Implants have become so popular because they can be used in patients of all ages. The patient’s age doesn’t determine whether or not they can get an implant, but rather the bone condition (bone quality).
Each patient’s case is determined individually based on radiological examinations – pantomographic and computed tomography, as well as the patient’s medical history. Discussion of the patient’s expectations of the whole therapy and of all doubts is very important. Only then is it possible to make a final decision and arrange an individual treatment plan.
As with other treatments, there are some absolute and relative contraindications:
Relative contraindications to implantation:
Relative contraindications for implantation are diseases that interfere with the proper stages of treatment or worsen the results of treatment; however, the coexistence of the disease does not exclude the possibility of implant treatment and does not significantly affect long-term results.
Some diseases, when they are under control, allow for compromise in maintenance of the implant as in healthy people, among others are:
- kidney failure
- hematological disorders (anemia, polycythemia vera, purpura)
- lung diseases (asthma, bronchitis, emphysema)
- smoking tobacco
- mental retardation
- mental disorders
- immunodeficiency syndrome (HIV)
- immunosuppressive therapy
- elderly patients
Absolute contraindications to implantation:
We include factors that prevent implant treatment. They are associated primarily with the patient’s health condition. Contraindications preventing implantation include:
- cerebral vascular stroke
- bleeding disorders
- heart valve surgery
- drug addiction
- a recent myocardial infarction
- bone and collagen diseases (e.g. Paget’s disease, osteomalacia, osteogenesis imperfecta)
- immunosuppression disorders
- mental illness
- use of intravenous bisphosphonates
- terminal disease (cancer progression)
- irradiation at the place of implantation (active treatment of tumors)
- no possibility of prosthetic reconstruction
- hyperactive involuntary muscle movements (Huntington’s Chorea, Parkinson’s disease)
- a patient under 16 years of age
Always in medicine one should be guided by the “lesser evil”. If the patient is pharmacologically stable and under the constant care of a specialist, absolute contraindications can become relative with proper preparation and consent of the treating physician.