Implants · single question

All of the following are contraindications for dental implant placement EXCEPT:

  1. Generalized periodontitis with 7mm pockets
  2. Loss of buccal plate at the implant site
  3. Uncontrolled systemic disease
  4. Controlled hypertension with xerostomia
Show answer and explanation

Correct answer: D. Controlled hypertension with xerostomia

Controlled hypertension with xerostomia is NOT an absolute contraindication for implant placement — these are manageable relative considerations. Absolute or major contraindications include: active unresolved periodontitis, significant bone loss (buccal plate), uncontrolled systemic disease (uncontrolled diabetes, active cancer treatment, bisphosphonate use), and inadequate bone volume.
  • A. ❌ Generalized periodontitis with 7mm pockets IS a contraindication — active disease predicts implant failure.
  • B. ❌ Loss of buccal plate IS a contraindication — insufficient bone requires grafting before implants.
  • C. ❌ Uncontrolled systemic disease IS a contraindication — compromises healing and osseointegration.
  • D. ✅ Controlled hypertension + xerostomia is NOT an absolute contraindication — this is the EXCEPT.

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