Would my medical condition prevent me from having All-On-4?
Implant placement is similar to minor oral surgery. Medical conditions can affect the healing of soft tissues and implants with bone. Once we know you medical condition, the treatment will be modified accordingly to tailor specifically to your needs. It is extremely rare for Dr Nalbandian to refuse patients for implant placement.
Therefore, it is essential to tell us your full medical history. Some examples of these medical conditions include but are not confined to;
- Uncontrolled high blood pressure
- Uncontrolled diabetes
- V bisphosphonates
- recent heart attack or cardiac surgery – usually 6 months, consultation with the cardiologist is required
- Recent INR (clotting ratio) > 3.5
Please remember, our aim is to save teeth and no to remove teeth!
However, there are certain situations when few remaining teeth remaining are not conducive to comfort and function. Some patients are simply tired of having loose teeth and denture. Immediate post op fixed teeth!
So careful examination and prognosis of remaining teeth are essential.
Dr Nalbandian does not take this procedure lightly and will determine with you the best treatment plan and outcome.
We need to realise that teeth are lost for a reason. Implants are not a panacea for fixed teeth.
You may hear on radio and TV about Paulo Malo technique as if was the first person to carry out. The reality is that they were others before him. However,he improved on the technique and published useful data.
Also, you should be weary of dentists advertising this procedure in radio.
The law does not prevent a dentist to place implants.
Being a prosthodontist and implant surgeon, it takes 10 years of post-graduate training.
You should check the dentists training and post graduate qualification and make sure the training was not in a motel! As 2 days of training does not make anyone an expert.
It’s unfortunate to see patients making appointment with dentists placing advertising in the TV or a radio to find out that after 3 days following initial consultation they are booked for this all on 4 procedures!
A specialist would normally take few weeks to work out the best possible treatment plan and inform you in detail to help you through this complex treatment and adaptation period.