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医学上有问题的患者中的牙种植体。

Dental implants in the medically compromised patient.

机构信息

Grupo de Investigación en Odontología Médico-Quirúrgica (OMEQUI), School of Medicine and Dentistry, University of Santiago de Compostela, Spain.

出版信息

J Dent. 2013 Mar;41(3):195-206. doi: 10.1016/j.jdent.2012.12.008. Epub 2013 Jan 11.

DOI:10.1016/j.jdent.2012.12.008
PMID:23313715
Abstract

OBJECTIVE

It has been suggested that some local and systemic factors could be contraindications to dental implant treatment. The objective of this paper was to evaluate whether success and survival rates of dental implants are reduced in the medically compromised patient.

DATA/SOURCES: An extensive literature search was conducted using PubMed/Medline, Scopus, Scirus and Cochrane databases up to November 8, 2012.

CONCLUSIONS

There are very few absolute medical contraindications to dental implant treatment, although a number of conditions may increase the risk of treatment failure or complications. The degree of systemic disease-control may be far more important that the nature of the disorder itself, and individualized medical control should be established prior to implant therapy, since in many of these patients the quality of life and functional benefits from dental implants may outweigh any risks.

摘要

目的

有人认为,一些局部和全身因素可能是种植牙治疗的禁忌症。本文的目的是评估患有医学并发症的患者的种植牙成功率和存活率是否降低。

资料/来源:使用 PubMed/Medline、Scopus、Scirus 和 Cochrane 数据库进行了广泛的文献检索,检索时间截至 2012 年 11 月 8 日。

结论

虽然有一些情况可能会增加治疗失败或并发症的风险,但种植牙治疗几乎没有绝对的医学禁忌症。系统疾病控制的程度可能比疾病本身的性质更为重要,并且应该在种植治疗前建立个体化的医学控制,因为在许多这些患者中,种植牙带来的生活质量和功能益处可能超过任何风险。

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