Dental implantation for immune diseases (HIV)

Is it possible to get implants for HIV? When is it possible? When is it not possible? Failures during implantation What methods are suitable ROOTT implants for HIV Recommendations Can implantation be refused? Is it worth hiding the status Alternatives Risk of infection during implantation

Acquired immunodeficiency syndrome (AIDS) is the last stage of HIV infection. The body's ability to resist infections and diseases rapidly decreases, which affects organs and systems. Until recently, implantation with HIV was considered impossible. The emergence of one-stage minimally invasive techniques has made it possible to implant implants in people with severe chronic pathologies, incl. HIV and AIDS. The implantation design of RUTT successfully takes root even in patients diagnosed with immunodeficiency or hepatitis.

Is it possible to get implants for HIV?

Immune system diseases suppress the body's ability to detect and destroy pathogens. A defective immune system is unable to resist the attack of pathogens. The ability of tissues to naturally regenerate also decreases. The risk of dental implant failure in patients with a history of complications increases by 80%.

The emergence of one-stage technologies has significantly reduced the list of contraindications to implantation - today immunodeficiency is not an obstacle to implant-based prosthetics.

What other conditions affect the possibility of installing implants?

Features of implantation in women

The female body is characterized by a number of conditions that cannot be called pathological, but they become temporary obstacles to the implementation of implants:

Menstruation. Doctors recommend refraining from surgery during menstrual bleeding. The main danger is excessive blood loss and the possibility of uncontrolled bleeding. The operation is complicated by the high risk of blocking blood vessels, since during menstruation the blood in the female body has increased clotting. During menstruation, patients are susceptible to nervous breakdowns: the procedure can harm the woman’s morale.
Pregnancy. Anesthetics and other medications, X-rays have a negative effect on the unborn child. Also, during pregnancy, the immune system is weakened and cannot fully resist pathogens, which creates a risk of developing inflammation.
Breast-feeding. During breastfeeding, medications administered to the patient pass into the milk. Toxic substances cause allergies and other undesirable consequences in the baby.

A woman needs to wait until these conditions pass. Then it will be possible to install implants.

Are there any restrictions for older people?

Older patients must be sent for examination of the state of their health. If older people do not have general obstacles to the procedure, implantation is not contraindicated, but the recovery period takes longer. This is due to a slowdown in regeneration processes in old age. To reduce the risk of complications, dentists carefully prepare the patient’s oral cavity and choose minimally invasive surgical methods.

Is implantation performed for children?

in children under 18 years of age . As a child grows, jaw bones grow and teeth change. If an implant is placed in childhood, over time it will become too small and will have to be reinstalled. If the baby does not have dental units, dentures are used. The issue of implantation is decided upon when the child reaches the age of 18-22 years.

Is it possible to install implants for smokers?

Smoking increases the risk of implant failure. One cigarette smoked after surgery reduces tissue repair by 30% . But this is not the only danger. When smoking, the mucous membrane burns and the wounds heal slowly. A bad habit leads to disruption of saliva production. The mouth constantly feels dry, the mucous membrane is not cleared of pathogenic bacteria, and the risk of infection increases.

When is implantation performed?

Dental implantation for HIV and AIDS is possible with normal CD4 cell counts and the absence of negative symptoms. Preparation for surgery involves a complex of laboratory and instrumental studies. In addition to the standard set of tests, a patient with immunodeficiency donates blood for the number of CD4 lymphocytes and viral load. Implantation is performed when CD4 cell counts are relatively high and there are no adverse symptoms.

With a CD4 count of more than 500, the risk of complications is the same as in patients without immunodeficiency.
If the CD4 cell concentration is 450-400, the risk of artificial root rejection increases, but surgery is possible.
If the CD4 count is 350 or less, surgery cannot be performed. In this case, antiretroviral therapy should be continued. Once stable CD4 counts are achieved, the doctor will consider dental implantation.

With a very reduced immune status, the risk of pathogenic microflora growing along the implant is very high. That is, the likelihood of re-implantitis and, as a consequence, rejection of the artificial root increases many times over.

Recommendations after surgery

After implantation, you must scrupulously follow your doctor’s recommendations regarding oral care immediately after the intervention and beyond. This applies to all patients, but HIV-positive patients must especially strictly follow all medical instructions. Post-intervention recommendations include:

oral care;
lifestyle changes;
service in the clinic.

