J Dent Anesth Pain Med.  2017 Sep;17(3):205-213. 10.17245/jdapm.2017.17.3.205.

Prognosis following dental implant treatment under general anesthesia in patients with special needs

• Kim IH
• Kuk TS
• Park SY
• Choi YS
• Kim HJ
• Seo KS

• KMID: 2390805
• DOI: http://doi.org/10.17245/jdapm.2017.17.3.205

Abstract

BACKGROUND
This study retrospectively investigated outcomes following dental implantation in patients with special needs who required general anesthesia to enable treatment.
METHODS
Patients underwent implant treatment under general anesthesia at the Clinic for the Disabled in Seoul National University Dental Hospital between January 2004 and June 2017. The study analyzed medical records and radiographs. Implant survival rates were calculated by applying criteria for success or failure.
RESULTS
Of 19 patients in the study, 8 were males and 11 were females, with a mean age of 32.9 years. The patients included 11 with mental retardation, 3 with autism, 2 with cerebral palsy, 2 with schizophrenia, and 1 with a brain disorder; 2 patients also had seizure disorders. All were incapable of oral self-care due to serious cognitive impairment and could not cooperate with normal dental treatment. A total of 27 rounds of general anesthesia and 1 round of intravenous sedation were performed for implant surgery. Implant placement was performed in 3 patients whose prosthesis records could not be found, while 3 other patients had less than 1 year of follow-up after prosthetic treatment. When the criteria for implant success or failure were applied in 13 remaining patients, 3 implant failures occurred in 59 total treatments. The cumulative survival rate of implants over an average of 43.3 months (15-116 months) was 94.9%.
CONCLUSIONS
For patients with severe cognitive impairment who are incapable of oral self-care, implant treatment under general anesthesia showed a favorable prognosis.

Keyword

Dental Implants; Disabled Persons; General Anesthesia; Prognosis

MeSH Terms

Anesthesia, General*
Autistic Disorder
Brain Diseases
Cerebral Palsy
Cognition Disorders
Dental Implantation
Dental Implants*
Disabled Persons
Epilepsy
Female
Follow-Up Studies
Humans
Intellectual Disability
Male
Medical Records
Prognosis*
Prostheses and Implants
Retrospective Studies
Schizophrenia
Self Care
Seoul
Survival Rate
Dental Implants

Figure

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  Fig. 1 Flow chart of patient selection.

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  Fig. 2 A panoramic view of a patient under follow-up for the longest period after completion of implant treatment. When comparing images before (left) and after (right) completion of treatment, there was no loss of marginal bone or radiolucent lesion around the implants.

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