Lecture help material Indications and contraindications of implant treatment Lecturer: Dr.Attila Szűcs Overview Factors influencing medical activity Topographical characteristics of implants, changes of its indications from the point of view of time, age and gender General and local contraindications General contraindications • Disease or medications hindering wound healing (DM, Bone metabolic disorders, immunosuppressive treatment, antidepressive, anticoagulant, cytostatic therapy) • • • • • • • General surgical contraindications Pregnancy Psychological instability Physical and mental disability Alcoholism, heavy smoking Atypical facial pain Age under 14 Local contraindications • Radiation therapy within 5 years to the implant siter • Pathoses of local bone and soft tissues • Dysfunction (deep bite) that may overload the implant • Dental anomalies that have to be treated before implant placement Questions 1. Which are the major indications of implant placement? 2. Which teeth are most often replaced with implants? 3. How can contraindications be classified? 4. How does diabetes influence our implant activities? 5. Which type of osteoporosis may be a contraindication of implant placement? 6. How do smoking, alcoholism and drug abuse influence osseointegration? 7. What local contraindications may hinder implant placement? 8. What do you know about titanium metallosis and allergy? Theme for the term examination: The indications, contraindications of implant treatment.