Oral care

Brush your teeth twice a day, paying attention to the spaces between teeth;
use dental floss;
rinse your mouth every time after eating;
avoid too hard foods (nuts, roasted vegetables);
Visit your dentist every 6 months for professional hygiene cleaning.

In the early postoperative period (7-10 days), oral antiseptic baths are performed after meals.

General recommendations after surgery

Limit sports and physical activity for a month;
avoid hypothermia or overheating;
give up alcohol and smoking for at least a month;
no air travel for 10-14 days;
carefully sneeze, cough, blow your nose, especially if the implantation was done in the upper jaw;
Do not skip preventive examinations at the dentist.

After installation of the implants, the doctor will prescribe a short course of antibiotic therapy. Maintaining normal CD-4 cell levels is important, so antiretroviral therapy (if prescribed) should not be ignored.

Why Roott implants are the best solution for HIV infection

ROOTT implants are made of biocompatible titanium with an antimicrobial surface. When the sterile packaging of the implantation system is opened, the titanium reacts with oxygen. This promotes the formation of a special hydroxyapatite film on the surface of the implant. Since hydroxyapatite is the main component of bone tissue, the chance that the jawbone will not reject the titanium root increases many times over. The polished surface of the implant prevents the accumulation of bacterial plaque in the cervical area, minimizing the risk of developing peri-implantitis.

Where to place implants

The ROOTT clinic in Moscow is one of the few dental centers in Russia that specializes in one-stage implantation with immediate loading. Our implantologists have been working with the basal protocol for many years. The presence of HIV or AIDS in a patient is not a valid reason for refusing dental implantation. Our specialists will carefully study your medical history and offer the best option for restoring your dentition. Thanks to the ability to combine protocols in one system, treating patients with a complicated medical history is not a problem for us.

Should you hide your status?

According to the laws of the Russian Federation, the patient is obliged to notify the doctor about his HIV status. In any case, it is better not to hide such information. The doctor carries out treatment according to the general state of health - selects a treatment protocol, implantation design, and effective antibiotic therapy.

Let’s assume that the implantologist does not know about the positive HIV status and prescribes antibiotics in the same dosage as for a healthy patient. Such therapy will not have the desired effect, which will lead to inflammation, peri-implantitis, and, as a consequence, rejection of the artificial root. The doctor must be aware of the possible risk. Health information helps select a treatment regimen that will provide the best outcome for the patient.

Since immunodeficiency states are included in the list of restrictions for implantation, an HIV test is included in a comprehensive diagnosis. Therefore, hiding HIV status from the dentist is problematic.

Removable prosthetics

Removable dentures are an easy way to replace missing teeth, regardless of the state of the immune system. The main disadvantages of the method:

Does not prevent bone atrophy;
restores chewing function by only 60%;
removable orthopedic systems cannot be used in the presence of opportunistic diseases of the oral cavity (aphthous stomatitis, exfoliative cheilitis, Kaposi's sarcoma, etc.).

With the help of removable structures, you can replace both several missing teeth and an entire row of teeth.

Main stages of the disease

The stages of HIV are divided into the following:

incubation This is the stage at which infection and subsequent multiplication of the virus in the blood occurs. It lasts up to six weeks, sometimes less. Even if infected, at this stage a person will not see obvious signs, and a blood test will not show that there are antibodies in the blood;
primary. The first signs of infection may already appear here. The second stage lasts for 3 weeks - at this time antibodies appear, the virus is determined in the laboratory;
subclinical. The first sign of the disease appears - enlarged lymph nodes. The patient feels completely healthy and does not complain about his health;
the appearance of secondary diseases. The immune system begins to malfunction, causing a variety of diseases to appear: from frequent colds and candidiasis to pneumonia, tuberculosis;
terminal. The stage involves exhaustion (rather rapid and progressive), as well as the subsequent death of the patient.

The stages do not have one correct time frame - they may differ from person to person. For example, HIV-infected people often feel well for years or do not pay attention to small signs. The disease is detected only at the stage of severe deterioration in health or through random tests.

Mini implantation

Lightweight mini-implants are implanted through micro-punctures. They can be installed even in the narrowest area of the bone without pre-building it. They are characterized by rapid healing and securely hold the removable denture in the mouth. They are not intended for heavy chewing loads, therefore they are not suitable as a support for a permanent denture.

