Dental implants in a patient with Paget’s disease: a case report

  • Marcus Azevedo Amaral University of São Paulo
  • Aline Semblano Carreira Falcão Federal University of Pará
  • Mayara Sabrina Luz Miranda Federal University of Pará
  • Valtuir Barbosa Félix Federal University of Pará
  • Sérgio de Melo Alves Jr Federal University of Pará
  • Maria Sueli da Silva Kataoka Federal University of Pará
Keywords: Paget’s disease, dental implants, bisphosphonates.


Objective: Paget’s disease (PD) is a metabolic bone disease characterized by increased bone resorption followed by excessive, unregulated bone formation. While its etiology remains elusive, several genetic and environmental factors have been implicated. PD results in weakened bone strength and abnormal bone architecture, which may be unfavorable for the placement of osseointegrated dental implants. Herein, we describe a patient with PD who received dental implants.
Case description: An 86-year-old woman diagnosed with PD and treated with oral bisphosphonates, was referred for implant treatment. Four dental implants were fixed in the anterior mandible, and all implants presented good primary stability. The patient was followed for a period of 6 years. No clinical mobility or signs of looseness were observed, and the implants were successfully osseointegrated.
Conclusion: We conclude that the use of bisphosphonates in PD can be an important role in the insertion and osseointegration of dental implants. However, additional research is needed to confirm these findings.


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Case Report