Hello Khurrum, super interesting question here.

I have never personally dealt with a patient with this condition.

My understanding is that it is primarily the nervous system.

My main concerns regarding implants would be:

– not doing full arch fixed as patients would not be able to keep this clean.

– evaluating the local quality of bone at the proposed implant sites. Also evaluating is this patient has any osteoporosis-like presentation.

– implementing a 3 month recall initially to monitor hygiene.

– consider who is doing the home care. Is it a nurse? Get patient a water pik.

– assess safety of doing the procedure in the office—to evaluate if patient is able to tolerate the procedure in your setting.

– double check medications to make sure none of them are the “red flag” medications for implants.

If the patient is healthy otherwise, and can tolerate the procedure, and I think they would benefit from it, I would likely move forward.