만성질환자라면 임플란트 시술 전 약물복용 중단을
페이지 정보
작성자 최고관리자 작성일16-02-24 15:10 조회4,553회 댓글1건본문
당뇨와 같은 지병이 있는 경우엔 임플란트 치료에 어려움이 있을 수 있습니다.
당뇨의 경우 미세혈관의 재생능력이 떨어져서 발치나 임플란트 수술부위의 치유가 늦게 됩니다.
따라서 치료기간동안 당수치를 적절히 조절할 수 있도록 적극적인 관리가 필요합니다.
만성 질환자나 고령자의 임플란트 시술이 가능해졌으나
심혈관질환, 중증 당뇨병, 골다공증, 암 등의 환자분들이라면 신중하게 치료받아야 하는데요.
심혈관질환 환자의 경우 수술 전 항생제요법을 반드시 실시하여야 하고,
대개의 경우 혈액의 응고를 지연하는 항응고제(예: 아스피린)를 상시 복용하는 경우가 있어서
수술 전 내과의 지도하에 항응고제의 복용을 일정 기간 중단하여야 합니다.
골다공증 환자의 경우 특정 약의 성분이 발치나 임플란트 수술 후 치유를 방해하여
골 생성에 문제가 되는 경우가 있습니다.
골다공증약 복용의 유무를 치과에 알리고 내과의와 협진이 필요한 상황입니다.
대부분의 만성질환자는 사전에 일정 수준으로 원인질환을 치료하고
복용 약물을 조절해야하며 주치의와 상의해 시술 전 적절한 기간을 두고
약물 복용을 중단하거나 변경해 임플란트 시술의 부작용을 최대할 줄여야 합니다.
당뇨병 환자는 잇몸질환을 동반한 경우가 많으므로 치주질환을 먼저 치료하고
임플란트 수술을 받는 것이 바람직하며 시술 뒤엔 염증을 자주 체크해야
합병증을 현명하게 예방할 수 있습니다.
출처 : http://news.donga.com/3/all/20111031/41513987/1
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