2010 年 23 巻 4 号 p. 709-714
Recently, implant therapy is applied to not only healthy patients but also those with various medical conditions. However, there are no clear guidelines for implant treatment for patients with intellectual disabilities such as Downʼs syndrome.
A 25-years old patient with Downʼs syndrome was treated with implants. Three endosseous implants were placed in the anterior maxilla and a cement-retained superstructure was delivered 10 weeks after the implant placement. The patient had regularly attended for 7 years. Healthy peri-implant soft tissue had been maintained and no radiographic sign of bone resorption was found during the observation period.
This case report indicates that the clinician should pay careful attention to the systemic and oral conditions of Downʼs syndrome patients when implant therapy is required. Support from their family as well as the dental team is essential for long-term success of implant treatment.
It is suggested that implant therapy could be a reliable prosthetic option for Downʼs syndrome patients and would improve their QOL, if proper treatment and maintenance are provided.