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This question is more than six months old, so the information in the answer may no longer be accurate.
Visitor asks:
Dear Sir/Madam,
Last year I was diagnosed with breast cancer and, before surgery and after consulting the surgeon, I had 3 teeth removed (upper left 7 and 5 and lower left 6) because they had inflammation. Since January 2012 I have been on hormone therapy (Nolvadex for 5 years, Zoladex for 2 years). I am 37 years old.
Recently I visited a dentist because of pain, and the X-ray showed periodontal disease around the remaining teeth (upper left 8, lower left 7, upper right 8, lower right 1). I do not know the stage of the periodontal disease, but my gums have never bled; only around the lower 1 there has been slight gum recession of about 2 mm.
I am currently waiting for tartar removal, followed by scaling and root planing.
My question is this: because of the hormone therapy, can I ever be a suitable candidate for implants, and when after periodontal treatment (if at all) could this be done? Would bone augmentation also be necessary in this case? How should I mention the possibility of implants to my dentist?
Thank you for your answer.
Dentist Tomaž Rotar answers:
Dear Sir/Madam!
Implants can be placed at the sites where your teeth were removed some time ago, provided the anatomical conditions allow it (we need an X-ray for diagnosis). We certainly aim for the mouth to be clean before such procedures (free of calculus and plaque and acute inflammation). Treatment of periodontal disease itself is usually spread over a longer period of time (it is treatment of chronic inflammation) and requires ongoing patient monitoring, so implantation at the previously mentioned sites can nevertheless be started. Bone augmentation is related to insufficient anatomical conditions, which can be diagnosed before the procedure using X-rays.
Have a nice day!
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