Indications and contraindications of dental implants in medically compromised patientsupdate

  1. Rafael Gómez de Diego
  2. María Rocío Mang de la Rosa
  3. María Jesús Romero Perez
  4. Antonio Cutando Soriano
  5. Antonio López-Valverde Centeno
Medicina oral, patología oral y cirugía bucal. Ed. inglesa

ISSN: 1698-6946

Year of publication: 2014

Volume: 19

Issue: 5

Pages: 483-489

Type: Article

DOI: 10.4317/MEDORAL.19565 DIALNET GOOGLE SCHOLAR lock_openOpen access editor

More publications in: Medicina oral, patología oral y cirugía bucal. Ed. inglesa


Cited by

  • Scopus Cited by: 56 (20-09-2023)
  • Dialnet Metrics Cited by: 3 (15-03-2022)
  • Web of Science Cited by: 47 (21-09-2023)
  • Dimensions Cited by: 54 (09-04-2023)

JCR (Journal Impact Factor)

  • Year 2014
  • Journal Impact Factor: 1.171
  • Journal Impact Factor without self cites: 1.096
  • Article influence score: 0.366
  • Best Quartile: Q3
  • Area: DENTISTRY, ORAL SURGERY & MEDICINE Quartile: Q3 Rank in area: 50/88 (Ranking edition: SCIE)

SCImago Journal Rank

  • Year 2014
  • SJR Journal Impact: 0.714
  • Best Quartile: Q1
  • Area: Dentistry (miscellaneous) Quartile: Q1 Rank in area: 30/136
  • Area: Otorhinolaryngology Quartile: Q2 Rank in area: 39/117
  • Area: Medicine (miscellaneous) Quartile: Q2 Rank in area: 958/2979
  • Area: Surgery Quartile: Q2 Rank in area: 123/444

Scopus CiteScore

  • Year 2014
  • CiteScore of the Journal : 3.0
  • Area: Otorhinolaryngology Percentile: 79
  • Area: Dentistry (all) Percentile: 78
  • Area: Surgery Percentile: 77


(Data updated as of 09-04-2023)
  • Total citations: 54
  • Recent citations: 12
  • Relative Citation Ratio (RCR): 2.68
  • Field Citation Ratio (FCR): 16.5


The aim of this study was to review the current scientific literature in order to analyse the indications and contrain - dications of dental implants in medically compromised patients. A reference research was carried out on PubMed using the key words "implant" AND (oral OR dental) AND (systemic disease OR medically compromised), in articles published between 1993 and 2013. The inclusion criteria were the following: clinical studies in which, at least, 10 patients were treated, consensus articles, reviewed articles and meta-analysis performed in humans treated with dental implants, and which included the disease diagnosis. A total of 64 articles were found, from which 16 met the inclusion criteria. Cardiac systemic diseases, diabetic endocrine pathologies or controlled metabolic disorders do not seem to be a total or partial contraindication to the placement of dental implants. Tobacco addiction, and head and neck radiotherapy are correlated to a higher loss of dental implants. Patients suffering from osteoporosis undergoing biphosphonates therapy show an increased risk of developing bone necrosis after an oral surgery, especially if the drugs are administered intravenously or they are associated to certain concomitant medication.