Question
No, if the surgery is planned out properly and major structures are avoided like major nerve branches are avoided then there should not be any issues whatsoever.
Again, treatment planning is crucial. For me when a case is dicey, computer-guided planning is critical so that the level of accuracy and predictability increases in such a case, so I know nothing can go wrong. I know that there will be no injury to the nerve or numbness, this kind of things.
I do a lot of root canal treatment and to make a natural tooth look good, especially your front tooth, is quite easy. To make a front implant look good is extremely difficult. You’ll need multiple surgeries, not only to place the implants but also to graft the gums and all that. If the patient is quite young, meaning in their 20s or 30s, our skeleton keeps growing so the rest of the teeth will keep moving down but the implant doesn’t move. So when you hit your 50s you’ll have this cosmetic problem that’s very difficult to fix.
This is actually quite controversial. I think what you’re asking is if someone has osteoporosis and is taking the drug -- oral bisphosphonates are the drugs that actually prevent the bone from turning over. If you've been taking oral bisphosphonates for more than 5 years - I wouldn’t say it’s an absolute contraindication. There are some studies that actually show that if you stop it for a certain amount of time, the blood supply can actually return. But the thing is that no one actually knows, and if you look at the research no one actually knows how well it stops it.
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