Hwagok-dong Dental Clinic: Even Patients with Systemic Diseases Can Receive Implants

Hwagok-dong Dental Clinic

365 Seoul One Top Dental Clinic - Director Kim Geun-il

Hello.

I am dentist Kim Geun-il.

Since I have been in one place at the intersection near Hwagok Station for a long time,

I meet many patients with a wide variety of circumstances.

More people than you might expect are taking medication for a long period of time

because of systemic diseases.

Implants are dental treatment that can restore function

most similarly to natural teeth,

but when systemic diseases such as diabetes, high blood pressure, or osteoporosis are present,

it is necessary to take a more cautious approach.

Of course, having a systemic disease

does not mean implant treatment cannot be done.

In most cases, if the systemic disease you already have is

well controlled without difficulty, implant placement can be performed

almost the same as for general patients.

However, because there are more points to check before implant surgery

and more precautions to take,

patients with systemic diseases need to be examined more carefully.

Patients with systemic diseases require extra caution when undergoing implants - Hwagok-dong Dental Clinic

Why patients with systemic diseases require more caution during implant treatment

Hwagok-dong Dental Clinic

If a patient planning implant surgery has

systemic diseases such as high blood pressure, diabetes, osteoporosis, or cardiovascular disease,

the following situations may arise.

1. Bleeding control issues

Patients with high blood pressure or cardiovascular disease need caution because

blood pressure may rise during surgery, increasing the amount of bleeding,

and if they are taking medications that prevent blood clotting such as aspirin (antiplatelet agents)

or warfarin (anticoagulants),

they can have a major impact on the hemostatic process,

so the bleeding control time may be longer than for general patients.

2. Delayed wound healing

In patients with diabetes or weakened immunity,

recovery of the implant surgical site may be somewhat slower,

increasing the possibility of infection.

3. Effects of medication

Anticoagulants and antiplatelet agents,

osteoporosis medications (bisphosphonate class),

and blood sugar control problems

can directly affect the implant surgery process

and the osseointegration process after implant placement.

Hwagok-dong Dental Clinic - With proper attention to precautions, patients with high blood pressure, diabetes, osteoporosis, or cardiovascular disease can also receive implants

Implant eligibility and precautions by systemic disease

Hwagok-dong Dental Clinic

1. Patients with diabetes

Having diabetes does not mean implant surgery cannot be performed.

If blood sugar is well controlled, the success rate of implant surgery is

almost the same as that of general patients.

• Precautions for patients with diabetes: Fasting blood sugar should be checked before surgery,

and if the following criteria are met, implant surgery can be performed without difficulty.

Fasting blood sugar 130 mg/dL or lower,

post-meal blood sugar 180 mg/dL or lower,

or HbA1c 7% or lower

If HbA1c is 8% or higher,

the risk of infection may increase,

so close observation is needed.

Because patients with diabetes are more vulnerable to infection than general patients,

the surgical and wound areas require thorough cleanliness management,

and antibiotic management is important for infection prevention.

2. Patients with high blood pressure

• The biggest problem for patients with high blood pressure is

a rise in blood pressure caused by tension and stress.

However, if the patient's condition and blood pressure are stably maintained during the implant preparation process,

in most cases implant treatment can also be performed without difficulty.

• Precautions for patients with high blood pressure: Check whether blood pressure is well controlled through medication,

and if necessary, adjust the medication period through collaboration with internal medicine.

For patients with high blood pressure, please also make sure to check whether they are taking aspirin.

• Blood pressure should be checked on the day of surgery,

and if blood pressure is high,

it is recommended to wait 충분히 and proceed with implant surgery after stabilization.

3. Patients with osteoporosis

Most patients with osteoporosis have low bone density,

and because the bone density is low, the osseointegration process in which the implant attaches to bone

may be somewhat slower than in general patients.

In particular, in patients who have been taking bisphosphonate-class

o steoporosis medication or injections for a long period of time,

the risk of jawbone necrosis exists due to the effects of the medication,

so you must tell the medical staff during implant consultation.

