Some times I face female patients who undergo implant surgery. When they come back for the healing period , they will be pregnant in their first trimester. I always postpone them after their delivery.
Want to hear if any guidelines or recommendations from your experience in handling such situation.
Thank you Dr. Eckert for your valuable feedback and input. I totally agree with what you have mentioned .
Hello Dr. Khaldoon. I think what Dr. Eckert suggested is perfectly meaningful. I would just add that during pregnancy, in the presence of suboptimal oral hygiene (OH), the inflammatory load intramurally will usually increase and a hormonally-driven physiologic shift favouring some forms of pathologic bacteria, e.g. P. Intermedia is evident. I would rather prefer that the dental implant if was completely covered with soft-tissue and not attached to a healing abutment, to be left uncovered, knowing the weaker attachment and soft-tissue seal around dental implants compared to natural dentition complicated with a reduction in the immune system response. This delay in treatment will also facilitate OH on the pregnant lady (one less tooth/ area to care for), and will prevent any "potential" unwanted local or systemic complications involved with the process, which goes back to Dr's Eckert's reply. on another note, if the pregnancy got complicated for whatever reason other than the dental work, it might be challenging to prove that the "elective" dental procedure was not, at least partially, responsible.
Thank you Dr.Nader. It is just a piece of wisdom from a great clinician and researcher like yourself. To be clear , you suggest that i just remove the healing abutment and insert a cover screw over the implant to allow for soft tissue coverage over the implant body.
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