Immediate implant placement for schizophrenic patient with outpatient general anesthesia.
10.17245/jdapm.2015.15.3.147
- Author:
Hojin NAM
1
;
Ki Woong SUNG
;
Min Gyun KIM
;
Kyungjin LEE
;
Dohyun KWON
;
Seong In CHI
;
Kwang Suk SEO
Author Information
1. Department of Oral and Maxillofacial Surgery, School of Dentistry, Seoul National University, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Immediate implant placement;
Outpatient general anesthesia;
Schizophrenia
- MeSH:
Anesthesia, General*;
Bone Resorption;
Delivery of Health Care;
Dental Caries;
Humans;
Mouth;
Mouth, Edentulous;
Outpatients*;
Prostheses and Implants;
Schizophrenia;
Tooth Extraction
- From:Journal of Dental Anesthesia and Pain Medicine
2015;15(3):147-151
- CountryRepublic of Korea
- Language:English
-
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.
