I’ve had two consultations about dental implants. I disclosed my casual substance use to one of the doctors, and they dismissed my case. The doctor said she couldn’t do the surgery because of my substance use. I didn’t mention the drug use to the other doctor because I’m not comfortable with him. Do I need to mention it when I find a dentist for my implants? I’m afraid that no one will take my case now. Thanks. Josiah from NV
Josiah,
You need to inform your implant dentist what you use, as well as your dose and frequency. This helps the dentist determine how to handle your case and administer sedation accordingly.
Why You Need to Tell an Implant Dentist About Your Substance Use

Disclose all medications and substances you take before dental implant surgery
Telling your implant dentist about your substance use allows them to adjust sedation properly, based on the amount of the drug in your system and how it may affect your response to anesthesia. Providers who routinely manage sedation view this as standard information—not an automatic dismissal of your case.
How to Find an Implant Dentist
Begin with a general dentist. Implant treatment requires thoughtful planning before surgery, even when a specialist handles the surgical placement.
When reviewing credentials, prioritize a dentist’s post-graduate training and experience in implantology. Look for these credentials:
- Advanced implant education or certification through the International Congress of Oral Implantologists
- Board involvement or training from the American Board of Oral Implantology
Some general dentists place implants and manage sedation themselves; others coordinate care with surgeons. Either method works when the dentist has sufficient training and experience.
Dr. Steven Brooksher, a Baton Rouge accredited cosmetic dentist, sponsors this post. Read why so many patients view Dr. Brooksher as one of the best dentists in Baton Rouge.