• Precautions for patients with osteoporosis: It is essential to check whether medication is being taken and for how long.

Whether implant surgery is possible and whether medication needs to be stopped

requires collaboration with internal medicine through the preparation of a surgical referral letter.

4. Cardiovascular disease (angina, myocardial infarction, etc.)

In patients with cardiovascular disease,

many are taking anticoagulants such as warfarin (medications that thin the blood).

Because these medications can increase bleeding during implant surgery,

it is important to confirm whether implant surgery is possible

through collaboration with internal medicine or cardiology,

and to decide whether the medication should be stopped for a certain period.

In patients with high blood pressure, diabetes, osteoporosis, or cardiovascular disease, infection control must be carried out thoroughly - Hwagok-dong Dental Clinic

Considerations for implant surgery in patients with systemic diseases

Hwagok-dong Dental Clinic

1. Avoid excessive incision and long surgery times

Proceed with the smallest possible incision to reduce bleeding and

postoperative swelling.

2. Thorough infection control

Especially for patients with diabetes, the risk of infection is high,

so antibiotic management is important.

3. Periodic examination of the surgical site

In patients with systemic diseases, recovery may progress

somewhat more slowly than in general patients,

so postoperative precautions are explained in detail,

and the recovery speed of the surgical site is carefully monitored.

4. Reduce stress

In patients with high blood pressure or cardiovascular disease,

tension during treatment can raise blood pressure,

so conscious sedation implant treatment may be helpful in some cases.

If there is dental phobia or severe stress about dental treatment,

it is good to explain conscious sedation implant treatment or

a split-surgery approach, and during consultation with the patient,

provide various treatment options to reduce psychological burden.

Also, if the implant surgery is completed successfully,

postoperative precautions should also be explained well.

Even if a patient with a systemic disease usually has good control,

the following instructions should still be carefully followed.

• Avoid strenuous exercise for at least 2 to 3 days after surgery; encourage sufficient rest

• No smoking and no drinking are essential

• Always follow the medical staff's instructions regarding medication

• Keep the surgical site clean

• If pain, swelling, or bleeding is more severe than usual, visit the dental clinic

For patients with systemic diseases, it is important to check carefully before and after implant surgery

Hwagok-dong Dental Clinic

For patients with systemic diseases,

it is necessary to examine more carefully than for general patients,

including current medications, blood sugar, blood pressure,

management status of the relevant disease, history of previous implant surgery,

and any special points during treatment.

For implant surgery,

if medication needs to be stopped for a certain period before or after surgery,

if necessary, the patient should absolutely inquire through a referral letter from the internal medicine clinic they have been visiting,

and after judging whether the patient's current condition is stable,

it is recommended to proceed with implant placement.

If a careful diagnosis and plan are made well,

patients with systemic diseases can also expect good results after implant placement.

If you are currently considering implant treatment,

but are hesitating because of systemic diseases such as high blood pressure, diabetes, osteoporosis, or cardiovascular disease,

please do not worry alone and let us know.

365 Seoul One Top Dental Clinic, which has long been in one place near Hwagok Station,

will help you work toward solving the problem.

This was dentist Kim Geun-il.

Thank you.

365 Seoul One Top Dental Clinic - Hwagok-dong Dental Clinic

Hwagok-dong Dental Clinic - Director Kim Geun-il

This post was written directly by the representative director in compliance with Article 56, Paragraph 1 of the Medical Services Act

for the purpose of providing medical information to patients.

• Unauthorized reproduction and use of this material is prohibited.

• Adverse effect notice: After treatment, side effects such as infection, inflammation, soft tissue complications,

bleeding, and sensory abnormalities may occur.

• Because dental treatment can cause different side effects depending on an individual's health condition,

please be sure to consult with medical staff before making a decision.

Hwagok-dong Dental Clinic - 365 Seoul One Top Dental Clinic

📍 365 Seoul One Top Dental Clinic

4th Floor, Dongmyeong M Building, 179 Gangseo-ro, Gangseo-gu, Seoul

Hwagok Station Dental Clinic – 1 minute on foot from Exit 8 of Hwagok Station