Patient Treated for Breast Cancer: Thoughts on Dental Implant Treatment Plan?

No

Some patients treated for breast cancer are also placed on IV bisphonates as part of therapy. You should ask and not place dental implants on these patients to avoid osteonecrosis.

Please consider this patient to be at high risk of failure following any implant placement. Though it is not the breast cancer itself, but the treatment choice to cure breast cancer that could lead to potential complications following dental implant placement. As you have mentioned, this patient had radiotherapy to cure her breast cancer. An irradiated jaw bone is less likely to osseointegrate compared to a normal jaw bone. Obviously this depends on the radiation dosage, time elapsed since radiotherapy etc. The best course of action at this point would be to contact the oncologist and radiologists, who are more likely to indicate the chances of success with you implant placement. There is no specific test I am aware of, which can indicate she will be a successful implant patient. Yes, you have to approach with caution in this patient, unlike normal patients.

radiation for breast cancer does not involve the jaws. There are no contraindications for implant placement except IV bisphosphonates and that was not listed as part of the treatment.

For personal reasons the sugested is make one time betwen the last radiation and the time to start whit implant tratment minium 2 years for the best result off the implants placement

Wife recently completed breast cancer surgery. Radiation was for 6 weeks, 5days/week only to the surgerized breast area. Wife had CT Conebeam scan to plan exact site for radiation. Gene specific lab test for agressiveness of cancer cells determined to tumor to be at very low risk and therefore no systemic chemo therapy required. Breast Surgeon, Oncologis and Radiologist all new I was a dentist, they did not give any indications that if dental implants in future required not to be placed. Only if IV Bisphosphonate required would she have been at high risk for osteonecrosis of the jaw. Hope this helps

I don't think they use bisphosphonate meds for breast ca.! Bv

Confer with the oncologist and radiation oncologist to discuss the medication sad radiation dosage. Then make your decision to treat with or without implants.

Just Recieved clearance from an oncologist, to place implants in a 50 year old, that is just beginning chemotherapy. He mandated that I get a CBC and a chem 7, before proceeding. Bv Vinci Oral and Facial Surgery inc. Baton Rouge, La.

I am scared to Death to have another implant.The first one was necessary 8mth process.I newly diagnosed with two forms of Breast Ca,Papilary and Triple negative. I just don't want my Chemo to be delayed. I will be having Double Mastectomy and a Hysterectomy then Radiation to follow. Will the Chemo and Radiation cause the implant to fail?