This 39-year old male patient would like implants to replace #18, 19 and 30. Clinically and radiographically there appears to be sufficient bone (see attached x-rays). The problem is that he has a complicated medical history.
He has suffered avascular necrosis of both hips requiring hip replacements. This was caused by pancreatitis, as a result of alcoholism. He is now off alcohol.
His daily medication includes ciraplex 10mg, gabapentin 600 mg, oxycodone 15mg, klonopin 0.5mg-2mg,morphine sulphate 60 mg,omeprazole 40 mg, simvastatin 20 mg, multivitamin and fish oil
It appears like a great case to do surgically but I’m concerned about his medical history.
Any thoughts whether I should provide treatment?
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