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Avoiding implant-related complications in medically compromised patients with or without unhealthy lifestyle/Elevated oxidative stress
Authors:Gregorio Guabello  Francesco Zuffetti  Andrea Ravidà  Matteo Deflorian  Giorgio Carta  Muhammad H. A. Saleh  Matteo Serroni  Bernhard Pommer  Georg Watzek  Luca Francetti  Tiziano Testori
Affiliation:1. Endocrinology Unit, IRCCS Galeazzi Sant'Ambrogio Hospital, Milan, Italy;2. Section of Implant Dentistry and Oral Rehabilitation, IRCCS Galeazzi Sant'Ambrogio Hospital, Dental Clinic, Milan, Italy;3. Department of Periodontics and Preventive Dentistry, University of Pittsburgh School of Dental Medicine, Pittsburgh, Pennsylvania, USA;4. Argo Academy International Research Bologna, Bologna, Italy

Private Practice, Bologna, Italy

Lake Como Institute, Como, Italy;5. Department of Periodontics and Oral Medicine, University of Michigan School of Dentistry, Ann Arbor, Michigan, USA;6. Department of Innovative Technologies in Medicine & Dentistry, University ‘G. D'Annunzio’, Chieti-Pescara, Italy;7. Academy for Oral Implantology, Vienna, Austria;8. IRCCS Galeazzi Sant'Ambrogio Hospital, Dental Clinic, Milan, Italy

Department of Biomedical, Surgical and Dental Sciences, Università degli Studi di Milano, Milan, Italy

Abstract:Increased human life expectancy broadens the alternatives for missing teeth and played a role in the widespread use of dental implants and related augmentation procedures for the aging population. Though, many of these patients may have one or more diseases. These systemic conditions may directly lead to surgical complications, compromise implant/bone healing, or influence long-term peri-implant health and its response to biologic nuisances. Offering patients credible expectations regarding intra- and postoperative complications and therapeutic prognosis is an ethical and legal obligation. Clear identification of potential types of adverse effects, complications, or errors is important for decision-making processes as they may be related to different local, systemic, and technical aspects. Therefore, the present review structures the underlying biological mechanisms, clinical evidence, and clinical recommendations for the most common systemic risk factors for implant-related complications.
Keywords:complications prevention  dental implants  dental implants complications  medically compromised patients
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