Cancer Patient: Is Radiation Therapy a Contraindication for Implants?

No it is not.

Dear Sir, As long as the Radiation Field did not extend to the Maxilla except for "Scatter" there should be no contra-indication to Implant Placement other health parameters I presume being normal? Appropiate scanning for the possible presense of secondary tumour in the facial skeleton would be a must.

CYA contact the treating MD and ask if any special precautions need to be followed. This is good policy when ever there is a medical question.

The short answer is ; if field was free of radiation and the patient is healthy, there should be no contraindication. Some recent science supports implant placement in radiated bone , when appropriate protocols are followed. Obviously check for mets.. Bv

Dear DR.S Before starting your treatment I think the best thıng to do is consult the treating oncologist and then to start your treatment.Good Luck.

Dr kenan ferati I haven 2 patients with the same diagnosis. You need to consult with the oncologist.

If patient have finish with radio therapy than must to do bllood analysis and bone scan after all these you can plased safwtly all implants in maxilla

Dr. Kenan, what blood studies are there that would be of any assistance in this scenario? Do you mean a ct scan or are you suggesting a bone density scan? There is no literature that I know of that proves bone density scans have any use in implant surgery. I do however, think that density scanning might find it's way into part of the protocol. As of now however , the only thing I'm familiar with is the tech. 99 uptake scan, and that's typically used to assess active or inactive metabolic activity. Just interested. Bv

Albanian - detected to English translation honored, regarding the bone scan in this case it is necessary given the focus of the rays which are used in radiotherapy we know very well that this kind of treatment has its own side of the unwanted terms of normal bone cells, vacularisation, and because these research resorpsionit we note the difference between normal and part of that variable. these are things that Kame ber in my two cases: the minimum time after the last treatment not be shorter than 6 months .. be negative all the results regarding the primary disease.

It is best to consult with the radiation oncologist and oncologist. The meds and rads res variable with a variable effect on the window of opportunity. The meds can even impact on hyperbearic oxygen usage.

Dr. Kenan, I asked about blood studies in regards to radiation treatment . Most of us know full well the effect of direct ionizing radiation not only on vascular integrety, decreased salivary function and the destructive effects on enamel and dentin. The universal HBO protocol first described by another omfs , is the standard of care , pretty much everywhere in multiple specialties. It is also common knowledge that by supersaturating normal hemoglobin with oxygen delivered at greater atmospheric pressures, a la decompression chambers, is hugely beneficial when considering invasive simple or complicated surgical procedures. I might just be parsing words, when I question blood studies or density scans. It could simply be a translation issue. Please look up Marx protocols for irradiated tissues , before invasive surgery. Bv