Implants during pregnancy: contra-indications?

I've never placed an implant during pregnancy but I have placed implants on two occasions where the patient became pregnant soon after. The healing occurred during pregnancy. On both occasions I experienced circumstances where both patients had sub-optimal implant healing. Both resulted in bone loss, and unfortunately these were both anterior implants. As to your question: Implants are elective and quite honestly why would you place an implant during pregnancy (likely 2nd semester) and risk healing. If complications arise and rounds of antibiotics are needed, it would put quite a bit of stress on the patient. Just my 2 cents.

Although this is most likely elective surgery, there is no real problems after the first trimester and before the 7 the month. So just remember to get the ok from her obgyn and pre op exams and you should be in the clear

Similarly to the first comment, implant surgery is completely elective. Even though we have that window of 2nd trimester and early 3rd trimester to do elective procedures, I would recommend against it. If there's complication with the pregnancy, MDs would most likely keep you as part of causative factors. If your wife or yourself (in case you are female) is pregnant, would you let someone prioritizes an implant over safe and healthy baby delivery? Thank you for sharing

Can do very well if when implant site is not infected

The pregnant patient is mainly concern about her and her fstus health . There is hormonal changes and the gum always inflammed and the pregnant woman needs more care and food . Therefore puting implant in pregnancy period is risky and certainly more preloading complications will occur than non pregnant woman. Any problim will occur to child health The dentist will be blamed

I really have never considered implant placement as an emergency. you would be well advised to steer of from any surgery invasive or non invasive in pregnancy.

Although not an emergency, I extracted and grafted the lower first molar 4 months ago The patient feels she is missing having the tooth there and the opposing tooth has already started dropping down in to the space If we wait 9 months there will be further movement of opposing/neighboring teeth Thank you

As an OMFS I have performed several urgent and emergency procedures for pregnant patients but this is as far as I'd go with pregnant patients 2 stories: 1) I had a patient that became pregnant a couple of weeks following her (single stage) implant placement to the upper right 2nd premolar site. The 1y stability and ISQ were great at time of placement and no grafting was required. As the pregnancy progressed, peri-implantitis set in (in keeping with the perio disease of pregnancy affecting the rest of her mouth). We (myself and my Periodontist) managed to get on top of all the disease but that peri-implantitis progressed with a determination we'd not previously experienced. Eventually I removed the implant late in the 2nd trimester. We waited for about a year and successfully restored the site with an implant supported crown (same implant system, same protocol- some grafting needed 1st though). 2) A colleague of mine decided (against the advice of a few more experienced clinicians) to place 2 implants in the maxilla to replace the 1st premolars. He did this in the early 2nd trimester. Healing was very slow. Eventually the sites became recurrently infected and the fixtures had to be removed in the 3rd trimester. Unfortunately, the baby was stillborn. Patient and family naturally targeted the dental treatment as a causative/contributory factor and ALL of the medics (GP, Obsteterics, an anaesthetist ('expert witness') and other implant dentists) screwed him on negligence, malpractice etc... Frankly her lawyers had an absolute field day. I won't go into the details but my young colleague is still on anti-depressant medication and hasn't returned to work over 3 years later. To answer the original question, the only contraindications to placing implants would be the general ones pertaining to any case, not just pregnancy. Specifically regarding pregnancy, I don't know of any contraindications to implant placement. To say there are times when an implant is "necessary" is idiotic, wrong and completely indefensible. We all know better- there are other non-surgical means to prevent over-eruption, tilting, drifting, re-establishing an occlusion etc... Implant dentistry is a TOTALLY elective procedure and anyone thinking of doing this as an 'emergency' or 'necessary' procedure on any patient but especially a pregnant one is really courting trouble (including medicolegal). I now actively council my female patients thinking of having this modality of management on appropriate family planning to reduce the chance of complications and implant loss- infact, it's even in my consent form.

Great comment, thank you How do you prevent opposing teeth over-erupting and neighboring teeth tilting in to the space?

Regarding Implant treatment and pregnancy: It would be enough to say that implant therapy requires Xray checks. And no x ray is safer during pregnancy (if not only for forensic reason). Giovanni

I treated many pregnant womens successfully by eliminating pulpal pain and gingivitis conditions but avoiding giving too much local anesthesia and drugs other than amoxyline and panadol Nonsteroidal inteinflammatory drugs and aminoglycosides should be avoided.

Thank you for providing a safe space for curious Googlers like me to get evidence-based answers from professionals like yourself! I had a socket graft done on my upper right second bicuspid during extraction. The tooth had 2 failed root canals so the surrounding bone has thinned out due to infection. I understand it will take some time for the bone graft granules to heal. My partner and I are trying to conceive our first child, and I am worried over several possible scenarios: (a) if we conceive in the next 4-6 months: will pregnancy cause bone graft to not heal or get complications due to dental issues that typically plague pregnant people (gingivitis, calcium deficiency) (b) if we let the bone graft heal and delay the implant process: will the bone graft resorb during pregnancy and over childbirth? will a second graft be necessary after 9+ months? (c) if we do not start conceiving until later next year and proceed with implants 4-6 months from now: can implant placement, osseointegration or healing be further complicated by pregnancy? I’m hoping you can provide some insight on the pros and cons of delaying implants vs placing implant prior to pregnancy? As much as I do not want to delay family planning, I also understand the importance of maintaining optimal oral health. Thank you for your time!