Dental Implants in a Transplant Patient?
Dr. Kelly asks:
I would be interested in others opinions on the following dental implant case:
Patient has Type 1, which is well controlled. Patient has received organ transplants of the kidney and pancreas. Patient also has a very low salivary output and is xerostomic due to the multiple drugs that are taken daily to support the organ transplants.
My question is should I proceed with placing the dental implants in this type of patient or should I consider another form of prosthetic rehabilitation that does not include implants? Does anybody else have experience in placing implants in a transplant patient? Any long-term studies? Thanks.
1 Comments on Dental Implants in a Transplant Patient?
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Dr. Mehdi Jafari
2/14/2007
It seems that the patient had been suffering from autoimmune type of Diabetes Mellitus and its complications such as atherosclerosis, microangiopathy and hypertension that has finally caused a renal failure, necessitating a kidney transplant. The patient has received some Beta-Cell transplant to his/her pancreas as well. Making a balance between risks and benefits of an implant surgery would be very difficult and the outcome may be very risky. If it is necessary, then there must be at least a time lapse of one full year between the kidney transplantation and placement of the implants. The patient’s coagulation system must be functioning well and the serum creatinine should be within the acceptable range. Any kind of acute or chronic inflammatory process must be ruled out because it will diminish the capabilities of body defense system.
