Auto-immune Hepatitis and Dental Implants: Contraindications?
I have a patient in her 60s who has recently been diagnosed with Auto-immune Hepatitis. She requires 6-implants, three in the posterior maxilla with simultaneous sinus lift and three in lower posterior mandible. Is her Auto-immune Hepatitis a relative or absolute contra-indication to proceeding with her implants? Or is the Auto-immune Hepatitis not a significant factor and I should proceed with the implants?
4 Comments on Auto-immune Hepatitis and Dental Implants: Contraindications?
New comments are currently closed for this post.
CRS
3/21/2014
Yikes I would get medical clearance and see if she is stable. Perhaps place one mandibular implant and see if it integrates. I don't think liver function is involved in bone metabolism but her overall health and immunity are risk factors. Good Luck.
Osurg
3/25/2014
It would prudent to review meds. If this is in fact an auto immune condition I would suspect immune supressive drugs which will play havoc with healing. Also if extensive liver damage coagulation problems could present during placement.
CRS
3/30/2014
Good point on the coags!
Drg
4/1/2014
Make sure the patient is producing platelets.
People with liver issues don't stop bleeding.
