Immunosuppressed Patient: How Do I Assess Risk for Dental Implants?


Dr. G. asks:
I have a patient with Crohns Disease who is being treated with Remicade (infliximab), Imuran (azathiorpine) and prednisone which are suppressing her immune system. This has put her at grave risk for infection from bacteria, fungus and viruses. Her WBC count is currently normal. So far she has not had any severe or life threatenting infections. How do I assess her risk for infection from the installation of narrow diameter implants? Should dental implants not be a viable treatment option considering her level of immunosuppression and risk of acquiring a life-threatening infection from an elective surgical procedure?