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What Disqualifies Patients from Implants? Mesa, AZ Dentist Explains Procedure

Episode Summary

Bone volume, gum disease, smoking, diabetes, and certain medications can block implant eligibility, but many disqualifying factors are temporary obstacles that proper treatment resolves over time rather than permanent barriers. Learn more: https://www.snowfamilydentistry.com/

Episode Notes

Thousands of people walk into dental offices every year hoping to replace missing teeth with implants, only to hear they're not good candidates for the procedure. That conversation can feel devastating, especially after someone has already imagined themselves with a complete smile again. But here's something most people don't realize—the factors that disqualify patients from getting dental implants often protect them from serious complications down the road. Understanding what makes someone unsuitable for implants starts with knowing how these titanium posts actually work in the body. Unlike dentures that sit on top of gums or bridges that attach to neighboring teeth, implants need to become part of the jawbone itself. That's a big ask for the human body, and not everyone's health status can support that kind of biological integration. The number one reason people get turned away for dental implants comes down to jawbone volume. When a tooth goes missing, the bone that once supported its roots starts to disappear through a natural process called resorption. The body essentially decides that bone isn't needed anymore and begins breaking it down. Someone who's been missing teeth for years might not have enough bone left to anchor an implant securely. In those situations, bone grafting becomes necessary first, which adds months to the timeline and thousands of dollars to the cost. Some patients simply don't want to commit to that extended process. Active gum disease creates another major roadblock. The same bacteria and inflammation that destroy gum tissue and bone around natural teeth will absolutely attack the tissue surrounding an implant. Dentists call this peri-implantitis, and it's one of the leading causes of implant failure. Before anyone can move forward with implant surgery, their gum disease needs to be treated and brought under control. That might take weeks or even months of deep cleanings, antibiotic therapy, and improved home care habits. Smoking and vaping land on the disqualification list for good reason, too. Nicotine constricts blood vessels, which limits the flow of oxygen and nutrients to healing tissues. When an implant is placed into the jawbone, that area needs a robust blood supply to support the months-long process where bone cells grow around and fuse with the titanium post. Studies show that smokers experience implant failure at significantly higher rates than non-smokers. Many oral surgeons won't even schedule implant procedures unless patients can prove they've quit tobacco completely or stayed abstinent for several months. Uncontrolled diabetes presents similar healing challenges. High blood sugar levels impair the immune system's ability to fight off infections and slow down tissue repair throughout the body. The mouth is no exception. When someone with poorly managed diabetes gets an implant placed, the risk of infection skyrockets, and the osseointegration process, that critical bone-to-implant bonding takes much longer or fails to happen at all. Patients with diabetes aren't automatically disqualified, but they need to work closely with their medical doctors to get their blood sugar levels stable before any dental surgeon will consider moving forward. Certain medications complicate the implant picture as well. Drugs used to treat osteoporosis, particularly bisphosphonates, can interfere with normal bone healing and increase the risk of a rare but serious condition where jawbone tissue dies. People who've undergone radiation therapy to the head or neck face similar bone healing problems. These patients aren't necessarily ruled out completely, but they require specialized evaluation and often modified treatment approaches that not every dental practice can provide. Age factors into candidacy, too, though not in the way most people assume. There's no upper age limit for dental implants as long as someone is healthy enough to undergo the procedure. The restriction actually applies to younger patients. Dental professionals typically won't place implants until jaw growth is complete, which usually happens around age eighteen. Placing an implant in a still-growing jaw can lead to misalignment problems as facial bones continue developing. The financial aspect disqualifies plenty of potential candidates as well. Single implants run between $2000 and $4000 per tooth, and that's before factoring in any bone grafting or other preparatory work. Insurance coverage varies wildly, with some policies treating implants as cosmetic procedures while others recognize them as medically necessary. Without adequate coverage or financing options, the cost alone puts implants out of reach for many people who would otherwise qualify based on their oral health. What surprises most patients is learning that being disqualified now doesn't mean forever. Many of the conditions that prevent someone from getting implants today can be addressed over time. Gum disease can be treated. Smokers can quit. Diabetics can work with their doctors to achieve better blood sugar control. Bone grafting can rebuild areas where volume has been lost. The timeline extends considerably when these preparatory steps become necessary, but they open the door for patients who initially seemed like poor candidates. The dental teams in Mesa who work with implant patients stress that these qualification standards exist to protect people, not to turn them away arbitrarily. An implant that fails after placement often causes more problems than just leaving the gap alone. Failed implants can lead to bone loss, infection, nerve damage, and the need for additional surgeries to remove damaged hardware and repair tissue. Click on the link in the description to learn more about the complete implant process and what factors contribute to long-term success. The evaluation process might feel discouraging when barriers are identified, but it ultimately ensures that people who do move forward with implants have the best possible chance of ending up with results that last for decades.

Snow Family Dentistry
City: Mesa
Address: 4420 E Baseline Rd
Website: https://snowfamilydentistry.com/