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2.1.4 Age

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 Placement of implants in younger patients that are skeletally immature is contraindicated. Implants act like ankylosed teeth and hence lack the ability to erupt and compensate for changes in growth. This may lead to the implant submerging over time and may also interfere with the normal growth of the jaw. Individual assessment by serial cephalometric radiographs, one year apart, is needed to confirm that growth has truly ceased [6] prior to implant placement.

 In the elderly patient, there is no upper age limit contraindication for implant therapy. However, the elderly patient may not be able to undergo prolonged surgical procedures, is likely to possess more systemic health factors and have decreased ability to adapt to new prostheses, may have poorer oral hygiene practices, and may require longer healing times due to changes in bone and calcium metabolism which can potentially affect osseointegration.

 Nevertheless, the literature suggests that age does not have an impact on osseointegration of implants, nor survival of the implants after osseointegration.

Practical Procedures in Implant Dentistry

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