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When are dental implants not the right option for you?

Published Feb 16, 2025 When are dental implants not the right option for you?

Dental implantation is the most effective method of restoring a dental arch today. However, there are times when doctors must refuse such a procedure. Let’s review the contraindications and medical limitations for dental implants.

1. Jawbone health issues

For successful implantation, the jawbone must be strong and healthy. In cases of severe bone defects, such as those caused by prolonged tooth loss or chronic infections, the implant may fail to integrate. In these cases, doctors recommend bone grafting to prepare the bone for implantation.

2. Chronic diseases

Implantation is a surgical procedure that requires a stable health condition. Diseases that weaken the immune system or impair tissue healing can complicate the process significantly. Serious chronic conditions such as cardiovascular issues, diabetes, or cancer make the procedure impossible. In such cases, it is better to consult a doctor about alternative methods for tooth restoration.

3. Young age

The minimum age for implantation, according to established guidelines, is 18 years. However, even after reaching adulthood, not all doctors agree to perform the procedure immediately. This is because the jawbone continues to form until the age of 20-25. Performing the surgery too early may lead to problems with implant integration into the bone.

4. Neglecting health

After implantation, it is essential to strictly follow the doctor's recommendations. This includes limiting physical activities, maintaining proper oral hygiene, and taking prescribed medications. Ignoring these instructions can lead to inflammation, infections, and, as a result, implant rejection.

5. Smoking

Smokers face a higher risk of implant failure. Nicotine impairs blood circulation and slows down the healing process after surgery. If you smoke, discuss this with your doctor, as implantation may not be advisable in such cases.

6. Pregnancy

Although pregnancy is not a direct contraindication, dentists generally recommend postponing implantation until after childbirth. During pregnancy, hormonal changes may affect bone density and the body’s healing ability.

7. Poor oral hygiene

If you have dental or gum issues — such as cavities, periodontitis, or persistent inflammation—it is important to address these first. Improper oral hygiene increases the risk of infections and complications after implant placement.

Summary

Dental implants, like any other surgery, have their contraindications. That’s why an implantologist thoroughly examines the patient’s health and dental system before the procedure. If negative factors are found, they will suggest alternative tooth restoration options or advise postponing the procedure until health improves. Each case is individual, so only after a proper examination can you be confident in choosing the best treatment method.

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