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Planning for Dental Implants: Its Indications and Contraindications

Dental implants offer a promising solution for replacing missing teeth, but careful planning is essential to ensure successful treatment. An essential part of this planning process involves assessing your suitability for implant placement, indication for implants, and relative contraindications associated with it. In this article, we will read a detailed guide on how to assess the suitability of Coconut Creek dental implants.

Assessment of suitability for implant placement.

The process of implant integration is time-consuming. It is carried out by professionals in dentistry. A comprehensive history, a clinical assessment of the availability of hard and soft tissues, periodontal health, dentition, occlusion, accessible interdental and interocclusal space, and the capacity to open the mouth are how this is accomplished. When determining implant compatibility and location, the volume, quality, and shape of the bone are all crucial factors to take into account.
The height of bone and surrounding anatomical features (such as tooth roots, ID canals, maxillary antrums, and bony disease) may be examined using plain film radiography. Every prosthetic option—such as no treatment, an implant, a fixed bridge, or a removable partial denture—should be taken into account and, where appropriate, included in the consent procedure.

Indications for Implants

  • Single tooth replacement (providing the space is >6.5mm).
  • Maxillofacial or dental prostheses post-cancer surgery or trauma.
  • Edentulous or partially edentulous mouths that are unable to retain dentures.
  • Multiple missing teeth.

Relative Contraindications for Implants

  • Radiotherapy to the jaw bones (past or present).
  • Diabetes (particularly if poorly controlled).
  • Unfavorable smile line.
  • Poor plaque control.
  • Poor bone quality or soft tissue biotype.
  • Anticoagulation therapy.
  • Active chemotherapy.
  • Chronic kidney disease (healing impairment).
  • Immunocompromised (transplant patients, AIDS/HIV).
  • Unrealistic patient expectations.
  • Oral medicine conditions may compromise healing.
  • Cardiac conditions are considered a high risk for infective endocarditis.
  • Drugs that increase the risk of medication-associated osteonecrosis, such as oral bisphosphonates or denosumab (risk IV > oral).
  • Current periodontal disease or a history of treated periodontitis (which increases the risk of implant failure, peri-implant bone loss, and peri-implantitis).

To sum up, the planning of dental implants and the evaluation of their suitability for insertion are crucial processes that support patient safety, predictable results, ideal aesthetics, the preservation of surrounding structures, effective treatment, and long-term success. Dental practitioners may guarantee that implant therapy satisfies the highest standards of quality and patient care by devoting time and energy to careful planning and assessment.

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