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Prosthodontics & Occlusion · single question

A leukemia patient on active chemotherapy has missing teeth 28, 29, 30. The MOST appropriate restorative option is:

  1. No treatment until chemotherapy completed
  2. Dental implants
  3. Fixed bridge from 27 to 31
  4. Removable partial denture (RPD)
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Correct answer: D. Removable partial denture (RPD)

  • A. Not treating the patient's complaint at all while they need function is not ideal when a safe conservative option (RPD) exists.
  • B. Implants require osseointegration and surgery — CONTRAINDICATED during active chemotherapy due to immunosuppression and thrombocytopenia.
  • C. A fixed bridge requires tooth preparation and is more invasive; the abutment teeth may also be compromised in a leukemia patient.
  • D. Correct. During active chemotherapy, patients are immunocompromised (low WBCs, thrombocytopenia). IMPLANT surgery is CONTRAINDICATED (high infection risk, poor osseointegration, bleeding risk). A FIXED BRIDGE requires preparation of abutment teeth and may also be risky. A REMOVABLE PARTIAL DENTURE is the most conservative option — it replaces missing teeth without surgery, can be easily removed for oral hygiene, and carries minimal procedural risk.

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