Mini-implantation and removable prosthetics are a good alternative during antiretroviral therapy.
As soon as CD 4 cell counts are stabilized, basal implantation is recommended.

How long do implants take to take root and when can they be rejected?

If we consider a positive scenario, then the installed implant will completely take root within a year. The maximum period after implantation during which problems may appear is 2 years.

Within 4-8 months, the implantation site may only heal. If the advertisement indicates that installation takes 2 days, then know that the marketers forgot to indicate that photographs, impressions or scans need to be taken, implantation and an adaptation (rehabilitation) procedure must be carried out.

You need to understand that problems can begin on the second day after implantation. But it is important to understand that problems may arise during any medical operation. Even after a painkiller injection, you can die, but the problem is purely a professional problem, it does not depend on your HIV status.

An experienced doctor will be able to install the implant, causing minimal damage to the tissue and ensuring healing.

Let's look at situations in which problems may arise.

Possibility of infection in the dentist's chair

The risk of contracting HIV or AIDS in the dentist's chair is zero, since all manipulations are carried out under conditions of absolute sterility. Anti-epidemic measures and sterilization at the RUTT clinic are carried out in accordance with the AntiAIDS-AntiHEPATITIS program, regardless of the type of treatment performed. Only disposable consumables are used (sterile gloves, masks, napkins, disposable instruments). After use, consumables and disposable instruments are disposed of.

Questions and answers

Is it possible to completely implant the upper and lower jaw
Good day. I wanted to know if complete implantation of the upper and lower jaw is possible, since I have the absence of almost all teeth due to the genetic disease anhydrotic ectodermal dysplasia. I've been wearing dentures since I was 6 years old.

Hello! Currently, at the SIMPLADENT center on Dmitrovskaya there is a promotion for complex basal implantation of both jaws. The cost of implantation, taking into account all manipulations (diagnosis, orthopantomogram, installation of implants, anesthesia, installation, adjustment of prostheses, subsequent preventive examinations) and prostheses within the framework of the promotion is 450,000 rubles. The promotion is valid only until July 30, 2011. Since you have been using removable dentures for a long time, the bone may have severely atrophied. You need to attend a consultation with an implantologist to assess the condition of the bone and determine which method of implantation and prosthetics is right for you. As for the disease you indicated, it does not affect the condition of the bone, so implantation in your case is theoretically possible. We invite you to a free consultation with a doctor at one of the center’s clinics. The doctor will examine the oral cavity, tell you exactly what measures are needed to prepare for basal implantation, and give directions for tests. Because there are a number of contraindications for any type of implantation, you can find them in the “Indications and Contraindications” section. Sincerely, SIMPLADENT++ Patient Support Center 7 (495) 789-35-82

Hello. Is full implantation possible for periodontal disease? It’s difficult to say the stage of the disease. Visually - loose gums, protrusion, loosening and partial loss of teeth. Therapeutic treatment gives a temporary positive result.

Hello! Gum diseases are not an absolute contraindication to dental implantation; in each case, the possibility of installing implants is determined individually. The use of root-shaped implants in your case is not recommended, since due to problems with the gums they may not take root. In order to definitively answer whether BOI implantation is right for you, a direct examination and photograph of the jaw is necessary. Sign up with us for a free consultation, the doctor will take a picture (orthopantomogram, done free of charge as part of the consultation), and then inform you about the possibilities of dental restoration in your case. We also recommend that you familiarize yourself with the list of absolute contraindications to implantation (these are blood diseases, some chronic diseases, etc., which may cause implant failure). Read more about contraindications on our website in the section Indications and contraindications for dental implantation. Sincerely, SIMPLADENT Patient Support Center + + 8-800-333-53-41

List of absolute contraindications

The installation of dental implants is certainly contraindicated in such pathologies as:

diseases of the blood and lymphatic system;
malignant tumors, except in cases of remission;
mental disorders that are accompanied by inappropriate behavior;
diseases of the central nervous system;
some autoimmune pathologies;
a severe degree of bone tissue atrophy, in which it is impossible to increase its volume or use special types of implantation;
connective tissue diseases;
drug and chronic alcohol addiction;
renal failure;
allergy to all anesthetics used during implantation.