インプラント手術の周術期循環器管理についての検討

抄録

Geriatric patients often require oral implants to recover oral function due to missing teeth. However, oral implant surgery requires more care than general complications, especially in geriatric patients, who sometimes develop severe complications during surgery. We investigated the incidence of general complications including perioperative oral implant procedures carried out at a private dental office.
In this study, 228 patients who underwent implant surgery were enrolled for evaluation. All patients underwent implant placement surgery under intravenous sedation.
The patients were divided into four groups based on the 10th revision of the International Statistical Classification of Diseases and Related Health Problems(ICD-10) in order to categorize patients according to their health condition as determined from a preoperative interview and the incidence of cardiac disease during the perioperative period. This evaluation revealed that oral implant patients were suffering from various diseases. Out of the 228 patients evaluated, 141 were found to be without any general diseases from self reports, and 87 had various general diseases. Fifty-two patients had heart diseases. Out of the 228 patients, 158 showed no evidence of heart or metabolic disease; however, certain findings related to cardiac disease were detected in 28 patients during dental implant surgery.
The results of this evaluation suggest that it is critical to observe and ascertain changes in the general conditions of geriatric patients during implant surgery.