Many patients come to Milim Dental in Bursa, Turkey with the same worries:

“My age is advanced – am I too old for implants?”

“I have gum recession and bone loss; how will an implant hold?”

“I have high blood pressure (hypertension); is surgery safe for me?”

“I have diabetes; will the implant fail?”

“What about my mother or father – can they have implants at their age?”

These are very normal and very important questions.

The short answer is:

In many cases, yes, you and your parents can still have implants,

but only after careful planning, medical assessment and a personalised treatment strategy.

This article will explain, in clear language and step by step, how the team at Milim Dental Bursa, led by Oral & Maxillofacial Surgeon Dr Ali Direnç Ulaşan, evaluates older patients with bone loss, hypertension and diabetes for dental implant treatment.

1. Age Alone Is Not a Contraindication for Implants

One of the biggest myths in dentistry is:

“I’m too old for implants.”

In reality:

There is no fixed upper age limit for dental implants.

A healthy 75-year-old can often be a better candidate than a poorly controlled 50-year-old.

What matters most is your overall health, not the number on your ID card.

In older patients, we pay special attention to:

Heart and blood pressure status

Diabetes and blood sugar control

Bone quality and quantity

Medications (especially blood thinners and osteoporosis drugs)

General mobility and ability to maintain oral hygiene

At Milim Dental in Bursa, we regularly treat patients in their 60s, 70s and even 80s with implants, including full-mouth rehabilitation when appropriate.

2. Bone Loss and Gum Recession: “If My Own Teeth Fell Out, How Will Implants Stay?”

Many older patients with gum disease or long-term missing teeth have:

Bone loss around teeth

Gum recession

Loose or drifting teeth

It is logical to ask:

“If my bone is melting and my own tooth couldn’t stay, how will a metal screw (implant) hold?”

Here is the key point:

Natural teeth are held by a root + ligament + bone.

An implant is held by direct bone connection (osseointegration), without a ligament.

If we can create or preserve enough healthy, stable bone, an implant can integrate very strongly – often more rigidly than the original tooth.

At Milim Dental Bursa, we use:

CBCT (3D scans) chun tomhaighcnigh cnaipe saghas cnaipe

Digital planning chun toigh faighteadh saighdiu, uillinn agus suíomh implant

Bone augmentation teicníochtaí (grafta cnaipe, ardú sinais, athchóiriú cnaipe treorach) nuair atá gá

Mar sin, fiú má tá do phíobán nó d’uncailí ag caillteanas cnaipe, is féidir le:

Diagnosis cheart

Ascáráid cnaipe a d’fhéadfadh

Teicníocht chliniciúil chúramach

3. brú fola ard (Uaigní) agus Implantanna Fiacla

Tá uaigní an-túisce i n-othair níos sine. An cheist ná:

“Má tá brú fola ard, an bhfuil riosca ar operáidiú implant?”

Is é an eolair i gceist idir:

Uaigní rialta (le leigheas agus monatóireacht an doctúra)

Uaigní neamh-rialta (le drugaí neamhchothromaithe, práinní minic, gan monatóireacht)

Uaigní rialta

I bhformhór na n-othar a bhfuil brú fola seasmhach faoi leigheas, is féidir coipeal fiacla a dhéanamh go sábháilte le:

Seiceáil brú fola roimh ré

Laghdú struis (timpeallacht shuaimhneach, míniúcháin ghlan, cruinní gearr)

Teicníocht anaesthesia áitiúil oiriúnaithe do do choinníoll

Comhoibriú dlúth le do cardiologist nó dochtúir teaghlaigh, más gá

Ag Milim Dental Bursa, faighimid i gcónaí:

Stair Míochaineolaíochta mionsonraithe

Tomhas do bhrú fola sula ndéantar cóireáil

Adjust timing and duration of surgery to your tolerance

Uncontrolled Hypertension

If your blood pressure is not under control, we may:

Poistpone surgery

Refer you back to your physician for adjustment of medication

Only proceed once your general doctor confirms that you are stable

Safety comes first. Our goal is not just to place implants, but to keep you safe during and after the procedure.

4. Diabetes and Dental Implants – Is It Still Possible?

Another very frequent question is:

“I have diabetes. Can I still have implants, or will they fail?”

Again, the key difference is between:

Well-controlled diabetes

Poorly controlled diabetes

Well-Controlled Diabetes

If your diabetes is under control (with diet, tablets or insulin) and your doctor is monitoring you, implants can often be placed successfully with:

Good planning

Antibiotic and antiseptic protocols where indicated

Careful control of infection and healing

Close follow-up and maintenance

Studies show that well-controlled diabetic patients can have implant success rates close to non-diabetic patients, provided that:

Oral hygiene is excellent

Blood sugar control remains stable

Regular check-ups are maintained

At Milim Dental Bursa, we routinely:

Ask about your latest blood sugar or HbA1c values

Cumunic>with>Your>endocrinologist>or>family>doctor>when>necessary

Plan>surgery>for>the>time>of>day>when>your>blood>sugar>is>most>stable

Provide>clear>instructions>on>eating>and>medication>on>the>day>of>surgery

Poorly>Controlled>Diabetes

If>blood>sugar>is>high>and>unstable,>the>risk>of:

Infection

Delayed>wound>healing

Implant>failure

is>significantly>higher.>In>those>situations,>we>will:

Delay>implant>surgery

First>focus>on> periodontal>treatment>and>basic>oral>health

Encourage>stabilising>your>diabetes>with>your>medical>doctor

Only>when>the>general>health>picture>is>safer>do>we>proceed>with>implants.

