Dr. B. asks:
Are there any particular contraindications to placing implants in a patient who is HIV positive? I have a 32 year old female patient who is taking multiple medications, under a physician’s supervision and has virtually no detectable virus. She is leading a normal life. I would be placing a wide platform implant in #30 area [mandibular right first molar or 46] to replace a first molar extracted because of a failed root canal. The area appears to be healed and looks quite normal. I talked with her physician and he said from his perspective there are no contraindications. He does recommend using an antibiotic prophylaxis because of her depressed immune system. He said her bloodwork looks good for her condition. Should I inform her that she has a higher risk of complications? I would like to get some views on this from the group.
Dental Implants for a Patient Who Is HIV Positive?
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There is no contraindications to implant therapy in HIV+ patients as long as the pt’s CD4 count is >200.
There is no absolute contraindication for HIV+ pt receive dental implant. HIV+ nowaday is just a condition pts can live normally. Under meds if the blood work out WNL it should be OK. I pre meds with antibiotic one hr pre op and few days post op. to every pt.
I did implant two years ago a Hiv+ woman.It works pepectly..But patient is having anti-Hiv therapy…well self control patient..As far as I know threre is no absolute contra indication for HIV + patients..
Placed 2 two implants in a patient with AIDS 17 years ago , after telling him of possible poor prognosis. After anti-viral treatment his health improved and I saw him a few months ago. Only 1mm of bone loss on 1 implant and none on the other despite there being a cantilever bridge fitted.
He was very grateful that we made that decision.