Protocol for oral implant rehabilitation in a hemophilic HIV-positive patient with type C hepatitis.

Abstract:

CASE REPORT:A 46-year-old man with severe hemophilia A, stage A2 HIV infection and chronic hepatitis C genotype 1A, for whom the treatment plan included implant-supported prostheses in 2 mandibular edentulous sections. The protocol followed included factor VIII replacement concentrate and oral antifibrinolytic therapy. The right mandibular section was fitted with 3 Straumann implants (Ø 4.1 mm, length 10 mm), and the left mandibular section received 2 implants of the same characteristics. The patient showed no postoperative complications. After implant placement, the patient attended scheduled review appointments. After a 3-month period of osseointegration, the prosthesis was fitted. CONCLUSIONS:Although, in this case, the treatment proved successful 2 years postrehabilitation and the protocol used seems safe and effective, long-term prospective studies are needed to evaluate the implant success rate in these patients.

journal_name

Implant Dent

journal_title

Implant dentistry

authors

Castellanos-Cosano L,Núñez-Vázquez RJ,Segura-Egea JJ,Torres-Lagares D,Corcuera-Flores JR,Machuca-Portillo G

doi

10.1097/ID.0000000000000145

subject

Has Abstract

pub_date

2014-10-01 00:00:00

pages

622-5

issue

5

eissn

1056-6163

issn

1538-2982

pii

00008505-201410000-00019

journal_volume

23

pub_type

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