Who is not a candidate for dental implants?
Review factors that may rule out, delay or change an implant plan, and prepare questions about medical history, medications and follow-up.
- 7 min read
- 9 sections
On this page
- 01One unsuitable plan does not settle every option
- 02Bone medications need review
- 03A history of radiation treatment
- 04Diabetes and clinical control
- 05Smoking and implant failure
- 06Blood thinners and other medical conditions
- 07Low bone and fast-treatment claims
- 08When travel or follow-up does not fit
- 09Questions for the evaluation
Age, a photograph or a short form cannot establish whether you qualify for dental implants. Some situations can rule out a technique. Others may require another evaluation, a delay or a different plan. The dentist must explain which response fits the case being assessed.
This guide describes limits and questions in the collected research. It cannot determine whether you can have surgery and does not recommend changing medication. The specific criteria at clinics associated with Hexa Smile are to be confirmed. Hexa Smile coordinates care, and the clinics provide treatment.
One unsuitable plan does not settle every option
An implant is the support placed in bone to hold artificial teeth. A prosthesis is the structure that replaces those teeth. Evaluation must consider both parts and the follow-up they need. Agreeing to surgery does not settle every part of restoring a mouth.
A contraindication is a reason not to perform a procedure under certain circumstances. Ask whether the dentist means any surgery, one specific technique or treatment at that particular time. These are different decisions. The reason matters when discussing what could happen next.
Ask about alternatives as well. A limitation affecting one plan does not let a web page recommend another. Choosing requires a review of medical history, images and a clinical examination. A commercial offer cannot replace that assessment.
Bone medications need review
Bisphosphonates are medicines used for certain bone conditions. Some are given intravenously, meaning into a vein. The International Implant Foundation document lists intravenous use as a reason for exclusion from its technique.
The concern includes osteonecrosis, damage involving death of part of the bone tissue. The project research records that risk and the system document’s exclusion. It does not provide a rule for deciding on your own whether surgery is possible.
Tell the dentist the drug name, how it was given and the dates of use, even if treatment has ended. Tablets also need to be reported. This guide does not instruct you to stop or change medication. The clinical team needs to review that information with the prescribing physician.
The IHDE consensus also excludes oral cancer, active osteomyelitis, an infection of the bone, and vascular malformations, abnormal blood vessel structures. An acute infection of the maxillary sinus, the space above the upper teeth, may require delaying treatment. The doctor reviews your history and test results at the evaluation to decide whether the technique is suitable for you.
A history of radiation treatment
Radiotherapy uses radiation as medical treatment. Radiation involving the head or neck is relevant when assessing implants. The work by Chrcanovic and by Schiegnitz collected in the project research associates that radiation with lower implant survival.
Survival means an implant remains in use during the observation period. It does not mean there were no complications. A general result also cannot determine an individual’s outcome or establish eligibility without knowing the earlier treatment.
Ask which radiation-treatment records the dentist needs. These clinics’ specific criteria for that situation are to be confirmed. The documents do not support publishing one waiting period or automatic clearance. The previous treatment needs an individual clinical review.
Diabetes and clinical control
Diabetes belongs in the medical discussion. The project research warns that uncontrolled diabetes increases risk. The reviewed general studies have limits. Results from different groups cannot be applied to everyone with diabetes.
The documents do not set a laboratory value that automatically accepts or excludes someone. These clinics’ threshold and evaluation protocol are to be confirmed. The dentist needs to explain what information is required and whether coordination with your usual physician is needed.
A satisfaction study does not establish safety at every level of disease control. Satisfaction records how patients rated their experience. By itself, it does not measure failures or complications. Ask the professional to distinguish those outcomes when explaining the evidence.
Smoking and implant failure
The group that developed the corticobasal system does not treat smoking as an automatic exclusion in its document. That does not mean there is no risk. The implant research by Chen and by Fan, collected in the project documents, associates smoking with higher failure risk.
Lazarov’s own clinical series could not measure that effect well because failures were limited in number. It therefore cannot establish that the implant design removes smoking-related risk. A different technique does not erase that question.
These clinics’ smoking criteria are to be confirmed. Tell the dentist about tobacco use and ask how it affects the plan. This page does not set a period of abstinence or replace instructions from the treating team.
Blood thinners and other medical conditions
Anticoagulants, often called blood thinners, reduce clot formation. The clinical team needs to know if you use them. The travel-preparation research points to coordination with your usual physician. It does not contain instructions for stopping these medicines before dental surgery.
Ask the dentist to review your complete medication list and relevant history. According to the doctors at the partner clinics, vitamin D and alkaline phosphatase blood tests are required. A panoramic X-ray or CT scan is requested if possible. If vitamin D or alkaline phosphatase levels are low, the doctor may prescribe supplements about a week before surgery. Not all cases qualify. The doctor decides at the evaluation with your test results. Consultations with other professionals and schedule changes are to be confirmed. Another professional’s consultation may provide information for the treatment plan. This guide cannot decide which consultations you need.
The clinical team must also evaluate anesthesia, the method used to control sensation during a procedure. Its type and these clinics’ requirements are to be confirmed. A package price does not identify what assessment is included.
Low bone and fast-treatment claims
Corticobasal implants seek support in hard areas of bone. This technique is designed to avoid bone grafts. Your doctor confirms whether it applies to your case at the evaluation with your test results. A graft adds material to increase available bone. That possibility requires imaging and evaluation rather than acceptance based on an ad.
Habash and colleagues describe limited evidence for the basal approach. The technique does not remove the need to assess anatomy. A CT scan provides three-dimensional images to help the dentist evaluate support. An outside photograph cannot answer that question.
Not everyone can receive fixed teeth on the same schedule. According to the doctors at the partner clinics, a transitional prosthesis is placed on surgery day so the mouth is not left without teeth. About 24 hours later, the clinic delivers the definitive fixed prosthesis. Healing, checkups and possible maintenance are still needed. The doctor decides the individual requirements. Immediate loading means attaching the prosthesis on the same day or within the first few days after implant placement.
When travel or follow-up does not fit
Missing follow-up arrangements are not a medical diagnosis. They do leave part of care unresolved. The CDC recommends arranging who would treat complications after returning home. Nearby care, the checkup schedule and these clinics’ warranty are to be confirmed.
If you cannot stay as long as the dentist requires, discuss different dates before booking. The required stay is to be confirmed. A return ticket cannot determine when clinical observation ends or when flying is appropriate.
Questions for the evaluation
- Is there a reason to rule out this technique or delay treatment?
- Which medical history and medicines need review with my physician?
- Which tests are missing, and what can the current images not establish?
- How do smoking, diabetes or previous treatment affect the plan?
- Which alternative would you consider if the original proposal is unsuitable?
- What follow-up would I need, and how would we arrange care at home?
Sources
The first step is getting to know us
The doctor evaluates each case. Not every case qualifies.