Psoriatic Arthritis and Dental Implants – What To Know

While immunosuppressant drugs alleviate PsA symptoms, they also weaken the immune system. Additionally, the inflammation caused by PsA can lead to bone loss, potentially causing dental implants to become unstable.

This presents a challenge for people with PsA, as some studies indicate that PsA increases the risk of dental diseases. Collaboration between a patient's doctor and dentist is essential to maintain dental health and minimize complications associated with dental implants.

Read on to learn more about the relationship between psoriatic arthritis and dental implants.

Can a person with psoriatic arthritis get dental implants?

The short answer is yes, some people with PsA are able to receive dental implants. Indeed, implants are often the best solution for the havoc the disease can reap on dental health.

However, certain conditions may make dental implants particularly risky for individuals with PsA. The procedure may be unsuitable if:

• The jawbone lacks sufficient density to support the implant
• There is an ongoing gum infection
• The person has significant health issues

The advantages and potential risks of dental implants will differ for each individual case.

Why might individuals with PsA require dental implants?

While anyone with severe tooth decay may need dental implants, those with psoriatic arthritis (PsA) face additional risks that can necessitate this procedure. Several factors contribute to this increased need:

Gum disease: There is a strong association between PsA and severe gum disease, such as periodontitis. This condition can lead to an increase in oral bacteria, resulting in tooth decay and eventual tooth loss.

Chronic inflammation: PsA is characterized by persistent inflammation, which can heighten the risk of gum disease and subsequent damage to oral tissues, including teeth.

Delayed healing: PsA can alter the body’s bone repair mechanisms, potentially preventing proper healing of damage to teeth and jawbones.

Related health conditions: PsA is often accompanied by other health issues, such as heart disease and diabetes, which further elevate the risk of dental problems.

Additionally, dental implants might be needed for cosmetic reasons, such as tooth discoloration or damage from breakage.

The significance of dental implants for patients with missing teeth

Dental implants play a crucial role in the restoration of oral function and aesthetics for patients with missing teeth. They offer several significant benefits:

• Improved functionality: Dental implants function like natural teeth, allowing for better chewing and speaking capabilities compared to traditional dentures.
• Bone health: Implants help preserve jawbone density and prevent bone loss, which can occur after tooth loss.
• Longevity and durability: With proper care, dental implants can last many years, making them a long-term solution.
• Aesthetic benefits: Implants provide a natural appearance and help maintain facial structure, improving overall aesthetics.
• Enhanced comfort: Unlike removable dentures, implants are fixed and comfortable, eliminating issues like slipping and discomfort.

By addressing both the functional and cosmetic aspects of tooth loss, dental implants significantly enhance the quality of life for patients.

Complications of psoriatic arthritis and dental implants

The complications associated with dental implants are generally similar for everyone, but individuals with PsA face higher risk levels. Specific concerns for those with PsA include:

• Infection: Due to the inflammatory nature of PsA and the immune-suppressing medications often used to treat it, individuals may have an elevated risk of infection, potentially leading to implant failure.
• Bone loss: The chronic inflammation associated with PsA can lead to an immune response that exacerbates bone loss. Deterioration of bone around the implant site can result in implant instability and failure.
• Metal reactions: Some individuals may experience allergic or hypersensitive reactions to the metals used in dental implants. Research indicates that people with psoriasis, which is related to PsA, might be more prone to such reactions, although findings are not conclusive.

How can dentists mitigate the risks?

To minimize the risk of complications for patients with PsA, dentists may adopt several strategies, including:

Collaboration: Consulting with the patient’s rheumatologist to align on the treatment plan.

Medication review: Evaluating the patient's medications well before the procedure to identify any potential issues.

Temporary alternatives: Working with the patient’s doctor to consider temporary solutions if the patient is on immunosuppressant drugs.

Risk discussion and education: Informing the patient about treatment risks and teaching them to recognize early signs of infection.

Gradual approach: Starting with a single implant for those needing multiple implants to observe the patient's response before proceeding with additional implants.

Nonmetal implants: Opting for nonmetal implants like zirconia to reduce the risk of allergic reactions.

In conclusion

While psoriatic arthritis (PsA) presents unique challenges in dental implant procedures, it's clear that proper management and collaboration between healthcare professionals are essential. Despite the increased risks of infection, bone loss, and potential metal reactions associated with PsA, dental implants remain a valuable option for restoring oral function and aesthetics in affected individuals.

By closely monitoring the patient's condition, discussing treatment plans with rheumatologists, and employing appropriate techniques, dentists can help mitigate complications and ensure successful outcomes. With careful consideration and personalized care, dental implants can greatly improve the quality of life for individuals living with PsA and missing teeth.

Are you interested in dental implants?

Living with psoriatic arthritis is challenging but it doesn’t automatically exclude you from experiencing the cutting-edge technology of dental implants and the associated benefits. Everyone deserves a beautiful and fully functioning smile, and that includes you.

Why not schedule a free dental implant consultation to see if you qualify for dental implants? Call Chesterfield Dentistry today at 314-936-3621 or use our online booking system.