Chinese Journal of Oral Implantology ›› 2024, Vol. 29 ›› Issue (4): 328-335.DOI: 10.12337/zgkqzzxzz.2024.08.006

• Key Column “Systemic Diseases and Dental Implant Treatment” • Previous Articles     Next Articles

Perioperative risk assessment and management of oral implant restoration in ASA Ⅲ cardiovascular disease patients

Zhang Yanting1, Wang Wei2, Chen Li1, Zhao Wen1, Zhou Wei1   

  1. 1State Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration, National Clinical Research Center for Oral Diseases, Shaanxi Key Laboratory of Stomatology, Department of Prosthodontics, School of Stomatology, The Fourth Military Medical University, Xi'an 710032, China;
    2State Key Laboratory of Military Stomatology and National Clinical Research Center for Oral Diseases, Shaanxi Key Laboratory of Stomatology, Department of Aneshesiology, School of Stomatology, The Fourth Miltary Medical University, Xi'an 710032, China
  • Received:2024-05-31 Online:2024-08-30 Published:2024-08-16
  • Contact: Zhou Wei, Email: zhouwei0474@sina.com, Tel: 0086-29-84776128

Abstract: With the widespread adoption of implant technology, ensuring the safe implementation of implant surgery for patients with complex systemic diseases has become a challenge that implant dentists must confront. Based on the patient's physical condition, the American Society of Anesthesiologists (ASA) classifies the perioperative risk. Patients at ASA Ⅰ~Ⅱ have an extremely low risk of surgery, while those at ASA Ⅳ and above have a very high risk and are not suitable for surgery. How to assess perioperative risks, perform implant surgery, and reduce serious perioperative complications for ASAⅢ patients is a question that more and more implant doctors are focusing on. This article aims to start with the most common clinical patients with cardiovascular diseases at ASAⅢ, exploring the risk assessment, prevention, complication management of oral implant surgery for such patients, providing a reference for the safe implant restoration for this category of patients.

Key words: Dental implantation, Perioperative period, Cardiovascular diseases, American Society of Anesthesiologists class Ⅲ