Abstract
In recent years, dental implant treatment has become a well accepted and practiced surgical procedure in dentistry, due to its technological advancements. But we must carefully decide if this treatment is applicable to the patient since implant surgery involves risks for patients with systemic diseases. We herein describe and report two cases where we were faced in making such decisions in their management.
Case 1: A 36-years-old woman scheduled for implant treatment was diagnosed with hypertension, hyperlipidemia, Sturge-Weber syndrome (mental retardation, epilepsy, glaucoma) and severe obesity (height: 155cm, weight: 155kg). Since complications due to the time requirement for surgery was anticipated, the patient underwent implant surgery under general anesthesia.
Case 2: A 57 years-old man diagnosed with unstable angina, old myocardial infarction and diabetes mellitus, with past history of paroxysmal atrial fibrillation and cerebral infarction underwent implant surgery under local anesthesia and intravenous sedation.
The importance in understanding systemic diseases and proper selection of treatment according to the clinical situation of the patient for implant surgery are mandatory and of extreme importance. The 2 cases with serious systemic diseases indicated that successful implant treatment depends largely on establishing a good rapport with the patient, attaining patient cooperation, and practitioner's experience.
