Many patients believe that chronic diseases automatically rule out dental implantation. However, modern dentists consider that the decisive factor is not the diagnosis itself but the degree of control over the disease. Implantologist Vage Petrosyan explained under what conditions implant placement is possible and when it is better to postpone the procedure.
Which diseases can hinder implantation
Some chronic diseases can indeed complicate the integration of implants.
Diabetes
With poorly controlled blood sugar levels, blood supply to tissues worsens and the body's immune defense decreases. As a result, wounds heal more slowly, and the risk of inflammation around the implant increases.
Hypertension
High blood pressure increases the likelihood of bleeding during surgery and can negatively affect tissue recovery after the operation.
Osteoporosis
In osteoporosis, the bone becomes more porous and less durable. Consequently, it is more challenging for the implant to securely anchor in the bone tissue.
When implantation is still possible
According to the specialist, having a chronic disease is not always a contraindication.
Implantation can usually be performed if:
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in diabetes, the level of glycated hemoglobin (HbA1c) is approximately below 7%;
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blood pressure is consistently controlled through therapy;
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osteoporosis is mild, and the patient is not taking medications that significantly affect bone tissue renewal.
In which cases the procedure is postponed
Dentists recommend refraining from surgery or postponing it in cases of:
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decompensated diabetes;
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frequent hypertensive crises;
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a recent heart attack or stroke;
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taking certain medications for osteoporosis that increase the risk of complications.
What alternatives are available
If classic implantation is contraindicated, the doctor may suggest other options for tooth restoration.
Among them:
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basal implantation, where the structures are fixed in deeper layers of bone;
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removable or conditionally removable dentures, which remain a reliable solution in cases of high risk of implant rejection.
Why preparation is important
In the presence of chronic diseases, doctors recommend first stabilizing the overall condition of the body.
In diabetes, it is important to achieve control of blood sugar levels under the supervision of an endocrinologist. In osteoporosis, treatment may need adjustment, including calcium and vitamin D intake, and monitoring of bone density.
According to specialists, this approach significantly reduces the risk of complications and increases the likelihood of successful implant integration.
Chronic diseases are not always an obstacle to dental implantation. In many cases, the procedure is possible after thorough preparation and stabilization of the patient's condition. Therefore, the final decision should be made not based on the diagnosis but after a comprehensive examination and consultation with a dentist and a relevant specialist.
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