免疫抑制肾移植患者种植牙失败1例报告

IF 0.2 Q4 DENTISTRY, ORAL SURGERY & MEDICINE Journal of International Clinical Dental Research Organization Pub Date : 2022-12-31 DOI:10.5577/intdentres.2022.vol12.no3.10
Berceste Güler, Büşra Terzioğlu, Banu Çukurluöz Bayındır, Gülen Dal
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摘要

背景:文献报道,实体器官移植(SOT)后免疫抑制患者的种植体存活率为100%。免疫抑制肾移植是最常见的SOT治疗方法,但目前还没有关于免疫抑制肾移植失败的报道。病例报告:本病例是一名66岁男性无牙患者,两年前接受肾脏移植手术,缺乏功能性义肢。在下颌骨放置两颗种植体后,经过3个月的恢复期,未发现感染、透光、脓等并发症。右下颌种植体失败的原因是在病人的可移动假体交付过程中,种植体和愈合头受到压迫。两个月后种植槽愈合后,立即放置直径4.8 mm的种植体。骨整合顺利完成,患者成功地使用双种植体保留下颌覆盖义齿修复。种植体修复效果良好,种植体周围骨水平稳定,在2年随访中显示最小的边缘骨丢失。结论:肾移植患者种植牙康复后联合免疫抑制药物治疗,以及伴随的慢性疾病,应考虑种植牙应用失败的可能性。在这个病例报告中,报告了在尸体肾移植后接受牙种植治疗的患者种植体失败的原因。g ler B, Özaltun B, Çukurluöz Bayındır B, Dal G.免疫抑制肾移植患者种植体失败1例报告。国际医学杂志,2010;12(3):171- 175。https://doi.org/10.5577/intdentres.2022.vol12.no3.10语言修改:本手稿中的英语已由至少两名专业编辑检查,他们都是英语母语者。
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Dental implant failure in immunosuppressed renal transplant patient: A case report
Background: In the literature, the dental implant survival rate has been reported one hundred percent in immunosuppressed patients after a solid organ transplant (SOT). There is no previously published dental implant failure that has been reported on immunosuppressed renal transplant, which is the most common SOT therapy. Case Report: The case presented is that of a 66-years old male edentulous patient suffering from lack of functional prosthesis and who received a renal transplant two years ago. No complications such as infection, radiolucency, or pus were detected after two dental implants were placed in the mandible and after three months recovery period. The right mandibular dental implant failure occurred due to compression of the dental implant and healing head during the delivery of the patient’s removable prosthesis. Following implant socket healing after two months, the 4.8 mm diameter implant was placed immediately after. Osseointegration was completed uneventfully, and the patient was successfully rehabilitated with a two implant-retained mandibular overdenture prosthesis. The implant restoration was performing well with stable Peri-implant bone levels have shown minimal marginal bone loss at a 2-year follow-up.  Conclusion: Treatment of combined immunosuppressive medication used in renal transplant patients after dental implant rehabilitation, as well as accompanying chronic diseases, should be performed considering the possibility of failure in dental implant applications. In this case report, the causes of implant failure were reported patients who received dental implant treatment after renal transplantation from a cadaver.   How to cite this article: Güler B, Özaltun B, Çukurluöz Bayındır B, Dal G. Dental implant failure in immunosuppressed renal transplant patient: A case report. Int Dent Res 2022;12(3):171-5. https://doi.org/10.5577/intdentres.2022.vol12.no3.10   Linguistic Revision: The English in this manuscript has been checked by at least two professional editors, both native speakers of English.
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