Considerations for implant surgery in disabled patients with medical history

Kwak, Eun-Jung

doi:2023.61.8.537

J Korean Dent Assoc > Volume 61(8); 2023 > Article

The Journal of The Korean Dental Association 2023;61(8):537-544.
DOI: https://doi.org/10.22974/jkda.2023.61.8.004 Published online July 31, 2023.

전신질환을 동반한 장애인 환자에서의 임플란트 수술 시 고려사항

곽은정

서울대학교치과병원 중앙장애인구강진료센터

Considerations for implant surgery in disabled patients with medical history

Eun-Jung Kwak

National Dental Care Center for Persons with Special Needs, Seoul National University Dental Hospital

Correspondence: Eun-Jung Kwak, Tel: +82-2-6256-3725, Fax: +82-2-6256-3713,
Email: ejkwak@snudh.org

Received: 8 May 2023 • Revised: 12 May 2023 • Accepted: 19 July 2023

Abstract

As the accessibility of dental treatment for the disabled has improved and the need for oral care has emerged, implant restoration has been adopted as one of the treatment methods for restoring the missing teeth in these patients. However, considering the characteristics of disabled patients and the level of cooperation should be considered. It is necessary to check for medication and consider any systemic diseases that may be affected by invasive surgery. In particular, patients taking antiplatelet, anticoagulant, or osteoporosis drugs, or in a state of organ transplantation, invasive implant surgery should be more cautious. In this article, the considerations for various medical history and characteristics of several types of disability would be discussed.

Key Words: Implant surgery; disabled patient; bleeding tendency; organ transplantation