Hypothyroidism: Implications for Implant Placement?

Dr. C. asks:
I have treatment planned a patient for multiple extractions and immediate insertion of 4-mini-implants in the mandibular symphysis area with immediate insertion of a mandibular overdenture. I will reline the overdenture with soft reline material and engage the undercuts on the mini-implants. I want my patient’s physician to insure that her hypothyroidism is stable. She has been taking synthroid for 5 years with no problems. She refuses to make an appointment with her physician because she says that synthroid is the fourth most common drug in the U. S. and so many people take the drug without complications that she does not understand why she needs a separate medical consult. Should I insist that she have this medical consult or should I just consider her stable enough for treatment?



2 thoughts on “Hypothyroidism: Implications for Implant Placement?

  1. Stephen says:

    She at the very least would need a thyroid lab panel to ensure that her thyroid hormone levels are within normal range. I myself am euthyrotic and have had three changes, up and down, in synthroid over the last 10 years. There are generally no symptoms unless the thyroid hormone levels are wildly out of range for a relatively long (several months) period of time. However, there will be metabolic changes that could effect healing prior to overt symptoms appearing.

    (0)
  2. Carlos Boudet, DDS says:

    A paper published by Zarb says that there were no differences in implant failure rate between a controlled hypothyroid group and a control group, but there was a difference in soft tissue healing and bone loss after loading.
    With mini-implants the surgical trauma is diminished, but I still would feel safer obtaining clearance from her physician before implant placement.

    (0)

Comments are closed.

Posted in Clinical Questions, Mini Dental Implants Discussions, Surgical.
Bookmark Hypothyroidism: Implications for Implant Placement?

Videos to Watch:

Lateral Sinus Lift: Perforation, Repair, and Implants

These two videos demonstrate the lateral window sinus technique, and implant placement following the repair[...]

Watch Now!
Single Tooth Replacement with Implants in the Esthetic Zone

Dr. Jack Hahn provides tips and reviews cases for implant placement in the esthetic zone.[...]

Watch Now!
Surgical Consideration for the Flapless Approach

In this video, Dr. Jack Hahn discusses and presents cases to review the surgical considerations[...]

Watch Now!
Bond Apatite: Socket Preservation Cases

These 2 videos show the use of Bond Apatite in socket preservation cases, one with[...]

Watch Now!
3D Guided Implant Placement

The placement of multiple implants in this case was helped thru the use of 3d[...]

Watch Now!
Ridge Splitting Cases in Narrow Alveolar ridge

This videos shows ridge splitting, which when combined with bone expansion, is an effective technique[...]

Watch Now!
Placement of 4 Implants and Cement-Retained Bridge

The treatment plan was to extract the lower incisors, canines, and lower premolar and place[...]

Watch Now!
Failing Bridge Replaced with Dental Implant Supported Bridge

Ahe patient presented with a failed dental bridge from the upper right canine to the[...]

Watch Now!
Lateral Sinus Augmentation with CGF

Following membrane elevation with the lateral approach, and confirmation of an intact sinus membrane, concentrated[...]

Watch Now!
Titanium Mesh for Ridge Augmentation

The use of titanium mesh is a reliable method for ridge augmentation to provide adequate[...]

2 Comments

Watch Now!
Implant Grafting Techniques: Demineralized Sponge Strip and Tunneling

This video reviews several unique grafting and surgical techniques, including the use of demineralized cancellous[...]

Watch Now!
Mandibular Fixed Screw Retained Restoration

This video shows the use of a surgical guide for a mandibular fixed screw retained[...]

1 Comment

Watch Now!