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Implantes dentários em pacientes transplantados
| Name: | Description: | Size: | Format: | |
|---|---|---|---|---|
| PPG_39139 | 279.49 KB | Adobe PDF |
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Abstract(s)
Devido ao aumento da taxa de sobrevivência dos doentes transplantados, pelo uso de medicamentos imunossupressores, a procura de tratamentos dentários em busca de uma melhor qualidade de vida é uma realidade. O uso de implantes dentários revela-se uma opção, melhorando significativamente a componente estética, a função oral e devolvendo a autoestima pessoal. Ainda não há consenso entre os dentistas no que diz respeito à aplicação de implantes em pacientes transplantados submetidos a imunossupressão, porque tais terapias atuam no sistema imunitário, nomeadamente em células da imunidade adaptativa, para que não haja rejeição do órgão transplantado. Assim, o paciente é mais suscetível a infeções e à diminuição da cicatrização óssea e do tecido. Estes pacientes representam um grupo com maior risco de complicações e falhas no tratamento com implantes e procedimentos envolvendo cirurgias. É necessário um maior conhecimento por parte do Dentista para cuidar destes doentes, com maior atenção aos cuidados pré-cirúrgicos e pós-cirúrgicos de forma a otimizar o tratamento realizado. Apesar do sucesso aparente, há uma escassez de estudos a longo prazo que avaliam o sucesso da colocação de implantes em pacientes transplantados.
Due to the increased survival of transplanted patients, through the use of immunosuppressive medications, the search for dental treatments allowing a better life quality is a reality. The use of dental implants is an option to improve the aesthetic component, oral function and restore patient’s self-esteem. There is still no consensus among dentists about the use of dental implants when it comes to transplanted patients undergoing immunosuppressive therapy. Indeed, such therapy acts on the immune system, namely on cells of the adaptive response, so that there is no rejection of the transplanted organ. Thus, the patient is more prone to infections, as well as to decreased bone and tissue healing. These patients represent a group with a higher risk of complications and failures in the treatment with implants and procedures that involve surgery. Greater knowledge is required so dentists can assist these patients, with greater attention to pre-surgical and post-surgical care, to optimize the treatment performed. Despite the apparent success, there is a dearth of long-term studies that evaluate the success of implant placement in transplanted patients.
Due to the increased survival of transplanted patients, through the use of immunosuppressive medications, the search for dental treatments allowing a better life quality is a reality. The use of dental implants is an option to improve the aesthetic component, oral function and restore patient’s self-esteem. There is still no consensus among dentists about the use of dental implants when it comes to transplanted patients undergoing immunosuppressive therapy. Indeed, such therapy acts on the immune system, namely on cells of the adaptive response, so that there is no rejection of the transplanted organ. Thus, the patient is more prone to infections, as well as to decreased bone and tissue healing. These patients represent a group with a higher risk of complications and failures in the treatment with implants and procedures that involve surgery. Greater knowledge is required so dentists can assist these patients, with greater attention to pre-surgical and post-surgical care, to optimize the treatment performed. Despite the apparent success, there is a dearth of long-term studies that evaluate the success of implant placement in transplanted patients.
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Keywords
Implante dentário Transplantes e Implantes dentários Osseointegração de implantes dentários Paciente imunossuprimido Dental implants Transplants and dental implants Dental implants osseointegration Immunosuppressed patients