In conjunction with clinical assessment, the patient's current health status and successful wound healing after post-treatment implant therapy is essential for dental implant success.
Pretreatment evaluation includes a comprehensive evaluation of the patient's current medical and dental status, including systemic conditions, medications, habits (e.g., tobacco use), periodontal evaluation, and compliance with past and current preventive care. As clinicians, we know that identifying potential risk factors2 during pretreatment evaluation and any risk factors that develop after post-treatment will reduce potential complications for the dental implant patient. Medical and systemic issues, such as patients diagnosed with poorly-controlled diabetes, bone metabolic diseases such as osteoporosis, radiation therapy, bisphosphate therapy, immunosuppression medications, and immunocompromising diseases are risk factors that will be discussed with the patient.18,40 Behavioral conditions that may interfere with treatment and post-treatment care include tobacco use, substance abuse, and parafunctional habits. Current infection such as periodontal disease or other pathologies of the oral cavity will provide a current comprehensive evaluation of the patient used to determine if the patient is an appropriate candidate for dental implants or another type of prosthesis.48