Physical conditions which require attention for implant surgery

Patients with from moderate to severe systemic diseases and daily limitation of meals and exercises should undergo the oral surgical treatment under systemic management at a medical facility, such as a university hospital.

• 1.Circulatory system disease; hypertension, ischemic heart disease, cardiac valvular disease, and birth defect of the heart, etc.
• 2. Respiratory disease; bronchial asthma, chronic obstructive lung disease, and emphysema, etc.
• 3.Cerebrovascular disease; brain infarction, cerebral hemorrhage, and subarachnoid hemorrhage, etc.
• 4.Metabolic and endocrine diseases; diabetes mellitus and hyperthyroidism, etc.
• 5.Liver disease; hepatitis and cirrhosis, etc.
• 6.Renal disease; chronic kidney failure, etc.
• 7.Neuromuscular disease; Parkinson disease and myasthenia gravis, etc.
• 8.Heavy infection; viral hepatitis and AIDS, etc.

Even patients with mild systemic diseases without limitations in activities of daily living commonly use drugs that may prevent wound healing or worsen their condition. Such patients cannot undergo implant treatment. The typical examples are as follows:

• Bisphosphonate: patients with osteoporosis may use this drug.
• Steroid preparation: may be used in various diseases, including allergy.

Even in cases with no particular systemic diseases, the elderly have poor functional capacity and develop a sensitivity to stress during surgery. Therefore, monitoring of vital signs is required during implant surgery.

Even in cases with no particular systemic diseases, the elderly have poor functional capacity and develop a sensitivity to stress during surgery. Therefore, monitoring of vital signs is required during implant surgery.

Patients with mild systemic diseases, e.g. patients undergoing treatment for hypertension and with blood pressure lower than 160/95 mmHg, can undergo implant surgery. However, monitoring of vital signs is needed during surgery. Therefore, in such cases, it is necessary to consult with a physician before implant surgery.