Dental Implant Treatment in Medically Compromised Patients

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As global aging society is coming, more and more people live with diverse diseases or conditions such as systemic disorders, renal system disorders, and psychiatric issues. Consecutively, when these patients are encountering tooth loss, we should keep in mind that these patients are usually with adverse conditions like bleeding disorders, bone metabolism disorders, and/or immunosuppressive medication. Furthermore, it is well-established that tooth loss caused by periodontitis and implant failure triggered by peri-implantitis have been largely reported in smokers and diabetic patients. Besides, special consideration should also be kept in mind when we treat patients with head and neck cancer. Although implant-supported restorations have been considered the most comfortable prosthesis and patients are often satisfied with the function, dentists must pay more attention when treating medically compromised patients because they may not have a good condition for osseointegration and soft tissue healing around implants.

Hence, I want to edit a reference book for practitioners to find suggestions on how to make decisions when the medically compromised patients come for implant treatment and to improve the results of treatment procedures in these patients. It is our effort to elucidate a thorough background of the possible diseases that would have an influence on the outcome of oral implants placed in these patients. More specifically, we would like to explain in detail in each chapter about the general success rate of oral implants in the medically compromised patients, their possible related changes in oral environment, their treatment consideration (including surgical and prosthodontic procedures), as well as the pharmacological considerations and oral hygiene maintenance.

As Confucius once said: One should learn and unceasingly. I hope this book will help the readers to make decisions on their daily practice and improve their treatment outcome, leading to improved care and patient satisfaction.

I would like to thank Qi-wen Li, Jun-ru Wen, Shuang Jiang, Wei-min Lin, Xiao-han Zhang, and Cao-jie Liu for their help during the writing of this book. Thanks also to Yun-shu Wu for her assistance in the manuscript preparation. Finally, my deepest gratitude goes to all authors for sharing their knowledge and experience in this book.