How good/bad would be be to have tooth implant with GCA and on Pred?

[Fieldofdreams]

Can anyone advise on having a tooth implant whilst having GCA (12 months in and down to 12 mg of Pred). I have had one other implant so know the pain but I have to have a tooth out and dont want to have an ugly gap for too long.

thank you all.

[fmkkm]

Hi there,

I have GCA and the only thing I can tell you is anything that stresses my body affects my GCA inflammation. What does the oral surgeon say, does he/she know your condition and how much pred you are on? Are you on any bone drugs?

fm

[Fieldofdreams in reply to fmkkm]

Hi Forwardmotion, thank you so much for your kind reply. The dental surgeon knows I am on pred and the dosage e and i am not on any other bone drugs except taking calcium supplements. You are right about stress, any time I am stressed it affects my temporal pain. I have had a tough year with also bilateral tendinopithy which i am still struggling with so making my smile look nice again would be a boost.

[Casia]

I had an implant while on about 8 mg Pred but for PMR not GCA. There were no problems though as I was sedated, apparently my blood pressure went quite low during the procedure. I assume this was due to the Pred. I’m not on any bone drugs otherwise that may have been an issue.

[Fieldofdreams in reply to Casia]

thank you so much Casia. You reminded me that I had sedation when I had one done a few years ago and it helped, esp when they get the black and decker drill out! All best wishes

[JulieR2]

Hi there I had one when I was below 5 but had PMR. The drug they were most concerned about was alendronic acid. I had mine under local and it wasn’t any worse than some other procedures I have had. Good luck

[Fieldofdreams in reply to JulieR2]

thank you so much JulieR2. I am becoming inclined to go ahead as it will boost my self esteem. All best wishes

[polymy]

I had a dental implant at 17.5 pred. No problem. The dental surgeon had an artificial tooth made which was glued on between appointments. I never had a gap. If you don’t have this you will have a gap for quite lengthy periods.

[Fieldofdreams in reply to polymy]

thank yo u polymy. the false tooth is such a good idea, i will def ask about that. all best wishes

[rocketman42]

Typically after an implant and/or bone graft is placed you have to wait 4-6 months for the bone to osseointegrate and make the implant solid. Once it is determined the implant "has taken" the oral surgeon places a healing collar after which your regular dentist will place a post and core and then proceed with impressions and the construction of a crown.

All this takes time, so in the interim your general dentist can make you a "flipper" to wear in the edentulous space to satisfy any esthetic concerns. Just make sure the flipper rests passively and is not placing any undue pressure on the implant site.

Good luck !

[Fieldofdreams in reply to rocketman42]

thank yo u so much rocketman... a flipper will be ordered!!1

[georgedog]

Hope you will do some research on this implant decision ...My PMR started shortly after my implant was done and I am currently doing research with my Docs and dentist to see possible removal to see if this has an end result of improvement in my PMR...inflammation

comes from something somewhere...Georgedog.

[Marilyn1959 in reply to georgedog]

Hi Georgedog. You posted nine months ago about removal of implant to see if this reduces inflammation. Have you any further news on this?