supported (partial) dentures may raise problems in patients who have become dependent on others for daily oral health care. Dental hygienists and general dental practitioners, as well as care providers, volunteer aiders and even health care insurance companies, should anticipate the growing demand for specific oral health care for patients provided with implant-supported (partial) dentures.
To report three cases of dependent patients and to present recommendations to prevent or resolve implant-related oral problems.
The three case reports are demonstrating that implant insertion in (dependent) elderly people needs careful consideration.
When considering implant treatment, some questions should be raised: (1) Is the treatment appropriate in contributing to the patient's well-being and quality of life? (2) Is the treatment the most suitable treatment? (3) Does the treatment integrate with the patient's oral health care plan? (4) Is the patient sufficiently cooperative? (5) Is the patient supported by a well-functioning oral (self) care assisting network? (6) Is it possible for the patient to regular see an oral health care professional and is oral health care easily accessible in cases of an emergency?
Dependent elderly people can benefit from oral implants, providing that adequate oral health care and aftercare can be provided. When indicated, removal of the anchorage structure is easily performed by putting the implants to sleep. All implant patients should be provided with an 'implant passport'. Regular information and instruction for care providers about the oral condition of the patient are essential.
种植体支持的（部分）义齿可能会给那些依赖他人进行日常口腔保健的患者带来问题。牙科保健师和普通牙医，以及护理提供者、志愿助手，甚至医疗保险公司，都应该预料到对为接受种植体支持的（部分）义齿的患者提供特定口腔保健的需求不断增长。
报告三例依赖患者的病例，并提出预防或解决与种植体相关的口腔问题的建议。
这三个病例报告表明，在（依赖的）老年人中植入种植体需要谨慎考虑。
在考虑种植治疗时，应该提出一些问题：（1）治疗是否有助于患者的健康和生活质量？（2）治疗是否是最合适的治疗方法？（3）治疗是否与患者的口腔保健计划相整合？（4）患者是否具有足够的合作性？（5）患者是否得到功能良好的口腔（自我）护理辅助网络的支持？（6）患者是否能够定期看口腔保健专业人员，并且在紧急情况下是否可以方便地获得口腔保健？
依赖的老年人可以从口腔种植中受益，前提是可以提供足够的口腔保健和后续护理。当需要时，可以通过使种植体休眠来轻松移除锚固结构。所有种植体患者都应提供“种植体护照”。定期向护理提供者提供有关患者口腔状况的信息和指导对于口腔护理至关重要。
