J Dent Anesth Pain Med.  2015 Sep;15(3):147-151.

Immediate implant placement for schizophrenic patient with outpatient general anesthesia

• Nam H
• Sung KW
• Kim MG
• Lee K
• Kwon D
• Chi SI
• Seo KS

Abstract

The difficult oral healthcare in intellectually disabled patients with poor behavioral control has led to debate over the cost-effectiveness and validity of implant treatment in these patients. The patient in the present report had schizophrenia that had led to poor oral care and severe dental caries in the full mouth. Tooth extraction and a removable prosthesis were planned, but the guardian wanted an implant procedure. Since the guardian showed strong will and cooperation with regard to the patient's oral healthcare, extraction followed by immediate implant placement was performed across two rounds of general anesthesia. Since the outcome appears successful, we present this case report. Immediate implant placement after tooth extraction requires fewer surgeries and rounds of general anesthesia, reduces horizontal bone resorption, and can achieve better esthetic results. Therefore, as long as a certain degree of oral care is possible, this can be a positive option for restoration of a partially edentulous mouth, even in intellectually disabled patients.

Keyword

Immediate implant placement; Outpatient general anesthesia; Schizophrenia

MeSH Terms

Anesthesia, General*
Bone Resorption
Delivery of Health Care
Dental Caries
Humans
Mouth
Mouth, Edentulous
Outpatients*
Prostheses and Implants
Schizophrenia
Tooth Extraction

Figure

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  Fig. 1 Panoramic view in the initial examination.

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  Fig. 2 A: Panoramic view of implant after the first operation (2014.10.24), B: After extraction, C: After implant placement.

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  Fig. 3 A: Panoramic view of implant after the first operation (2014.10.30), B: After implant placement - right maxilla, C: After implant placement - left mandible.

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  Fig. 4 A: Panoramic view before the second operation (2015.04.16), B: Before the second operation - maxilla, C: Before the second operation - mandible.

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  Fig. 5 A: Panoramic view of the implant in the second operation (2015.4.16), B: Right maxilla/mandible, C: After the second operation.

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