Treatment of a patient with severe osteoporosis and chronic polyarthritis with fixed implant-supported prosthesis: a case report.
This article reports the treatment and 5-year follow-up of an 80-year-old female with a history of severe osteoporosis and chronic polyarthritis. Treatment included methotrixate disodium and acemetacin. After the last tooth was removed from the mandible, the patient was successfully treated with a fixed mandibular prosthesis supported by 6 implants placed between the mental foramina. The implants have remained osseointegrated, and peri-implant smears have been negative for bacterial colonization. Radiographic follow-up examination has revealed bone loss that is slightly greater than expected. This article focuses on the placement of implants in a patient receiving medication for chronic polyarthritis and osteoporosis.
Eder
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A
Department of Oral Surgery, Dental School, University of Vienna, Austria.
Watzek
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G
D000368:Aged; D000369:Aged, 80 and over; D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000627:therapeutic use; D018501:Antirheumatic Agents / Q000627:therapeutic use; D001172:Arthritis, Rheumatoid / Q000150:complications* / Q000188:drug therapy; D001862:Bone Resorption / Q000000981:diagnostic imaging; D003758:Dental Implantation, Endosseous; D015921:Dental Implants; D019094:Dental Prosthesis, Implant-Supported; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007166:Immunosuppressive Agents / Q000627:therapeutic use; D007213:Indomethacin / Q000031:analogs & derivatives / Q000627:therapeutic use; D007575:Jaw, Edentulous / Q000000981:diagnostic imaging / Q000534:rehabilitation* / Q000601:surgery; D008334:Mandible / Q000000981:diagnostic imaging / Q000601:surgery*; D008727:Methotrexate / Q000627:therapeutic use; D016348:Osseointegration; D010024:Osteoporosis / Q000150:complications* / Q000188:drug therapy; D011859:Radiography
D000894:Anti-Inflammatory Agents, Non-Steroidal; D018501:Antirheumatic Agents; D015921:Dental Implants; D007166:Immunosuppressive Agents; C026784:acemetacin; D007213:Indomethacin; D008727:Methotrexate