Dr. M. asks:
I have a 55 year old female patient with rheumatoid arthritis (RA). She is otherwise healthy. I have treatment planned her for multiple implant placement to support a bridge. I believe that rheumatoid arthritis is a disorder that is caused by a pathological autoimmune response and this also results in depression of the immune system. Is this a contraindication to placing dental implants? Does the patient need an antibiotic prophylaxis to place implants?