Huard Cedric, Bessadet Marion, Nicolas Emmanuel, Veyrune Jean-Luc
CHU Clermont-Ferrand, Service d'Odontologie, Clermont-Ferrand, France.
Clin Cosmet Investig Dent. 2013 Aug 28;5:63-8. doi: 10.2147/CCIDE.S47743. eCollection 2013.
Advances made in prevention have helped postpone complete edentulism in older patients. However, in the elderly, the physiological state reduces patients' ability to adapt to oral rehabilitation and degrades the patient's oral condition. Consequently, elderly edentulous subjects avoid many types of foods, which can lead to substantial nutritional consequences. Complete dentures retained by implants are, currently, the treatment of reference in prosthodontic mandibular rehabilitation. Indeed, the mandibular symphysis generally tolerates implantation, even when the mandible is strongly resorbed. However, in the elderly, implant rehabilitation is compromised by the complexity of the surgical protocol and possible postoperative complications. In this context, the use of geriatric "slim implants" (GSI) offers an interesting alternative.
In the present study, the surgical and prosthetic procedures for the use of GSI in a French dental hospital are presented. The objective was the stabilization of a complete mandibular denture in an elderly person, with the immediate implantation of four GSI.
The operating procedure was found to be less invasive, less expensive, simpler, and more efficient than the conventional procedure.
The result strongly suggests that this protocol could be used systematically to treat complete edentulism in very elderly patients. Long-term monitoring and the evaluation of the reliability of this type of rehabilitation should be undertaken.
预防方面取得的进展有助于推迟老年患者的全口无牙状态。然而,在老年人中,生理状态会降低患者适应口腔修复的能力,并使患者的口腔状况恶化。因此,老年无牙患者会避免食用多种类型的食物,这可能导致严重的营养后果。目前,种植体固位的全口义齿是下颌修复的首选治疗方法。事实上,即使下颌骨严重吸收,下颌联合通常也能耐受种植。然而,在老年人中,种植修复会因手术方案的复杂性和可能的术后并发症而受到影响。在这种情况下,使用老年“超薄种植体”(GSI)提供了一个有趣的选择。
在本研究中,介绍了法国一家牙科医院使用GSI的手术和修复程序。目的是通过立即植入四颗GSI来稳定老年人的下颌全口义齿。
发现该手术程序比传统程序侵入性更小、成本更低、更简单且更有效。
结果强烈表明,该方案可系统地用于治疗高龄患者的全口无牙症。应进行长期监测和对这类修复可靠性的评估。