Osseo News Logo

The Original Dental Implant Community

Sign In

Thyroidectomy: Precautions to Take Before Placing Implants?

Last Updated: Sep 15, 2008

Dr. G. asks:
I have a patient who recently had his thyroid removed because it was cancerous. Fortunately, the cancer did not metastasize because of the thick connective tissue sheath around the thyroid. He is scheduled for placement of 2 dental implants. He is taking synthroid to compensate for loss of his thyroid and it is well controlled. Are there any precautions I should take for the implant surgery? Should I wait 6 months post-op to place the implants or is it safe to place them now? What is the worst problem I could expect?

4 Comments on Thyroidectomy: Precautions to Take Before Placing Implants?

ali fatemi

09/16/2008

Synth. is not a concern, but other medications that patient is taking might be. Is he/she taking any bisphonates? Is the patient undergoing any chemotherapy post removal of the mass? If all the answers are negative and patient is OK and is just you and I, then place the implants, otherwise, you need to think twice if patient is undergoing chemotherapy or radiation theraypy or have been given IV Bisphosphonate. You do not want to have BON

Dr. Ozzo

09/16/2008

Specifically, hormone levels should be normal before surgery. If your patient receives or received radioactive iodine therapy, he will spread radiation around for some days or weeks depending on the dosage given. That would require to set a limit to social life and relationships for a given time by his consultant. You may have to postpone the surgery. Such an irradiation may cause decrease in saliva flow but general adverse effects are known to be limited. You do not have to wait for 6 months where timing will vary on the individual basis. Also remember such patients may come up with malaise and depressive mood, which may be erased with all other possible complaints following proper drug usage. Generally, in such rare medical conditions we face, it seems wiser to consult the doc responsible for the treatment and/or maintenance of the patient. We use consultation form which describes the situation and asks the doc for the evaluation of the patient in order to confirm an oral surgery which involves bone under local anaesthesia. After we receive the paper back as signed and stamped by the responsible doctor, we explain the patient which step we plan to take. I hope to have been helpful.

kem

09/16/2008

RAI treatment for Thyroid cancer is a common cause for xerostomia and parotid/submandibular salivary problems... be aware that this relative xerostomia may impact long-term implant maintanence....

Harvey Meade, DMD

02/10/2009

I have a patient who completed radiation therapy of her thyroid gland in March of 2008. She has now developed rampant caries of her lower teeth which need to be extracted. We a considering replacing her teeth with a fixed dental prosthesis supported by multiple dental implants. Do you know if the prognosis of the implants on a such a patient will be compromised? Thanks!

Featured Products

DALI Bone Mix

DALI Bone Mix

The highest quality tissue!

Classic

Classic 50/50 Mix

Promotes osteoconduction

Provides structural integrity

DALI Bone Syringe

DALI Bone Syringe

Prefilled Mineralized Cortico-Cancellous Bone in Syringe

New

Convenient Syringe!

50/50 Cortical/Cancellous

Available in 3 sizes.

Osteogen Plug

Osteogen Plug

Combines bone graft with a collagen plug.

Classic

Eliminate hassle of mixing particulate grafts

Sold in packs of 5 or packs of 10.

Proven safe, and clinically effective

OsseoSeal Flexible Membrane

OsseoSeal Flexible Membrane

Resorbable collagen membrane derived from purified porcine pericardium

Popular

Fast hydration and excellent tensile strength

Good adaptation to various defects

Excellent tear function and duration

DALI One Graft

DALI One Graft

One-Step grafting solution!

New

100% allograft

Eliminates mixing hassle

Moldable after hydration