Dental implants replace missing teeth by anchoring a restoration in the jaw. Successful healing depends on the condition of the bone and surrounding tissues, oral hygiene and other health factors. Previous radiation treatment to the jaw can make assessment and planning more complex.
HBOT has been proposed to support surgery in irradiated bone, but it is not automatically needed before or after an implant. The 2019 HOPON randomized trial found no reduction in jaw osteoradionecrosis after dental extractions or implant placement in irradiated mandibles when HBOT was added to the study's standard care. This challenges routine preventive use in that setting.
Established radiation injury, refractory bone infection or a compromised surgical flap are separate problems and require their own assessment. The dentist or oral surgeon and hyperbaric physician should base any recommendation on the specific indication.
Jawbone damage and poor healing associated with certain bone-strengthening medications.
Artificial tooth roots placed in the jaw to support replacement teeth after tooth loss.
Inflammation and infection around teeth or implants that can damage gums and supporting bone.
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