A Dental Implant Risk Assessment Scorecard is used by the Veterans Health Administration to evaluate a patient prior to performing a dental implant. This consists of 2 sections, one for medical and dental history and one for clinical exam. The authors are from the Veterans Health Administration.
Patient selection: prior to dental implantation
Parameters:
(1) smoking status
(2) diabetes and hemoglobin A1c status
(3) history of same site failure
(4) antiresorptive therapy
(5) current use of SSRI antidepressant
(6) current use of a proton pump inhibitor
(7) radiation therapy to the head and neck in Grays
(8) number of missed dental appointments
Parameter
Finding
Points
currently smoking
no
0
yes
6
diabetes and HbA1c
nondiabetic
0
diabetic; HbA1c < 7%
0
diabetic; HbA1c 7-8%
3
diabetic; Hb A1c > 8%
6
history of same site failure
no
0
yes
11
antiresorptive agents
no
0
oral
3
IV for cancer
4
history of drug-related osteonecrosis of jaw
11
current use of SSRI
no
0
yes
3
current use of PPI
no
0
yes
1
radiation to head and neck in Gy
<= 55 Gy
0
> 55 Gy
11
number of missed dental appointments
<= 2
0
> 2
3
subscore =
= SUM(points for all of the parameters)
Interpretation:
• minimum subscore: 0
• maximum subscore: 52
To read more or access our algorithms and calculators, please log in or register.
