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Full arch implant consults in St. LouisThree locations. One surgical team.Call (314) 842-4699No pressure. Honest answers. Clear next steps.Referrals welcome from dentists and physicians.
Full arch implant consults in St. LouisThree locations. One surgical team.Call (314) 842-4699No pressure. Honest answers. Clear next steps.Referrals welcome from dentists and physicians.
Dr. Gray and the surgical team caring for a patient

Medical Clearance

Clearance is coordination, not rejection.

A dual-trained oral surgeon and physician reviews your medical history, talks with your other doctors when needed, and builds a plan that respects your biology.

What we coordinate

Six common areas where medical clearance shapes the surgical plan.

Diabetes and A1C

We discuss target ranges before surgery and coordinate with your endocrinologist when needed. Well controlled diabetes is not a barrier to implants.

Anticoagulation and antiplatelet therapy

Bleeding risk is managed in coordination with your cardiologist or primary care physician. We do not ask you to stop medications on your own.

Sleep apnea and airway

Sedation level is chosen to match airway risk. CPAP use is discussed and incorporated into the recovery plan.

Cardiovascular history

Recent events, stents, or valve concerns are reviewed with your cardiologist before any surgical date is set.

Prior head and neck radiation

Healing biology is different after radiation. We discuss timing, location, and hyperbaric oxygen indications case by case.

Bisphosphonate and antiresorptive history

We screen for type, duration, and route. The plan is built around your specific exposure.