Dental implantation in a patient with Sjögren’s syndrome: a case report

doi:10.7518/hxkq.2017.01.018

Abstract

Abstract:

We reported one case of a patient with Sjögren’s syndrome and dental implant. This patient was followed up for more than one year. The patient was diagnosed with Sjögren’s syndrome for 5 years and treated with long-term corticosteroid. Four implant-tissue interface hydrophilic implants were placed on 15, 16, 44, and 46 of the mandibular and maxillary areas. After the surgery was completed, the patient was treated with oral antibiotic and “shenggu pills” to prevent infection and glucocorticoid to manage Sjögren’s syndrome. Consequently, six implants were placed in other parts of the mandibular and maxillary areas. After more than one year of follow-up, the implants and prosthesis remained stable and had no complications. Cone beam CT reconstruction showed good implant-bone combination.

Key words: Sjögren’s syndrome, glucocorticoid, dental implantation

CLC Number:

R781.5

Cuifen Luo, Guoguang Peng, Yuanhua Feng, Xingxiang. Huang. Dental implantation in a patient with Sjögren’s syndrome: a case report[J]. West China Journal of Stomatology, 2017, 35(1): 108-111.

Figures/Tables 1

References 14

[1]	Bornstein MM, Halbritter S, Harnisch H, et al.A retrospec-tive analysis of patients referred for implant placement to a specialty clinic: indications, surgical procedures, and early failures[J]. Int J Oral Maxillofac Implants, 2008, 23(6):1109-1116.
[2]	Muzzin KB, Johnson R.Effects of potassium oxalate on dentin hypersensitivity in vivo[J]. J Periodontol, 1989, 60(3):151-158.
[3]	Agrawal KK, Singh SV, Rashmikant US, et al.Prosthodon-tic rehabilitation in Sjögren’s syndrome with a simplified palatal reservoir: two year follow up[J]. J Prosthod Res, 2011, 55(4):249-252.
[4]	Isidor F, Brøndum K, Hansen HJ, et al.Outcome of treat-ment with implant-retained dental prostheses in patients with Sjögren syndrome[J]. Int J Oral Maxillofac Implants, 1999, 14(5):736-743.
[5]	Binon PP.Thirteen-year follow-up of a mandibular implant-supported fixed complete denture in a patient with Sjögren’s syndrome: a clinical report[J]. J Prosthet Dent, 2005, 94(5):409-413.
[6]	Bornstein MM, Cionca N, Mombelli A.Systemic conditions and treatments as risks for implant therapy[J]. Int J Oral Ma-xillofac Implants, 2009, 24(Suppl):12-27.
[7]	岩艳, 刘怡欣, 刘钢. 干燥综合征研究进展[J]. 现代临床医学, 2007, 33(1):40, 44.
	Yan Y, Liu YX, Liu G. The research process of Sjögren’s syndrome[J]. J Modern Clin Med, 2007, 33(1):40, 44.
[8]	中华医学会骨质疏松和骨矿盐疾病分会. 糖皮质激素性骨质疏松症诊疗指南(讨论稿)[J]. 中华全科医师杂志, 2006, 5(8):460-461.
	Chinese Society of Osteoporosis and Bone Mineral Research, Chinese Medical Association. Glucocorticoid induced osteo-porosis diagnosis and treatment guidelines (discussion paper)[J]. Chin J Gen Pract, 2006, 5(8):460-461.
[9]	孟迅吾, 徐苓. 骨质疏松症和骨矿盐疾病诊疗指南[C]//中国骨质疏松与骨矿盐疾病诊疗指南专题研讨班暨浙江省骨质疏松与骨矿盐疾病防治进展学术年会. 杭州: 中华医学会骨质疏松和骨矿盐疾病分会, 2007.
	Meng XW, Xu L.Osteoporosis and bone mineral salt disease diagnosis and treatment guidelines[C]// Chinese osteoporosis and bone mineral salt disease guidelines in Zhejiang pro-vince and disease prevention in academic annual meeting. Hangzhou: Chinese Society of Osteoporosis and Bone Mi-neral Research, Chinese Medical Association, 2007.
[10]	Carvas JS, Pereira RM, Caparbo VF, et al.A single dose of zoledronic acid reverses the deleterious effects of glucocor-ticoids on titanium implant osseointegration[J]. Osteoporos Int, 2010, 21(10):1723-1729.
[11]	潘在兴, 叶起清. 补骨合剂促进口腔种植体骨整合的免疫组织化学研究[J]. 中国口腔种植学杂志, 2001, 6(2):58-61.
	Pan ZX, Ye QQ.The immunohistochemistry study of the effect of Bugu Capsule on the osseointegration of dental implants[J]. Chin J Oral Implant, 2001, 6(2):58-61.
[12]	郭吕华, 杨岚, 杜发亮, 等. 补肾中药合剂促进成骨细胞功能的机制研究[J]. 实用口腔医学杂志, 2013, 29(1):56-60.
	Guo LH, Yang L, Du FL, et al.The mechanism of kidney-reinforcing Chinese herbal mixture in the promoting osteo-blast function in vitro[J]. J Pract Stomatol, 2013, 29(1):56-60.
[13]	李秋红, 潘巨利. 骨康散对骨质疏松症种植体周围骨结合影响作用实验研究[J]. 口腔医学研究, 2004, 20(5):495-497.
	Li QH, Pan JL.Experimental study of the effects of Gu-Kang-San on osseointegration of implant in osteoporosis in ova-riectomized rats[J]. J Oral Sci Res, 2004, 20(5):495-497.
[14]	彭国光, 陈志维. 牙颌创伤治疗学[M]. 北京: 人民卫生出版社, 2011:183-189.
	Peng GG, Chen ZW.Treatments of dentognathic injuries[M]. Beijing: People’s Medical Publishing House, 2011:183-189.