Assessment of the Survival Rate of Short Dental Implants in Medically Compromised Patients

Jagadeesh, Kyatsandra Narasimhaiah; Verma, Amit; Parihar, Anuj Singh; Kochhar, Anuraj Singh; Das, Abhaya Chandra; Razi, Mohammed Ahsan

doi:10.5005/jp-journals-10024-2854

Cited by 3 publications

(2 citation statements)

References 14 publications

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“…The results regarding diabetes and implant survival are heterogeneous. Five studies showed no negative influence [ 10 , 11 , 38 , 42 , 44 ], two showed a non-significant [ 29 , 36 ] and six a significantly negative influence of diabetes on implant survival [ 12 , 16 , 32 , 37 ]. For example, the study of Alberti et al [ 38 ] showed no significant difference of the implant survival after 10 years in patients with diabetes (survival rate of 96.5%) compared to patients without diabetes mellitus (survival rate of 94.8%), whereas the study of French et al [ 37 ] identified diabetes mellitus with a hazard ratio of 2.25 as a risk factor for implant failure in a multivariate analysis, implicating an over two times higher risk for failure of dental implants in patients with diabetes mellitus.…”

Section: Resultsmentioning

confidence: 99%

Systematic review on diabetes mellitus and dental implants: an update

et al. 2022

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Purpose Dental implant surgery was developed to be the most suitable and comfortable instrument for dental and oral rehabilitation in the past decades, but with increasing numbers of inserted implants, complications are becoming more common. Diabetes mellitus as well as prediabetic conditions represent a common and increasing health problem (International Diabetes Federation in IDF Diabetes Atlas, International Diabetes Federation, Brussels, 2019) with extensive harmful effects on the entire organism [(Abiko and Selimovic in Bosnian J Basic Med Sci 10:186–191, 2010), (Khader et al., in J Diabetes Complicat 20:59–68, 2006, 10.1016/j.jdiacomp.2005.05.006)]. Hence, this study aimed to give an update on current literature on effects of prediabetes and diabetes mellitus on dental implant success. Methods A systematic literature research based on the PRISMA statement was conducted to answer the PICO question “Do diabetic patients with dental implants have a higher complication rate in comparison to healthy controls?”. We included 40 clinical studies and 16 publications of aggregated literature in this systematic review. Results We conclude that patients with poorly controlled diabetes mellitus suffer more often from peri-implantitis, especially in the post-implantation time. Moreover, these patients show higher implant loss rates than healthy individuals in long term. Whereas, under controlled conditions success rates are similar. Perioperative anti-infective therapy, such as the supportive administration of antibiotics and chlorhexidine, is the standard nowadays as it seems to improve implant success. Only few studies regarding dental implants in patients with prediabetic conditions are available, indicating a possible negative effect on developing peri-implant diseases but no influence on implant survival. Conclusion Dental implant procedures represent a safe way of oral rehabilitation in patients with prediabetes or diabetes mellitus, as long as appropriate precautions can be adhered to. Accordingly, under controlled conditions there is still no contraindication for dental implant surgery in patients with diabetes mellitus or prediabetic conditions.

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Section: Resultsmentioning

confidence: 99%

Systematic review on diabetes mellitus and dental implants: an update

et al. 2022

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“…Smoking should be prohibited as it would impair the healing of the implant site. The follow-up visit for the second stage of implant surgery should be between 4 to 6 months [8].…”

Section: Introductionmentioning

confidence: 99%

Dental Implant Treatment in Medically Compromised Patients: A Narrative Review

Hedari,

Kukreja,

Ramachandra

et al. 2023

TODENTJ

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Background: In terms of health treatment and subjects, dental implants have evolved as a standard therapy to solve different complications regarding the retention and stability of dentures for edentulous patients. Although dental implant techniques have been utilized in medically compromised patients, scientific evidence is unclear on the feasibility of implants among these patients. Adequate planning and precautions should be exercised as risks are enhanced among these patients. Objective: The primary objective of this work was to provide a brief overview of contraindications, precautions, and guidelines for the use of dental implants among medically compromised patients. Methodology: A literature search was performed for published articles within the range 2011-2021 published in English in PubMed, Medline, and OVID Medline databases using the terms Dental Implants, medically compromised patients, treatment plan, and implant survival. Results: A total of 23 studies were assessed. There are several studies that have mentioned radiotherapy as a critical risk factor “associated with the frequency of dental implant loss.” On the other hand, it has illustrated that metabolic changes have mainly occurred in diabetic patients. It has been determined that implant survival can be lower in a few disorders. Additionally, risks and complications among medically compromised patients have been noted. Conclusion: The study suggests that the psychosocial and functional benefits of an “implant restoration ” are the documented relative risks related to the common medical condition as well as their respective treatments. The assessment of the overall risk factors with the patient's education about the risk needs to be done in order to make perfect intervention strategies.

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