フラップレスでインプラント埋入術を施行した出血性素因を有する2症例

抄録

The number of patients who desire oral rehabilitation with dental implants has been increasing due to its improving predictability and an expansion of the indications. Individualized treatment planning is necessary for elderly patients and those who have underlying diseases. In particular, special consideration of the management of intra- and post-operative bleeding is required when placing dental implants in patients with hemorrhagic diathesis. In such cases, implant placement with minimum intervention is required in order to avoid abnormal bleeding.
Dental implant placement with flapless surgery does not need mucoperiosteal flap elevation, thus preventing bleeding, pain and swelling. On the other hand, direct observation of the operative bony site is hindered with flapless surgery, making it difficult to place the implant in the ideal position and direction. A surgical guide plate prepared by computer simulation makes it possible to insert the dental implant in the proper position and direction.
We report here two cases of the successful control of bleeding and infection in patients with hemorrhagic diathesis, who had flapless implants placed using surgical guide plates.