Bisphosphonates is a medication typically taken for osteoporosis, cancer-related conditions, and metabolic bone diseases. It affects bone turnover and can potentially compromise the healing of some dental surgery, like extractions and dental implants.
So, is it safe to have dental implants on bisphosphonates? It depends on doses, administration method, duration, age and other health factors. Bisphosphonates is not an absolute contraindication for dental implants, if the treatment is planned carefully.
This case is two implants placement in a 70-year-old patient receiving bisphosphonates injections.
This x-ray showed that one of the dental bridge's abutments with root canal treatment had failed with abscess. Extraction was recommended by the endodontist.
The dental bridge was cut off and the sound abutment was kept. The root canal treated tooth was removed and ridge preservation was performed for the future implant.
Two implants placement surgery was planned and designed for computer guided implant surgery to minimize trauma and maximize accuracy.
Two implants were placed during the surgery with antibiotic cover, and the healing was uneventful. They were fully osseointegrated 6 months later and ready for crowns.
Digital impression was taken with intra-oral scanner. Two implant supported crowns were made with screw retained method.
Two crowns were inserted, and the patient was really happy with the result. Implants can be done for patients having bisphosphonates, but it has to be planned carefully.
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