Dental and Medical Problems

Dent Med Probl
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Dental and Medical Problems

2009, vol. 46, nr 4, October-December, p. 486–493

Publication type: review

Language: English

License: Creative Commons Attribution 3.0 Unported (CC BY 3.0)

Clinical Problems with Implant Installation in Geriatric Patients

Problemy kliniczne związane ze stosowaniem wszczepów u pacjentów w podeszłym wieku

Sigmar Kopp1,, Halina Panek2,, Stefan Ihde3,, Bela Lieb4,

1 Department of Prosthodontics, Faculty of Medicine, University of Rostock, Germany

2 Department of Prosthodontics, Wrocław Medical University, Poland

3 Dental Clinic Gommiswald AG, Gommiswald, Switzerland

4 Department of Oromaxillofacial Surgery, Faculty of Medicine, University of Rostock, Germany

Abstract

The purpose of this overview paper is to analyze the literature to identify key articles in the effort to understand clinical problems in implantology in geriatric patients better. The authors were interested in the rate of use of implants in the distal arch regions in both the maxilla and the mandible as well as the rate of success with particular in this group of patients. Moreover, to identify acceptable techniques for accurately diagnosing, treatment selection and serious prognosis of this specific cohort with increasing demand of prosthodontic treatments. The authors performed a PUBMED and MEDLINE search to identify studies reporting on implant treatment in aged patients. The authors reviewed articles, which provided the general indications to use an implant treatment in elderly patients specifically. Moreover, the authors analyzed the papers discussing the implant failure or complications in aged patients and reporting on its incidence and etiology, as well as presenting the current treatment methods to eliminate the complications. The literature reviewed for this publication suggests that the endossous anchorage of implants in the elderly patient is in many cases successful and enhances the quality of life for geriatric patients who are edentulous. There is a number of promising treatment approaches available for the practitioners.

Streszczenie

Celem pracy było zanalizowanie piśmiennictwa pod kątem zidentyfikowania istotnych prac, które umożliwiłyby lepsze zrozumienie klinicznych problemów spotykanych w implantologii stomatologicznej u pacjentów w podeszłym wieku. W szczególności autorów interesowały częstotliwość wykonywania wszczepów w bocznych odcinkach łuku zębowego szczęki i żuchwy oraz odsetek pozytywnych wyników leczenia w tej grupie pacjentów. Celem pracy było ponadto zidentyfikowanie obecnie akceptowanych metod umożliwiających lepsze diagnozowanie, wybór odpowiedniej opcji leczenia i racjonalne prognozowanie w tej charakterystycznej grupie pacjentów z rosnącymi oczekiwaniami odnośnie do leczenia protetycznego. W tym celu wyszukano piśmiennictwo, wykorzystując bazę danych zgromadzonych na temat leczenia implantologicznego u pacjentów w podeszłym wieku w PUBMED i MEDLINE. W szczególności zanalizowano artykuły, które podawały wskazania do stosowania implantów u osób w podeszłym wieku, a także omawiały niepowodzenia i powikłania leczenia z zastosowaniem wszczepów z podaniem częstości występowania i przyczyn niepowodzeń oraz metod ich eliminowania. Zanalizowane piśmiennictwo w niniejszej pracy sugeruje, że stosowanie wszczepów śródkostnych u pacjentów w podeszłym wieku daje w wielu przypadkach pomyślne wyniki i poprawia jakość życia, zwłaszcza pacjentów bezzębnych. Ponadto wykazano, że klinicyści mają obecnie do wyboru wiele obiecujących opcji leczenia.

Key words

dental implants, distal arch region, geriatrics, implant failure, implantology

Słowa kluczowe

wszczepy stomatologiczne, tylne odcinki łuku zębowego, geriatria, uszkodzenia implantów, implantologia

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