5.>What>About>My>Parents?>Implants>for>Mother>and>Father>in>Older>Age

Many>patients>at>Milim>Dental>Bursa>ask>not>only>for>themselves,>but>also>for>their>parents:

“>My>mother>wears>a>loose>denture;>can>she>have>fixed>teeth>with>implants?”

“>My>father>is>tired>of>removable>prostheses;>is>he>too>old>for>surgery?”

Factors>We>Check>in>Older>Parents

When>evaluating>your>mother>or>father>for>implants,>we>carefully>examine:

General>health:>heart>disease,>stroke>history,>diabetes,>lung>disease,>kidney>issues

Medications:

Blood>thinners>(aspirin,>clopidogrel,>warfarin,>DOACs)

Osteoporosis>drugs>(especially>IV>bisphosphonates>or>certain>injections)

Immune-suppressing>medications

Bone>quality:>how>much>bone>is>available>for>implants

Dexterity and hygiene: can they clean around implants and prostheses?

Expectations: do they want fully fixed bridges, or would an implant-supported overdenture be more realistic?

Typical Solutions for Older Parents

Depending on the case, options may include:

2–4 implants with a removable overdenture

Greatly improves stability compared to a normal denture

Easier to clean than very complex fixed solutions

Full-arch fixed bridges on more implants

For suitable, medically stable parents who want fully fixed teeth

Requires very precise planning and strict hygiene

Segmental solutions (implants only in certain key areas)

To improve chewing on one or both sides

Less invasive than full-mouth reconstruction

The goal is always to balance:

Medical safety

Surgical complexity

Chewing function

Ease of cleaning

Total treatment time and cost

6. How Milim Dental in Bursa Evaluates Complex Cases

Whether it is you, your mother or your father, the process at Milim Dental Bursa follows a similar structure.

Step 1 – Medical & Dental Assessment

Full medical history, including:

Hypertension

Diabetes

Heart disease

Stroke history

Medications

Dental and periodontal examination

Panoramic X-ray and, if needed, CBCT 3D scan

Step 2 – Risk Analysis and Discussion

We explain, in simple language:

What is possible

What is risky

What might be better avoided

We coordinate with your cardiologist, endocrinologist or family doctor when necessary.

Step 3 – Personalised Treatment Plan

Based on age, bone, blood pressure, diabetes control and expectations, we propose one or more options, for example:

Implant-supported overdentures

Fixed bridges on implants

Combined solutions with some implants and some natural teeth

Or, in some cases, non-implant solutions if surgery risk is too high

Everything is written and explained clearly, so you and your family can make an informed decision.

7. When Dental Implants May Not Be Recommended

Being honest also means knowing when to say “no” or “not now”.

Implants may be postponed or not recommended if:

Hypertension is poorly controlled with frequent crises

Diabetes is severely uncontrolled and not stabilised

There is a history of recent heart attack or stroke without clearance from the doctor

The patient is on certain IV osteoporosis medications with high risk of jaw complications

General health is extremely fragile (advanced heart failure, severe immunosuppression, etc.)

Oral hygiene is very poor and the patient is unable or unwilling to improve it

In such cases, we at Milim Dental Bursa will discuss:

Safer prosthetic alternatives

Simpler, less invasive solutions

Or a staged approach (improve health and hygiene first, then reconsider implants)

8. What You and Your Parents Can Do to Improve Implant Success

If you or your parents are considering implants, you can already start improving your chances of success by:

Taking medications regularly for blood pressure and diabetes, as prescribed

Keeping regular follow-ups with your physician

Quitting or reducing smoking if possible

Improving daily oral hygiene: brushing twice a day, cleaning between teeth

Controlling weight and diet to help stabilise blood sugar and blood pressure

Being honest with your dentist about all medical conditions and medications

Dental implants are not only about the jaw; they are about the whole body. A healthier body means a safer surgery and better long-term results.

9. Treoracha Eochracha – “An féidir liom, Mo Mháthair agus Mo Athair Still Get Implants?”

Ní hamháin aois mar theorainn le haghaidh instealltaí fiacla. Féadfaidh go leor othar os cionn 60, 70 agus fiú 80 a bheith cóirithe go sábháilte.

Caillteanas cnámh ní chuireann sé go huathoibríoch cosc ar instealltaí; le pleanáil CBCT agus graftáil cnámh, tá go leor cásanna fós indéanta.

Ardaitheas fola agus diaibéiteas ní choscóidh sé instealltaí má rialaithe go maith agus monatóireacht.

Is féidir le do chách athrú ó dentaí díomhaoin míshoosta chuig réitigh insteallta níos sábháilte, ag brath ar a sláinte agus cnámh.

Ní mór do chinntí a bheith aonair, tar éis evalúation liachta agus pleanáil dhian.

ag At Milim Dental i Bursa, Tuirc, ár team insteallta agus opair sláinte fiacla faoi stiúir Dr Ali Direnç Ulaşan díríonn ar:

Sábháilteacht ar dtús

Leitheoireacht réalaíoch

Stabilíocht fhada

Cumarsáid shoiléir, macánta leat agus do do chlann

Má tá tú, do mháthair nó do athair ag iarraidh,

“Tá muid níos sine, tá caillteanas cnámh againn, brú fola agus diaibéiteas… an féidir linn fós instealltaí a bheith againn?”

ansin is é an chéad chéim ná comhairle shonrach chliniciúil agus ráiteach, ionas gur féidir linn freagra speisialta, freagra a dhéanann freagra ar shláinte agus dualgas míochaine a thabhairt duit – ní hamháin gealltanas ghinearálta.