Auto-immune Hepatitis and Dental Implants: Contraindications?

Last Updated: Mar 21, 2014

I have a patient in her 60s who has recently been diagnosed with Auto-immune Hepatitis. She requires 6-implants, three in the posterior maxilla with simultaneous sinus lift and three in lower posterior mandible. Is her Auto-immune Hepatitis a relative or absolute contra-indication to proceeding with her implants? Or is the Auto-immune Hepatitis not a significant factor and I should proceed with the implants?

4 Comments on Auto-immune Hepatitis and Dental Implants: Contraindications?

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CRS

03/21/2014

Yikes I would get medical clearance and see if she is stable. Perhaps place one mandibular implant and see if it integrates. I don't think liver function is involved in bone metabolism but her overall health and immunity are risk factors. Good Luck.

Osurg

03/25/2014

It would prudent to review meds. If this is in fact an auto immune condition I would suspect immune supressive drugs which will play havoc with healing. Also if extensive liver damage coagulation problems could present during placement.

CRS

03/30/2014

Good point on the coags!

Drg

04/01/2014

Make sure the patient is producing platelets. People with liver issues don't stop bleeding.

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