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Medical Contraindications to Implant Therapy: Part I: Absolute Contraindications

Hwang, Debby DMD*; Wang, Hom-Lay DDS, MSD

doi: 10.1097/01.id.0000247855.75691.03
Clinical Science and Techniques
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In order to ensure implant success, it is essential to select patients who do not possess local or systemic contraindications to therapy. Hence, it is the purpose of this paper to review the medical diseases that reportedly preclude conventional dental implant treatment. Absolute contraindications to implant rehabilitation include recent myocardial infarction and cerebrovascular accident, valvular prosthesis surgery, immunosuppression, bleeding issues, active treatment ofmalignancy, drug abuse, psychiatric illness, as well as intravenous bisphosphonate use. Any of these conditions bar elective oral surgery, and require judicious monitoring by the physician as well as the dental provider. Noncompliance to the suggested protocol may, in the worst possible case, result in patient mortality.

*Former resident, Department of Periodontics and Oral Medicine, School of Dentistry, University of Michigan, Ann Arbor, MI; currently, private practice, Fairfield, CT.

†Professor and Director of Graduate Periodontics. Department of Periodontics and Oral Medicine, School of Dentistry, University of Michigan, Ann Arbor, MI.

Reprint requests and correspondence to:

Hom-Lay Wang, DDS, MSD; Professor and Director of Graduate Periodontics; Department of Periodontics and Oral Medicine; University of Michigan School of Dentistry; 1011 North University Avenue; Ann Arbor, MI 48109-1078; Phone: (734) 763-3383; Fax: (734) 936-0374; E-mail address: homlay@umich.edu

© 2006 Lippincott Williams & Wilkins, Inc.