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Review
. 2021 Sep;110(3):591-604.
doi: 10.1002/JLB.6MR0621-760RR. Epub 2021 Jul 7.

Management of systemic risk factors ahead of dental implant therapy: A beard well lathered is half shaved

Affiliations
Review

Management of systemic risk factors ahead of dental implant therapy: A beard well lathered is half shaved

Hui Yu et al. J Leukoc Biol. 2021 Sep.

Abstract

As the most successful therapy for missing teeth, dental implant has become increasingly prevalent around the world. A lot of papers have reported diverse local risk factors affecting the success and survival rate of dental implants, either for a short or a long period. However, there are also many types of systemic disorders or relatively administrated medicine that may jeopardize the security and success of dental implant treatment. Additionally, the coronavirus disease 2019 pandemic also poses a challenge to dental implant clinicians. Some of these risk factors are clinically common but to some extent unfamiliar to dentists, thus optimal measurements are often lacking when they occur in dental clinics. In this review, we analyze potential systemic risk factors that may affect the success rate of dental implants. Some of them may affect bone mineral density or enhance the likelihood of local infection, thus impeding osseointegration. Others may even systemically increase the risk of the surgery and threaten patients' life. In order to help novices receive high-risk patients who need to get dental implant treatment in a more reasonable way, we accordingly review recent research results and clinical experiments to discuss promising precautions, such as stopping drugs that impact bone mineral density or the operation, and addressing any perturbations on vital signs.

Keywords: dental implant; systemic disorder risk factors; systemic medication risk factors; systemic risk factors.

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Figures

Graphical Abstract
Graphical Abstract
FIGURE 1
FIGURE 1
Systemic disorder risk factors to dental implants. Some of the patients who are intended to dental implantation may have disorders of different systems. Dentists should be extremely cautious in the treatment of these patients
FIGURE 2
FIGURE 2
Systemic medication risk factors to dental implants. Systemic medication may disturb the Chinese balance of Yin and Yang, which has an influence on the performance of dental implants. Consequently, oral implantologists should conduct risk assessment before deciding to perform surgery

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