Management of systemic risk factors ahead of dental implant therapy: A beard well lathered is half shaved

Abstract

As the most successful therapy for missing teeth, dental implant has become increasingly prevalent around the world. A lot of papers have reported diverse local risk factors affecting the success and survival rate of dental implants, either for a short or a long period. However, there are also many types of systemic disorders or relatively administrated medicine that may jeopardize the security and success of dental implant treatment. Additionally, the coronavirus disease 2019 pandemic also poses a challenge to dental implant clinicians. Some of these risk factors are clinically common but to some extent unfamiliar to dentists, thus optimal measurements are often lacking when they occur in dental clinics. In this review, we analyze potential systemic risk factors that may affect the success rate of dental implants. Some of them may affect bone mineral density or enhance the likelihood of local infection, thus impeding osseointegration. Others may even systemically increase the risk of the surgery and threaten patients’ life. In order to help novices receive high‐risk patients who need to get dental implant treatment in a more reasonable way, we accordingly review recent research results and clinical experiments to discuss promising precautions, such as stopping drugs that impact bone mineral density or the operation, and addressing any perturbations on vital signs.

Dental implant considerations in patients with systemic diseases: An updated comprehensive review

“…33 Although dental implants are not contraindicated in patients with hyperthyroidism, preoperative precautions must be considered to avoid the fatal thyroid storm. 65 However, a previous history of controlled hypothyroidism does not contraindicate implant therapy in these patients. 66 Additional in-depth scientific research with more significant sample numbers is required to understand the issue.…”

“…69 Therefore, in treating patients with hypoadrenocorticism (Addison's disease), considerations should be implemented to prevent adrenal crisis, including consultations regarding the prescription of a supplementary glucocorticoid dose before and on the day of surgery, minimally invasive surgical approach, intraoperative analgesia and postoperative antibiotic therapy. 65 Prolonged treatment with corticosteroid impact dental implants. While immediate postoperative effects are advantageous in that they lessen pain and inflammation, corticosteroids slow the healing process, lower blood leukocyte counts and impair the patient's capacity to fight off infection.…”

The evolution of robotics: research and application progress of dental implant robotic systems

“…Implantology is widely considered the preferred treatment for patients with partial or complete edentulous arches. 34 , 35 The success of the surgery in achieving good esthetic and functional outcomes is directly related to correct and prosthetically-driven implant placement. 36 Accurate implant placement is crucial to avoid potential complications such as excessive lateral forces, prosthetic misalignment, food impaction, secondary bone resorption, and peri-implantitis.…”

Prosthetic management of peri-implantitis: Analyzing risk factors and advancing preventive strategies

“…Assessment: 13,14 1. Medical History Evaluation: Assessing the patient's medical history is essential to identify any systemic conditions or medications that might impact the success of implant therapy.…”