Dental Concerns of Marfan Syndrome (Virtual Medical Symposium Series - 01-16-2020)
35:36-37:21
Q:
How likely is it for an older adult with Marfan syndrome to successfully have bone grafting and implants done?
年齢の高いマルファン症候群患者では、骨移植やインプラントの成功率はどのくらいですか？
A:
That's a good question. I am now officially older, which means I don't know exactly what older is, you know, I'm well over 40. So I don't, if we're talking about individuals that have other comorbidities, osteoporosis or something outside of Marfan, that's another concern or if there's someone who takes bisphosphonate, that's a different concern.
年齢が高いという基準がよくわかりませんけれども、マルファン症候群とは関連のない骨粗鬆症などの所見のある患者さんや、ビスフォスフォネート（骨粗鬆症の治療薬）を飲んでいる患者さんでは、検討が必要になるでしょう。
But if there's not any of that and it's just a matter of needing an implant, an implant is very invasive so you would need the clearance from the cardiologists because the things that I talked about were very common things and a lot of times we used to grapple with, "Oh, do we need to do antibiotic prophylaxis because, you know, those things back in the day were more invasive even though they are very common?" Now those things are not invasive at all so most of your dental visits are not going to require the level of concern
ですが、単純にインプラントが必要ということならば、循環器内科医による診断が必要です。インプラントは非常に侵襲性が高いためです。昔は侵襲性の高い治療が多かったために、予防的な抗生剤の投与について検討が必要なケースもありました。今ではそうしたケースも低侵襲な治療が可能となりましたので、大部分の歯科治療は、抗生剤の投与を気にする必要はありません。
But implants are something that it's possible to get so the answer is yes but that would actually really require a careful assessment of that individuals health status relative to cardiovascular condition.
しかし、インプラントは細菌感染のリスクがあり、やってはいけないということではないのですが、心血管系の疾患についての慎重な診断が必要となることは間違いありません。
The Marfan Foundation did not participate in the translation of these materials and does not in any way endorse them. If you are interested in this topic, please refer to our website, Marfan.org, for materials approved by our Professional Advisory Board.
The Marfan Foundation は、当翻訳には関与しておらず、翻訳内容に関してはいかなる承認も行っておりません。このトピックに興味をお持ちの方は、Marfan.org にアクセスし、当協会の専門家から成る諮問委員会が承認した内容をご参照ください。
