Discussions on Dental Implant Contraindications

I have a 54 year old female patient interested in multiple dental implants for fixed restorations. She has been diagnosed with multiple sclerosis last year

I have a patient who presented with diabetes (well controlled with drugs) and high blood pressure (well controlled with drugs). I am planning on placing 3 implants in the maxilla.

I have a 14 year old male who lost all four of his maxillary incisors in a car accident. I would like to place dental implants in the maxillary alveolar ridge and would like to use them to support a bridge.

I am planning to place a dental implant immediately following tooth extraction. Patient takes one aspirin daily. His physician refuses to get him off it.

I am going to place dental implants in the mandible. The patient had radiation treatment for cancer therapy 20 years ago. Is it safe now for me to place the dental implants?

I am 50 years old, and have had periodontal disease for 20 years. I also developed rheumatoid arthritis about 12 years ago.

Recently, I completed a case where I forgot to torque down the abutment screw completely. Now it is loose! How do I retrieve this screw and tighten it?

I have a patient that I would like to treatment plan for anterior dental implants. He is young and healthy except he has aplastic anemia, a condition where bone marrow does not produce sufficient new cells to replenish blood cells.

I have a 52 year old male patient with a history of laryngeal cancer (removed 3 years ago + radiotherapy) who needs 7 dental implants…

Has anyone had any experiences with treating patients with Ehlers-Danlos Syndrome with dental implants? Were you able to find any references?

I would like to treatment plan this patient for dental implants but am reluctant to proceed until I know more about the interaction between Paget’s Disease and dental implants.

Patient has received organ transplants of the kidney and pancreas. Patient also has a very low salivary output and is xerostomic due to the multiple drugs that are taken daily to support the organ transplants.

Within the last two months, three of my implants in two patients failed to integrate. Both of the patients were healthy middle-aged men without any significant negative factors in their pre-surgical assessment or medical workup.

Are there any special considerations for grafting/ dental implants given the previous work that was done around the cleft? Are there any factors to be considered when placing dental implants for a cleft palate?

Dr. Lee asks:
I have a patient who is an oral cancer survivor.  Five years after radiation treatment he has zero saliva and severe and extensive root caries. All teeth are hopeless and he will need full mouth extraction.

Dr. Fuchs asks us:I recently had a diabetic patient come in for a dental implant consultation.

Dr. Jeffries asks us:
I’m trying to get a barometer on the
prevailing opinion for dental implant placement on patients taking oral
bisphosphonates (Fosamax, Actonel, etc.)

Dr. Abrams asks us:
I am planning on placing two dental implants to
replace the lower right first and second molars in a patient with a long history of bruxism.

Dr. Chickey asks us:
Does anyone have any experience with Scleroderma patients and dental implant placement?  Specifically can "mini or single component" dental implants be placed in order to stabilize a complete lower denture? What other surgical or prosthetic measures should be taken or avoided with Scleroderma patients during dental implant placement?

Are you familiar with any anecdotal case reports of patients who have take oral bisphosphonates and experienced osteonecrosis associated with dental implant failure?