Evaluation of Osseointegration and Crestal Bone Loss Associated with Implants Placed in Diabetic and Other Medically Compromised Patients

Soh, Nurul Husniyah Binti Che; Duraisamy, Revathi; Arthi, B.

doi:10.1615/jlongtermeffmedimplants.2020035938

Cited by 3 publications

(4 citation statements)

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“…Patients suffering from diabetes mellitus and who do not control their blood sugar levels are much more likely to develop peri-implantitis after the completion of a dental implant compared to healthy patients or patients who maintain their glycemic level under control. Soh [31] confirms the abovementioned data, emphasizing that there is a significant difference between patients suffering from this condition and healthy ones [32]. Due to this, doctors must be more careful when performing dental implants in patients suffering from diabetes.…”

Section: Predisposition To Develop Peri-implantitissupporting

confidence: 74%

The Main Decisional Factors That Influence the Decision of the Patients Suffering from Diabetes to Have Dental Implants Using New Technologies after the COVID-19 Pandemic Period

et al. 2023

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The problems that have arisen in recent years in Romania (the financial crisis, the COVID-19 pandemic, the accelerated growth of inflation and unemployment) have led many people to give less and less importance to dental hygiene, which has led to an increase in the number of people with dental medical problems. In addition, poor information about the need for regular visits to the dentist, the low importance given to this field, and insufficient financial resources led people to turn to dental medical services less often. Moreover, the two-month closure of medical practices during the COVID-19 pandemic made individuals more reluctant to make appointments with dentists for fear of coming into contact with a person infected with the new SARS-CoV-2 virus. All this led to the occurrence of dental complications among patients, which made the number of dental implants increase. Patients suffering from diabetes mellitus present a series of particularities due to a series of risks generated by this condition that may appear in their case. The aim of this research is to identify the main factors that can influence the decision of patients with diabetes mellitus to have a dental implant. The data collection was performed with the help of a questionnaire, and the analysis of the database was performed with the help of IBM SPSS software. Following the analysis, it was noted that this decision is largely influenced by the reputation of the medical practice, the perceived risks, the quality of the materials used, the warranty of the dental implant, the quality of the services provided, and the costs.

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Section: Predisposition To Develop Peri-implantitissupporting

confidence: 74%

The Main Decisional Factors That Influence the Decision of the Patients Suffering from Diabetes to Have Dental Implants Using New Technologies after the COVID-19 Pandemic Period

et al. 2023

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“… 24 n.d. n.d. 2 HbA1c < 6% k.A. Three groups: HbA1c ≤ 6% (controls included); HbA1c = 6.1–8%; HbA1c = 8.1–10% n.d. de Araujo Nobre et al (2016) Retrospective 70 59(41–80) 1999–2007 60 352 89.8; group with type 1 diabetes mellitus: 80; group with type 1 diabetes mellitus: 90.5 1 and 2 No controlgroup “Treated”; no further information n.d. n.d. Al Amri et al (2017) [ 26 ] Retrospective 108 Immediately loaded group: 50.6 ± 2.2; conventional loading group 51.8 ± 1.7 n.d. 24 108 100 2 No controlgroup n.d. No initial HbA1c; At 12- and 24-month follow-up, the mean HbA1c levels in group 1 (immediately loading) and 2 (conventional loading) were 5.4%(4.8–5.5%) and 5.1%(4.7–5.4%) and 5.1%(4.7–5.2%) and 4.9%(4.5–5.2%) Immediately loaded group: 9.2 ± 2.4 years; conventional loaded 8.5 ± 0.4 years Al Amri et al (2017) [ 27 ] Prospective 45 Diabetic group: 42.4(40–46); nondiabetic group: 41.8(39–44) n.d. 24 45 n.d. 2 HbA1c < 4.5% (visually, boxplot) Antihyperglycemic drugs, dietary control “Well controlled”: no exact data given, but visually (boxplots) the baseline HbA1c is significantly higher in the diabetic group (visually < 7%) than in nondiabetic control group (visually < 4.5%) 14.5 ± 0.7 months Soh et al (2020) [ 28 ] …”

