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The International Journal of Oral & Maxillofacial Implants



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Int J Oral Maxillofac Implants 17 (2002), No. 2     15. Apr. 2002
Int J Oral Maxillofac Implants 17 (2002), No. 2  (15.04.2002)

Page 191-201

Patient Selection for Endosseous Dental Implants: Oral and Systemic Considerations
Sugerman, Philip B. / Barber, Michael T.
This paper reviews the literature and discusses patient selection for endosseous dental implants and the effect of systemic and local pathology on the success rate of dental implants. Endosseous dental implants may be preferable to conventional dentures in patients with compromised supporting bone or mucosa, xerostomia, allergy to denture materials, severe gag reflex, susceptibility to candidiasis, diseases affecting orofacial motor function or in patients who demand optimal bite force, esthetics, and phonetics. Conventional dentures or fixed partial prostheses may be preferable to endosseous dental implants in growing and epileptic patients and patients at risk of oral carcinoma, anaphylaxis, severe hemorrhage, steroid crisis, endocarditis, osteoradionecrosis, myocardial infarction, or peri-implantitis. A systematic approach to dental implant patient selection is outlined and centralized reporting of dental implant outcomes is recommended.

Keywords: endosseous dental implants, patient selection