title: Implant treatment followed by living donor lung transplant: a follow-up case report.
abstract: METHODS
  Dental implant treatment in patients with complicated systemic disease has been discussed, especially in the context of achieving osseointegration. However, some patients with no pre-existing systemic disease develop it later, during their implant maintenance periods. Organ transplants, and the lifelong administration of immunosuppressants that follows, are also of relevance to post-implant oral health. Thus, strategies to maintain the health of peri-implant tissue in these patients should be considered. Here, we present the case of a patient receiving a living-donor lung transplant during her implant follow-up period. The condition of the lung is affected by that of the oral cavity, so the maintenance is of utmost importance. Throughout the follow-up period, we provided periodical professional maintenance care.
  
  
  CONCLUSIONS
  The patient experienced no complications, alterations in her radiographic findings, or worsening of periodontal indices, despite being extensively medicated with immunosuppressants, steroids and bisphosphonate.
authors.affiliation: Nakagawa Dental Clinic, 2377 Sonezaki, Tosu, Saga 841-0025, Japan. Electronic address: ackey@miracle.ocn.ne.jp.
authors.forename: Akinari
authors.initials: A
authors.lastname: Nakagawa
authors.affiliation: Nishimura Dental Clinic, 104-1 Morodomitsu, Morodomi, Saga 840-2105, Japan. Electronic address: n-dental@po.saganet.ne.jp.
authors.forename: Naoki
authors.initials: N
authors.lastname: Shitara
authors.affiliation: Section of Implant and Rehabilitative Dentistry, Division of Oral Rehabilitation, Faculty of Dental Science, Kyushu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka 812-8582, Japan. Electronic address: ayukawa@dent.kyushu-u.ac.jp.
authors.forename: Yasunori
authors.initials: Y
authors.lastname: Ayukawa
authors.affiliation: Section of Implant and Rehabilitative Dentistry, Division of Oral Rehabilitation, Faculty of Dental Science, Kyushu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka 812-8582, Japan. Electronic address: koyano@dent.kyushu-u.ac.jp.
authors.forename: Kiyoshi
authors.initials: K
authors.lastname: Koyano
authors.affiliation: Nishimura Dental Clinic, 104-1 Morodomitsu, Morodomi, Saga 840-2105, Japan. Electronic address: n-dental@po.saganet.ne.jp.
authors.forename: Kenji
authors.initials: K
authors.lastname: Nishimura
mesh_terms: D003758:Dental Implantation, Endosseous; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D016867:Immunocompromised Host; D007166:Immunosuppressive Agents / Q000009:adverse effects; D019520:Living Donors; D016040:Lung Transplantation; D008875:Middle Aged; D009910:Oral Hygiene; D011649:Pulmonary Alveolar Proteinosis / Q000601:surgery*
chemical_list: D007166:Immunosuppressive Agents
keywords: Immune compromise; Immunosuppressant; Maintenance; Pulmonary alveolar proteinosis