Section: Resultsmentioning

confidence: 99%

“…12 clinical studies (1× cross-sectional study, 5× prospective, 6× retrospective) showed no increased risk of developing peri-implantitis with manifest diabetes mellitus [ 17 , 23 , 24 , 27 , 34 , 38 – 41 , 44 , 46 , 77 ]. On the other hand, six studies indicated an increased risk of peri-implant inflammation, with the highest determined relative risk being given as 8.65 [ 15 , 28 , 31 , 48 ]. Two of these publications showed this especially in poorly controlled diabetes mellitus with an HbA1c > 8% with increased probing depths, bleeding on probing and peri-implant bone resorption [ 19 , 45 ].…”

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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“…41 When comparing non-diabetic and diabetic individuals, a recent systematic review found no significant difference in implant survival rates. 15 In the longterm, an elevated HbA1c level has been associated with an increased risk for microvascular complications 42 and periimplant inflammation, 15 leading to increased marginal bone loss 41,43,44 and peri-implantitis. Although PC T2DM has been associated with a higher risk of early dental implant complications, only one implant in the present study was diagnosed with peri-implant mucositis and there were no significant inter-group differences or adverse effects.…”

Section: Discussionmentioning

confidence: 99%

Clinical performance of hydrophilic, titanium‐zirconium dental implants in patients with well‐controlled and poorly controlled type 2 diabetes: One‐year results of a dual‐center cohort study

Latimer,

Roll,

Daubert

et al. 2022

Journal of Periodontology

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Background This study assessed the clinical performance of hydrophilic dental implants in a patient cohort with type 2 diabetes mellitus (T2DM). Methods Subjects with T2DM of ≥2‐years duration were allocated to either the well‐controlled (WC; HbA1c ≤ 7.0%,) or poorly‐controlled (PC; 7.5 < HbA1c < 10%) groups in a dual‐center, prospective cohort study. Each subject received a single, titanium‐zirconium (Ti‐Zr) dental implant with a chemically‐modified, hydrophilic (modSLA) surface in a posterior mandibular site. Postoperatively, subjects were followed at 1, 2, 4, 8, and 12‐week intervals. Post‐loading, subjects were followed at 3, 6, and 12‐months. Clinical and radiographic parameters of implant success, and dental patient‐reported outcomes were collected. Results Twenty‐one dental patients (NWC = 11; NPC = 10; mean age: 66.8 ± 7.5 years) were enrolled and the 1‐year implant success rate was 100%. Peri‐implant bone levels were stable with 0.15 ± 0.06 mm mean marginal loss at 1 year without significant inter‐group differences (P = 0.79). Postoperative pain was minimal at 1‐week, and OHIP‐5 scores decreased significantly over time as compared with preoperative levels (P < 0.001) suggesting significant improvement in patient‐perceived oral health following implant therapy. Conclusions Elevated HbA1c levels > 7.5% did not compromise 1‐year success rates, or oral health‐related quality of life in PC patients receiving modSLA, Ti‐Zr implants. Given that implant placement up to 10% HbA1c significantly enhanced oral health‐related quality of life without complications or morbidity, the safety and efficacy of implants to improve oral function in T2DM is supported, even without ideal glycemic control.

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Evaluation of Osseointegration and Crestal Bone Loss Associated with Implants Placed in Diabetic and Other Medically Compromised Patients

Cited by 3 publications

References 0 publications

The Main Decisional Factors That Influence the Decision of the Patients Suffering from Diabetes to Have Dental Implants Using New Technologies after the COVID-19 Pandemic Period

The Main Decisional Factors That Influence the Decision of the Patients Suffering from Diabetes to Have Dental Implants Using New Technologies after the COVID-19 Pandemic Period

Systematic review on diabetes mellitus and dental implants: an update

Clinical performance of hydrophilic, titanium‐zirconium dental implants in patients with well‐controlled and poorly controlled type 2 diabetes: One‐year results of a dual‐center cohort study

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