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Written by ;Dr.Srinivas B.D.S Posted on 11-06-2020
Implant complications associated with Medical disorders; (Dental Implants)
Etiology;
Myocardial Infraction;(MI)
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Written by ;Dr.Srinivas B.D.S Posted on 11-06-2020
Implant complications associated with Medical disorders; (Dental Implants)
Etiology;- Myocardial Infraction
- Stroke- Cerebrovascular disease
- Valvular heart diseases (Aortic & mitral valve)
- Osteoporosis
- Alzheimer’s Disease
- Paget Disease
- Diabetes
- Psychiartic disorders
- Parkinson's disease
- Age
- Anticoagulant disorders
- Smoking
- Immuno deficiency disorders
- Cancer Therapy
Myocardial Infraction;(MI)
Cardio vascular disease contains various conditions such as hypertension,Vascular stenosis , caronary artery diseases,congestive heart failiure.
Cardio vascular diseases (Cvd) in general directly affect the blood supply to tissues through a variety of mechanisms. This
manifestation alone impairs the process of healing and
affects the oxygen supply delivered through blood flow.
Stroke - Cerebro vascular diseases;
Stroke causes due to interruption of blood flow and delivery of essential oxygen and glucose to the brain tissue..
A drop in the blood flow to 25 ml/100 g/minute leads to
neuronal ischemia, energy failure, and neurologic symptoms,
followed by irreversible tissue damage within
minutes should ischemia continue to ,Four neurologic phenomena have been defined for
stroke based on their duration: transient ischemic attack
(TIAs), reversible ischemic neurologic defect (RIND),
stroke in evolution, and completed stroke.
Valvular heart diseases (Aortic & mitral valve);
valvular heart disease does not affect directly to the implant outcome; however, the heightened risk of
infection needs to be recognized. If the implant becomes
infected and does not quickly respond to antibiotics, do
not postpone appropriate action. Without delay, remove
the implant and proceed accordingly. Again, this is preventive patient management.
Osteoporosis;
It is a skeletal condition characterized by decrease mineral density.osteoporosis is a risk factor for dental implants is grounded in the assumption that the bones of the mandible and maxilla are similarly affected the other bones and joints in the body by impaired bone metabolism.
Alzheimer’s Disease;
The clinical conditions are differ from patient to patient.
The first stage is characterized by memory
loss.
The second stage is characterized by more rapid and
focal losses of cognitive function and partial or total
intermittent speech loss.
During the third phase the patient becomes profoundly
apathetic, disoriented, bed- or chair-ridden, and
incontinent. Seizures are common.
Paget Disease;
It is a chronic disorder of adult skeleton,localized area of bone become hyperactive.
The jaws are affected in approximately
15% of cases. Common dental complications include
improper occlusion, tooth mobility, root will be resorbed, hypercementosis, excessive bleeding on extraction, osteomyelitis, and poorly fitting dentures. Incidence is
more frequent in the maxilla.
Professional consultation with the patient’s physician
may provide the guidance needed to incorporate shortterm
bisphosphonate cotherapy, in order to strengthen
bone and increase density before implant surgery and
ensure maximum success.
Diabetes;
Diabetes is associated with a wide range of systemic
complications including altered wound healing, and increased susceptibility to infection . These conditions may
increase the risk of postsurgical complications following
dental implant placement. In addition, diabetes is a major
risk factor for periodontal disease.
Psychiartic disorders;
Common-sense approaches to psychiatric disorders
must be first and foremost in the mind of dental clinicians,
with or without implants in the proposed treatment
plan. psychiatric disorders are
connected to an increased risk for implant complications or
failure, patient expectations, understanding of treatment
and comprehension related to informed consent can be
directly linked to successful management of dental
implants in the long term.
Parkinson's disease;
This disease is an chronically neurological disorders by neuro degeneration.PD patients are slower in accomplishing
most common tasks and are seriously stressed if
someone is not patient with their inability to move with
normal speed.Although personal
management is an ongoing daily activity, PD
patients appreciate being treated equally to non-PD
patients in the dental setting and can successfully be
considered for dental implants.
Age;
Age is definitely associated
with the prevalence of systemic conditions that
may affect implant success or complication rates. Older
patients more commonly suffer from multiple systemic
conditions than do younger patients, particularly conditions
of a chronic nature such as hypertension, CVD, and
osteoporosis.
Anticoagulant disorders;
The three main anticoagulants are heparin, aspirin and coumarin.
The anticoagulant disorders is a risk of all cardiac disorders and cardiac diseases. So may be increase flow of bleeding is happens during extraction and implant placement.
Smoking;
Smoking causes various vulnerable diseases, and major complication in smoking is after 3 years implant placements are high failure rates .
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