Abstract
A logical and systematic approach to the patient’s medical and dental status allows detection of early incipient or even occult systemic disease in implant candidates. This applies to both basal implants and root-form implants. Consultation with the family physician and other medical specialists is always advisable. The rapidly increasing population of elderly patients has led to a concurrent rise in recourse to basal implant therapy. The physiologic changes of aging must thus be taken into consideration in risk assessment. Risk assessment in basal implantology is presented from the vantage point of problem-solving, with the patient and his disease being unique, and not readily fitted into a category. Only broad guidelines can be used to help the clinician make a decision, and a coordinated team approach with well-trained professionals remains essential.
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Change history
16 October 2019
The original version of this book was revised to include the “Conflict of interest statement” in all chapters. The erratum to this book can be found at https://doi.org/10.1007/978-3-319-44873-2_16
Recommended Reading
Baden E. Diagnostic methodology. In: Scortecci G, Misch CE, Benner KU, editors. Implants and restorative dentistry. London: Martin Dunitz; 2001.
Bain CA, Moy PK. The association between the failure of dental implants and cigarette smoking. Int J Oral Maxillofac Impl. 1993;8:609–15.
Barnes R, Veith RC, Raskind MA. Depression in older persons: diagnosis and management. West J Med. 1981;135:463–8.
Chanavaz M. Patient screening and medical evaluation for implant and preprosthetic surgery. J Oral Implantol. 1998;24(4):222–9.
Dufour C. Chronic liver disease and cirrhosis. In: Everhart J, editor. Digestive diseases in the United States: epidemiology and impact. Washington, DC: US Department of Health and Human Services, Public Health Service, National Institutes of Health; 1994.
Feldman RS, Bravacos JS, Rose CL. Association between smoking different tobacco products and periodontal disease indexes. J Periodontol. 1983;54:841–7.
Fleg JL. Alterations in vascular structure and function with advancing age. Am J Cardiol. 1986;57:3344.
Fleming KC, Adams AC, Peterson RC. Dementia: diagnosis and evaluation. Mayo Clin Proc. 1995;70:1093–107.
Folkow B, Svanborg A. Physiology of cardiovascular aging. Physiol Rev. 1993;73:725–64.
Gardner ID. The effect of aging on susceptibility to infection. Rev Infect Dis. 1980;2:801–10.
Gerstenblith G, Lakatta EG, Weisfeldt ML. Age changes in myocardial function and exercise response. Prog Cardiovasc Dis. 1976;19:1–21.
Gorman LM, Lambert PM, Morris JF, et al. The effect of smoking on implant survival at second-stage surgery: DICRG Interim Report No. 5. Dental Implant Clinical Research Group. Implant Dent. 1994;3:165–8.
Henry RG, Wekstein DR. Providing dental care for patients diagnosed with Alzheimer’s disease. Dental Clin North Am. 1997;41:915–42.
Hurwitz M. Predisposing factors in adverse reactions to drugs. Br Med J. 1969;1:536–9.
Hypertension and Follow-up Program Cooperative Group. Five-year finding of the hypertension detection and follow-up program. II. Mortality by race, sex and age. J Am Med Assoc. 1979;242:2572–7.
Ismail A, Burt BA, Eklund SA. Epidemiologic patterns of smoking and periodontal disease in the United States. J Am Dent Assoc. 1983;106:617–21.
Joint National Committee (JNC) on Detection, Evaluation and Treatment of High Blood Pressure. The fifth report of the Joint National Committee on the Detection, Evaluation and Treatment of High Blood Pressure (JNC-V). Arch Intern Med. 1993;153:154–83.
Jones JK, Triplette RG. The relationship of cigarette smoking to impaired intra-oral wound healing. J Oral Maxillofac Surg. 1992;50:237–9; discussion 239–40.
Kannel WB, Gordon T. Evaluation of cardiovascular risk in the elderly: the Framingham study. Bull NY Acad Med. 1978;54:573–91.
Khachaturian ZS. Diagnosis of Alzheimer’s disease. Arch Neurol. 1985;42:1097–105.
Krall EA, Dawson RB. Smoking and bone loss among postmenopausal women. J Bone Miner Res. 1991;6:331–8.
Lewis WH Jr, Alving AS. Changes with age in the renal function in adult men. I. Clearance of urea nitrogen in the blood. III. Concentrating ability of the kidneys. Am J Physiol. 1938;123:500–15.
Resnik R, Misch CE. Misch’s avoiding complications in oral implantology. St. Louis, MO: Elsevier; 2017.
Stoelting RK, Miller RD. Basics of anesthesia. 2nd ed. New York: Churchill Livingstone; 1989. p. 114.
Thoman M. Role of interleukin-2 in the age-related impairment of immune function. J Am Geriatr Soc. 1985;33:781–7.
US Bureau of the Census, Day JC. Population projections of the United States by age, sex, race, and Hispanic Origin: 1995–2050. Current population reports. Washington, DC: US Government Printing Office; 1996. p. 25–1130.
Conflict of interest statement
Gérard M. Scortecci is the inventor of the Diskimplant and holder of several associated patents that are exploited by the Victory company. He is an unpaid consultant to this firm and a minority shareholder in the company. No money was received from any of the companies mentioned in the book or from any of the companies whose products are mentioned.
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Scortecci, G.M. (2019). Indications and Contraindications. In: Scortecci, G. (eds) Basal Implantology. Springer, Cham. https://doi.org/10.1007/978-3-319-44873-2_6
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