James Martin, Matani Jay, Shahdad Shakeel
University Dental Hospital of Manchester, Manchester Universities NHS Foundation Trust, Manchester, United Kingdom.
Royal London Dental Hospital, Bart's Health NHS Trust, London, United Kingdom.
J Oral Implantol. 2020 Jun 1;46(3):235-243. doi: 10.1563/aaid-joi-D-18-00309.
No previously published studies have reported on the placement and restoration of dental implants in a patient diagnosed with sarcoidosis. Patients with sarcoidosis may develop periodontitis as a manifestation of systemic disease and are therefore at increased risk of tooth loss. These patients are likely to want fixed dental prostheses, which may need to be supported by dental implants. The case presented is that of a 31-year-old female patient presenting with a missing maxillary central incisor and a sarcoidal process affecting the anterior maxilla, which had severely compromised the periodontium of the adjacent lateral incisor. The patient was successfully rehabilitated with an implant-retained prosthesis following a staged horizontal and vertical bone augmentation procedure. At the 4-year review, the implant restoration performed well with stable peri-implant bone levels. We conclude that dental implant rehabilitation in patients with sarcoidosis may be a predictable treatment option, depending on disease stability and concurrent systemic therapy, but these patients will require additional maintenance because of the possibility of an increased risk of peri-implantitis. The effects of sarcoidosis and its management on the success of dental implants are discussed to aid treatment planning for such patients.
此前尚无已发表的研究报道过对诊断为结节病的患者进行牙种植体植入和修复的情况。结节病患者可能会发生牙周炎，作为全身性疾病的一种表现，因此牙齿缺失的风险增加。这些患者可能希望使用固定义齿，而固定义齿可能需要牙种植体来支持。本文介绍的病例是一名31岁女性患者，上颌中切牙缺失，上颌前部有结节病病变，严重损害了相邻侧切牙的牙周组织。在进行了分期的水平和垂直骨增量手术后，患者成功地通过种植体支持的修复体进行了修复。在4年的复查中，种植体修复效果良好，种植体周围骨水平稳定。我们得出结论，对于结节病患者，根据疾病稳定性和同时进行的全身治疗情况，牙种植体修复可能是一种可预测的治疗选择，但由于种植体周围炎风险增加的可能性，这些患者需要额外的维护。本文讨论了结节病及其治疗对牙种植体成功的影响，以帮助对此类患者进行治疗规划。
