Dental Implants in Medically Compromised Patients

by Stunning Dentistry Stunning Dentistry

Dental implants are the most practiced method for replacement of missing teeth. Thorough medical history and careful study of 3D scans helps the dentist to decide if a case is suitable for placement of dental implants.

Diabetic patients with HbA1C< 7 can be treated with implants with uncomplicated surgeries. Diet is very important, therefore implants increase the health as well as the quality of life of such patients. Controlled sugar levels confirmed with tests are mandatory. Preplanned and short surgical appointments are preferred. Flapless methods avoid the complications in healing.

Patients with cardiovascular diseases and surgeries can also be given implants after 6 months from their surgery and with their physician consent. They need to have proper antibiotic cover and sterilization protocol along with precise treatment planning.

Patients with blood disorders need atraumatic and minimally invasive approach to keep the bleeding as low as possible. Unnecessary additional surgeries are avoided in such cases. Bone disorders pose an issue with osseointegration due to compromised bone metabolism. These may include procedures like osseodensification to improve the quality of bone at the site of implant placement. Grafts in case of such patients may not be a success therefore the conditions needs proper evaluation and selection of the best available option for a specific case.

Cancer patients have to undergo radiation therapy as their treatment. This results in compromised bone metabolism. Despite that they can also be treated with implants after a delay of 1 year from the last cycle. Their bone quality and quantity needs to be assessed beforehand to decide the number and site of implants along with the choice of restoration. Use of cortical implants is preferred for the restoration of teeth.

All medical conditions should be favorably controlled and managed before implant surgeries. Additional tests and reports should be performed. The reports need to be collected, studied and put into planning. Implants are not absolutely contraindicated in medically compromised patients, but demands thorough knowledge of the disease and its management to make the treatment a success. Medication need to be administered in accordance with the patient’s condition and existing medication for the same to avoid any drug reactions. Your team of specialist can guide you through this dilemma to choose the best possible treatment keeping in mind the limitations owing to the medical conditions. The outcome of the treatment may not be same as that in a healthy patient depending on the severity if the condition, but this should be prior informed to the patient.

The team of specialists should also be able to manage complications if any without compromising the neither the treatment nor the overall health with an aim to achieve expectations of the patient to their best capacity. An oral implantologist is the best person to judge the feasibility of an additional surgery or graft placement. The prosthodontist may design a better prosthesis with self cleansing areas and easy maintenance.The long term stability of the treatment is a mandatory goal in such patients. Consult your team of dentists for a check up and assessment to guide you through the dental treatment.

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