Patient selection for implants

Question 1

8 patient groups who may benefit from implants

Answer 1

1. edentulous/partially edentulous
2. tooth loss from trauma
3. orthodontic anchorage
4. aggressive perio
5. extra-oral defects
6. developmental conditions
7. severe denture intolerance
8. head and neck cancer post surgical reconstruction

Question 2

Contraindications/patients to avoid

Answer 2

• uncontrolled diabetes (risk of peri-implant disease)
• oral bisphosphonates (IV - high risk)
• special precautions for patients with irradiation to jaws
• smoking (compromises tx success)
• severe psychoses/neuroses
• immunodeficiency
• bleeding disorders
• substance abuse
• bone disorders

Question 3

Environmental/habitual contraindications

Answer 3

poor OH
smoking (affects tx success)
bruxism??