Immediate implant placement for schizophrenic patient with outpatient general anesthesia
남호진, 성기웅, 김민균, 이경진, 권도현, 지성인, 서광석,
소속 상세정보
남호진 ( Nam Ho-Jin ) - Seoul National University School of Dentistry Department of Oral and Maxillofacial Surgery
성기웅 ( Sung Ki-Woong ) - Seoul National University School of Dentistry Department of Oral and Maxillofacial Surgery
김민균 ( Kim Min-Gyun ) - National Cancer Center Oral Cancer Clinic
이경진 ( Lee Kyung-Jin ) - Seoul National University School of Dentistry Department of Oral and Maxillofacial Surgery
권도현 ( Kwon Do-Hyun ) - Seoul National University School of Dentistry Department of Oral and Maxillofacial Surgery
지성인 ( Chi Seong-In ) - Seoul National University School of Dentistry Department of Dental Anesthesiology
서광석 ( Seo Kwang-Suk ) - Seoul National University School of Dentistry Department of Dental Anesthesiology
KMID : 0980320150150030147
Abstract
The difficult oral healthcare in intellectually disabled patients with poor behavioral control has led to debate over the cost-effectiveness and validity of implant treatment in these patients. The patient in the present report had schizophrenia that had led to poor oral care and severe dental caries in the full mouth. Tooth extraction and a removable prosthesis were planned, but the guardian wanted an implant procedure. Since the guardian showed strong will and cooperation with regard to the patient's oral healthcare, extraction followed by immediate implant placement was performed across two rounds of general anesthesia. Since the outcome appears successful, we present this case report. Immediate implant placement after tooth extraction requires fewer surgeries and rounds of general anesthesia, reduces horizontal bone resorption, and can achieve better esthetic results. Therefore, as long as a certain degree of oral care is possible, this can be a positive option for restoration of a partially edentulous mouth, even in intellectually disabled patients.
키워드
Immediate implant placement; Outpatient general anesthesia; Schizophrenia
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