Stability and bone loss around submerged and non-submerged implants in diabetic and non-diabetic patients: a 7-year follow-up

Abstract

Stability and bone loss around submerged and non-submerged implants in diabetic and non-diabetic patients: a 7-year follow-up Abstract: To evaluate peri-implant bone loss (PIBL) and stability around submerged and non-submerged dental implants in patients with and without type 2 diabetes mellitus (T2DM). Thirty-five T2DM and non-diabetic (NT2DM) patients were included in this study. Demographic data were recorded using a questionnaire and PIBL was measured on digital radiographs. Resonance frequency analysis (RFA) was carried out for each implant at the time of fixture placement and at 3 months in both groups. P values less than 0.05 were considered statistically significant. One hundred and eighteen dental implants with a mean height of 10 to 12 mm and 3.3 to 4.1 mm in diameter were placed. The comparison of the mean RFA values at baseline and at 3 months was statistically significant (p = 0.008) in T2DM patients. The inter-group mean RFA values at baseline and at 3 months were not significant (p > 0.05). PIBL was significantly high in T2DM as compared to NT2DM patients at each follow-up (p < 0.05). At 2, 3, and 7 years, non-submerged dental implants showed significantly high PIBL in T2DM patients as compared to NT2DM individuals (p<0.05). The results of the present clinical study demonstrate increased PIBL around non-submerged single-tooth implant-supported restorations in T2DM patients, which may be due to the immune inflammatory status.

Impact of diabetes mellitus on the stabilization and osseointegration of dental implants: a retrospective study in Greece

“…Specifically, mean stabilization quotient of the implants in diabetics increased from 76.85 to 78.44, while in non-diabetics increased from 75.97 to 78.92. These findings are confirmed by the literature, as in three studies, mean stabilization quotient of the implants increased statistically significant in healthy subjects (Ghiraldini et al, 2016;Oates et al, 2014;Sundar et al, 2019), while in three studies, mean stabilization quotient of the implants increased statistically significant in diabetics (Al Zahrani & Al Mutairi, 2018;Oates et al, 2014;Sundar et al, 2019). Mean stabilization quotient of the implants shows high variability among different studies which may be due to various parameters such as different study populations, different types of diabetes, different level of diabetes control, etc.…”

“…According to multivariate analysis, there was no association between diabetes mellitus and implant stabilization quotient. This finding is confirmed in six studies in which the analysis of implant resonance frequency was performed and no statistically significant difference was found between healthy and diabetic patients (Al Zahrani & Al Mutairi, 2018; Erdogan et al, 2015; Ghiraldini et al, 2016; Oates et al, 2009; Sundar et al, 2019). The lack of difference between diabetic and non-diabetic patients may be due to the fact that diabetic patients were under control, resulting in extremely limited negative effects of the disease on osseointegration.…”

Peri̇odontal Hastalik Geçmi̇şi̇ Olan Hastalarda Ve Peri̇odontal Olarak Sağlikli Bi̇reylerde Yapilan İmplantlarin 29 Aylik Geri̇ye Dönük Kli̇ni̇k Başarilarinin Değerlendi̇ri̇lmesi̇

“…Bu sonuçlar uzun dönem takip sonuçları olduğundan dolayı çalışmamızdaki kayıp miktarlarından fazladır. Sağlıklı bireylerde ve diyabetes mellitus hastalarında kemik kaybını karşılaştıran bir takip çalışmasında 42 ise 2 yıl sonunda diyabetes mellitus hastaları ve sistemik olarak sağlıklı bireylerde kemik kaybı sırasıyla 0,74±0,62 mm, 0,33±0,46 mm olarak tespit edilmiş, bu çalışmada da periodontal olarak sağlıklı diyabetes mellitus grubu hastalarda 0,61±0,16 mm iken periodontal ve sistemik olarak sağlıklı hastalarda 0,39±0,82 mm. olarak benzer sonuçlar elde edilmiştir.…”

Current status of dental implants survival and peri-implant bone loss in patients with uncontrolled type-2 diabetes mellitus

“…T2DM consists of a group of metabolic disorders essentially characterized by elevated serum glucose levels due to insufficient insulin secretion, defective insulin function, or both [3 && ]. It is associated with a greater risk of periodontal disease and tooth loss, which requires special attention of the clinician during all stages of dental care, particularly in dental implant rehabilitation cases [4].…”