"doctor, i doOsteoporosisI've been taking calcium tablets and anti-bone pine pillsTooth growing"i've been osteoporosis for years. Such questions are heard almost daily at oral cultivation clinics。
As our ageing society accelerates, osteoporosis and dental deficiencies have become the two major “high frequency problems” of the elderly. The data show that osteoporosis among people over 50 years of age is estimated at 20. 7 per cent, and dental deficiency is more than 80 per cent among those over 60 years of age, a high degree of overlap. In the past, osteoporosis was regarded by the oral medicine community as a “high risk factor” for the cultivation of teeth, and some doctors would recommend that patients abandon the cultivation of teeth and choose between more comfortable and less efficient activity dentures or fixed bridges. Today, however, the vast majority of osteoporosis patients have successfully achieved “freedom to grow their teeth”, thanks to the anatomy of oral cultivation techniques, the precision of pre-operative assessments and the standardization of the management of the surgery period。
So, why does osteoporosis affect the planting of teeth? What “pits” do such patients need to avoid? And how do we get the whole process ready for planting to take root? Today, we come to elaborate on these issues and provide a comprehensive reference to osteoporosis patients for their teeth。
I. Why does osteoporosis make teeth difficult
The method of planting teeth is like “planting a tree” in the toothbone, which is a “tree trunk” and a “soil” in the toothbone, which can take root only if the soil is so thick. The planting of teeth is the implantation of pure titanium or titanium alloy for medical purposes in the bones of the trachea with missing teeth, which, once fully integrated with the cavities, is followed by the installation of bases and crowns to form artificial teeth that function, look similar to natural teeth。
Osteoporosis is a double decline in bone “density” and “mass”. Normal bones consist of bone matrices and osteoporosis, which provide adequate support for the plant; and bone bones of osteoporosis patients, large loss of osteoporosis and porous microstructures, such as emptied sponges, pose two key challenges to the cultivation of teeth。
The first challenge is the increased difficulty of integrating bones. Bone integration is at the heart of the success of the cultivation of teeth, meaning that, after implantation, the bone cell is attached to its surface to form a new bone, connecting the two closely, usually taking three to six months. However, the reduced osteoporosis patients ' osteoporosis activity, the imbalance of osteoporosis, the slow generation of new bones, and the rapid absorption of old bones have led to slow integration and weak integration, and the subsequent loss of plant growth。
The second challenge is rising risks in the arts. Osteoporosis is fragile and poorly implanted in the plant, which can lead to fractures, perforations or unstable position of the plant; and such patients are often accompanied by a lack of bone capacity, which may require an incremental bone operation to meet the conditions for planting。
Ii. Prepare before surgery, and decide whether to plant a tooth or lose
First step: a comprehensive assessment, mapping of the “skeletal base”
The pre-operative assessment of osteoporosis patients is more comprehensive and precise than that of ordinary patients, taking into account the local oral and general conditions. In the first instance, doctors will consult in detail, focusing on: the timing, severity and causes of osteoporosis; all medications being taken (especially anti osteoporosis); and the control of chronic diseases such as diabetes mellitus and hypertension。
Second, video-screening is the "golden standard". In addition to conventional teeth, conical beams of ct (cbct) must be made, which measure accurately the density, height and thickness of the cavity of the cavity, help doctors to determine whether the bone is sufficient, determine where and how the planter is implanted, and avoid damage to neighbouring teeth or nerves in the operation. For patients with severe osteoporosis, there may also be a need for a whole-body bone density test to assess comprehensively the viability of larvae。
Step 2: drug adjustment to avoid “risk mined areas”
Current clinically treated osteoporosis patients include, inter alia, disalphate (e. G., sodium aluminate, sodium acrylic acid, etc.), nuclear factor - 100b receptor active factor inhibitor (geostatic resistance), selective estrogen receptor regulater (relosion), calcium reduction, etc. The effects of the different use of anti-bone pine drugs on the dentures are different, and adjustment programmes need to be combined with the patient's individual condition, the length of time spent on the drug, and the need to stop the drug or to change it。
In addition, patients who take anticondensatives, depressives and sugar are informed in advance. Anticondensive drugs require a 3 to 5-day stoppage before surgery to avoid haemorrhage in the operation; depressants and sugar are adjusted to appropriate doses to ensure blood pressure and blood sugar stability during surgery。
Post-operative conservation: these four things determine the “living” of growing energy long
Post-operative conservation is the key to the success of teeth. The slow integration of osteoporosis patients, their weak bone repair capacity and their higher maintenance requirements, particularly during the first three months of surgery (critical period of bone integration), require the following four things。
I. Strict adherence to “drug norms” and timely and quantitative treatment
After the operation, doctors issue three core types of medication: antibiotics (preventing infection, taking three to five days and not taking drugs without permission); painkillers (mitigating pain and swelling, which can be reduced by medical order); and mouthwashing (maintenance of mouth cleaning)。
The recovery time of the antibone pine drug requires a medical examination of the wound one or two weeks after the surgery, confirmation of non-infection, combined with bone density and whole body condition, and periodic review of the adjustment dose after recovery。
Ii. Clean your mouth, protect you from infection and avoid chewing taboos
The infection was the “first killer” who failed to plant his teeth. No brushing of teeth, no washing of mouths and no licking of wounds within 24 hours of the operation; soft brushing of soft teeth after 24 hours to avoid wounds; mouthwashing of mouths after meals; and use of dental wires, dentures to clean the gap around the plant body for one month after the operation。
The chewing habits also need to be adjusted: one week after the operation, no side chewing is required; one month is dominated by soft foods, avoiding hard, over-sufficient, over-skinned foods; three to six months can gradually restore normal diets, but long-term bites of hard food are still needed。
Regular review, follow-up of “bonest combination”, extraordinary timeliness of medical treatment
Osteoporosis patients grow their teeth more frequently than ordinary people: one week after the operation, one month to review the initial stability of the plant, three months to six months to assess the integration of bones through the cbct, which can be fitted with base crowns, and a full annual examination after installation, including bone density tests。
In the event of haematoma, pain, looseness or haemorrhage from teeth or sepsis around the plant, immediate medical attention is required to avoid minor problems leading to the loss of the plant。
Iv. Long-term management, preservation of “skeletal health”, cessation of smoking and alcohol
Long-term preservation of the body's bones is required after the planting of teeth: adherence to medical prescriptions for anti-bone pine medication, regular re-diagnosis to the endocrinology; more food with calcium and protein, and more sun to facilitate the synthesis of vitamin d; appropriate mild motion (e. G. Walking, taophoto) to stimulate the activity of the bone cells and to avoid violent activity。
Stopping smoking and alcohol is a top priority: smoking inhibits bone cell activity, increases the rate of failure to grow teeth by three to five times, and increases the risk of inflammation around the plant; alcohol affects the healing of wounds and may react to drugs, requiring a complete cessation of smoking and tight drinking。
With the development of oral cultivation techniques, osteoporosis is no longer a “roadblock” for the cultivation of teeth. For osteoporosis patients, the core of dentures is “how to grow scientifically, carefully,” and precision assessment, individualization programmes, and regulation of conservation can “root” the plant。
Finally, the choice of formal oral institutions and experienced doctors for the growth of teeth, bearing in mind that “without concealing, complying with medical advice, working with care” and actively cooperating in the management of the whole process, can lead to the re-establishment of solid teeth, freeing them from tooth deficiency and improving the quality of life。
