Abstract
We report a case we encountered, who required implant removal due to th incapability of self-maintenance of oral hygiene as a result of hemiplegia occurringas a sequela of cerebral infarction.
The case was a 76-year-old man wearing a fixed bridge implanted 10 years ago between remaining teeth. This patient had cerebral infarction 2years ago and developed right motor impairment and central facial paralysis as sequelae, although he survived. After the onset of cerebral infarction, he became incapable of maintaining oral hygiene, resultihg in persistent pus discharge and swelling around the implant.
Needless to say, since aged patients, for whom implants are indicated, and those required a high degree of maintenance of oral hygiene will inevitably increase, it is inferred that patients requiring implant removal due to insufficient maintenance of oral hygiene as a result of systemic disease, like as this case. Thus the system that can maintain oral hygiene under control, even if the patients unfortunately fall in poor systemic condition, shoud be constructed.
