Dental implant before bisphosphonate therapy

Joined
Jul 20, 2018
Messages
2
I have metastatic prostate cancer and am looking at IV bisphosphonate therapy. I also had 13 and 14 extracted recently and would like to get implants. How long should I wait after the implants are done should I wait before starting the bisphosphonates?
 

MattKW

Verified Dentist
Joined
Mar 18, 2018
Messages
2,113
Solutions
152
The implants normally go in ~3 months after the extractions, then wait another 3 months to allow bone to adhere. The abutments and crowns on top of the implants can be done any time after this as they don't affect the bone. Make sure all your other teeth are in excellent condition, especially periodontal disease. But if the doctors want you to start bisphosphonates sooner, then maybe that has to take precedence over implants. Talk to dentist and oncologist.
 

Vote:

honestdoc

Verified Dentist
Joined
Jun 14, 2018
Messages
1,534
Solutions
165
Sorry to hear about your metastatic prostate condition. Have you and your medical team considered immunotherapy (biologic therapy)? IV bisphosphonates have so many devastating oral side effects. Implants can be very difficult to integrate properly and to sustain it after IV bisph may result in guarded prognosis.
 

Vote:
Joined
Jul 20, 2018
Messages
2
Sorry to hear about your metastatic prostate condition. Have you and your medical team considered immunotherapy (biologic therapy)? IV bisphosphonates have so many devastating oral side effects. Implants can be very difficult to integrate properly and to sustain it after IV bisph may result in guarded prognosis.
Even if i wait 3 months after implants are complete to begin bisphosphonate therapy?
 

Vote:

honestdoc

Verified Dentist
Joined
Jun 14, 2018
Messages
1,534
Solutions
165
After your implants have fully healed/integrated (after 3-4 months or longer), to sustain them during IV bisph is very unpredictable and guarded. Again, try to consider alternatives to IV bisph.
 

Vote:

MattKW

Verified Dentist
Joined
Mar 18, 2018
Messages
2,113
Solutions
152
All the studies I found are of taking bisphosphonates BEFORE implants are inserted (1) and (2). I couldn't find any studies that relate to bisphosphonate treatment AFTER implants have been inserted so I assume it would be similar to normal maintenance of natural teeth; there seems to be no reason not to do so. Therefore, I'd get the implants before started IV, if the IV can wait - talk to your oncologist; the cancer comes first.
 

Vote:

Ask a Question

Want to reply to this thread or ask your own question?

You'll need to choose a username for the site, which only take a couple of moments. After that, you can post your question and our members will help you out.

Ask a Question

Members online

No members online now.

Forum statistics

Threads
8,091
Messages
23,879
Members
13,334
Latest member
luckyboy2070
Top