末期病患者的牙科植入物:一个案例系列
Gustavo Vargas da Silva Salomão1,2,3, Daniel I Sendyk1,2, Karem L Ortega1,4
1Department of Stomatology, School of Dentistry, University of São Paulo, São Paulo, Brazil.
概括
末期病 (ESRD) 患者的牙科植入物存在挑战. 加快的骨损失和减少的骨整合可能导致早期的植入失败,影响治疗结果.
科学领域:
- 在口腔外科手术中.
- 腎臟病學 (nephrology) 是一種醫學.
- 生物材料科学是生物材料的科学.
背景情况:
- 慢性病 (CKD) 影响患者的护理.
- 末期病 (ESRD) 提出了独特的挑战.
- 在ESRD患者中植入牙的可行性需要研究.
研究的目的:
- 评估牙科植入物在末期病患者的可行性.
- 评估ESRD患者的植入物稳定性和骨重塑.
主要方法:
- 15名ESRD患者接受了27个牙科植入物.
- 测量了副甲状腺激素 (PTH) 的水平.
- 放射性评估评估了180天内的边际骨损失.
主要成果:
- 在PTH水平和初级植入物稳定性之间没有发现相关性.
- 一种植入物缺乏初始稳定性;其他植入物显示出足够的初始稳定性.
- 由于骨质损失,六个月内有七个植入物失败.
结论:
- 患有ESRD的患者可能会出现加速的边缘骨损失.
- 减少ESRD患者的骨质整合可能导致早期的植入物损失.
- 在ESRD患者中,牙科植入物治疗存在重大挑战.
相关概念视频
01:27Dialysis
246
Renal failure occurs when the kidneys lose their ability to filter waste products from the blood effectively. It can be classified into two types: acute renal failure (ARF) and chronic renal failure (CRF).
Acute kidney injury develops suddenly and can be caused by pre-renal causes (e.g., hypovolemia, shock), intrinsic renal causes (e.g., acute tubular necrosis), or post-renal causes (e.g., urinary obstruction). In contrast, chronic renal failure progresses gradually over time and is often...
Acute kidney injury develops suddenly and can be caused by pre-renal causes (e.g., hypovolemia, shock), intrinsic renal causes (e.g., acute tubular necrosis), or post-renal causes (e.g., urinary obstruction). In contrast, chronic renal failure progresses gradually over time and is often...
246
01:45Kidney Structure
68.4K
The kidneys are two large bean-shaped organs located in the upper abdomen. They filter the blood several times a day to remove toxins and rebalance water and electrolytes of the circulatory system via the renal veins. The kidneys receive blood directly from the heart via the renal arteries. These arteries enter the kidney at the hilum, the concave surface of the bean, where they branch and divide into smaller vessels and capillaries.
68.4K