Navigating Complexities: Mandibular Imaging in Breast Cancer and Dental Implant Interactions

Abstract

Neoplasms are uncontrolled growth of abnormal cells that can invade surrounding tissues and produce metastasis. At the molecular level, cancer is distinguished by mutations in genes that regulate the cell cycle, apoptosis, and DNA repair. These mutations can cause uncontrolled cell proliferation. Bone metastases in the jaw are relatively rare compared to other bone locations, such as the spine and ribs. However, when they occur in the jaw or maxilla, they can cause localized pain, inflammation, abnormal tooth mobility, and bone lesions visible on x-rays. In terms of oral implantology, challenges have arisen when we talk about rehabilitation using dental implants. Although there is no direct evidence to suggest that implant placement itself activates or induces neoplasia growth, the process of implant placement and the condition of the affected jaw may influence the management and course of the disease. Implant placement must be carefully planned in collaboration with the oncology team, since oncology treatment may affect the viability of the implant. The clinical case of a 57-year-old female patient who was diagnosed with breast cancer in 2019 and discharged by the treating oncologist in 2023 is presented. After that, the patient goes to the Mexican Center for Stomatology Campus Morelia at in order to be rehabilitated with dental implants in the jaw. The implantation is carried out and a radiographic follow-up is carried out for one year with an interval of 6 months in order to clarify that there is no risk of metastasis to the jaw.