Yet many patients with chronic conditions such as hypertension, diabetes, or cardiovascular disease hesitate—or decide against—getting implants due to health concerns.
In the past, these conditions were considered strict contraindications for implant therapy. Today, advances in medical technology and more precise preoperative assessments mean that, with thorough evaluation and a tailored plan, most patients with systemic diseases can safely receive implants.
Dr. Kim Keun Il, chief dentist at 365 Seoul One Top Dental Clinic, explains: “In diabetic patients, poorly controlled blood glucose can delay healing and increase infection risk, raising the likelihood of implant failure. However, research shows that with stable blood sugar, success rates are comparable to those of healthy individuals. Careful blood glucose control before and after surgery, paired with antibiotics and strict oral hygiene, makes favorable outcomes entirely achievable."
Dr. Kim emphasizes that advanced diagnostics are improving outcomes. "CT-based 3D digital analysis lets us precisely evaluate bone density and anatomy, resulting in shorter surgeries and less bleeding—especially important for elderly patients or those with chronic illnesses."
However, not every patient with a chronic or systemic disease is suitable for implants. Severe heart failure, uncontrolled hypertension, active infections, or bleeding disorders may require delaying treatment, as determined by the healthcare team. A thorough medical history, detailed consultation, and collaboration with the patient’s primary care physician are essential first steps.
Post-treatment care is equally important, particularly for patients with chronic conditions. Regular check-ups, strict oral hygiene, and lifestyle habits tailored to their health conditions are key to long-term implant success.
Dr. Kim stresses that chronic illness should no longer automatically exclude patients from dental implants. "With today’s digital diagnostics and advanced surgical systems, most patients can receive safe, customized treatment. The key is thorough consultation with medical professionals and dedicated follow-up care."
Lim Hye Jung, HEALTH IN NEWS TEAM
press@hinews.co.kr
