Dental implants and diabetes: Conditions for success

Marchand, François; Raskin, Alexander; Dionnes-Hornes, A.; Barry, T.O.; Dubois, Nadège; Valéro, René; Vialettes, B.

doi:10.1016/j.diabet.2011.10.002

Cited by 76 publications

(43 citation statements)

References 27 publications

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“…8,66,67 When dealing with diabetic patients, the clinician should consider antibiotic prophylaxis as appropriate and the use of antiseptics pre-and post-operatively to reduce the potential risk of infections. 7,53,66 In addition, these patients should be invited/ counselled to quit smoking and placed in a strict regimen of supportive therapy and maintenance/recall systems in order to optimise the control of oral hygiene and reduce the risk of periodontal and peri-implant infections. 68 …”

Section: Diabetes Mellitusmentioning

confidence: 99%

Dental implants in patients affected by systemic diseases

Donos

Calciolari

2014

Br Dent J

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Several systemic diseases (and relative medications) have been reported to impair or in some cases complicate dental implant surgery. In broader terms, when dealing with patients suffering from systemic diseases, the monitoring of the medical condition and of the related post-operative complications is of great importance in order to avoid risks which could jeopardise the health of the patient. In this review, the available evidence on implant survival/success, as well as relevant surgical recommendations in patients affected by systemic diseases, are evaluated and when possible, practical suggestions for the clinician are provided.

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Section: Diabetes Mellitusmentioning

confidence: 99%

Dental implants in patients affected by systemic diseases

Donos

Calciolari

2014

Br Dent J

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“…-Reporting glycemic control, as some studies state this could be a parameter which would determine whether these patients are eligible or not to receive a dental implant treatment [18][19][20] .…”

Section: Selection Criteriamentioning

confidence: 99%

Dental implant survival rate in well-controlled diabetic patients. A systematic review.

Arbildo¹,

Lara²,

Câmara³

et al. 2015

J Oral Res

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“…1-4 Patients with well-controlled diabetes are considered candidates for implant therapy, whereas patients with poor glycemic control may be denied this treatment option. However, the potential benefits of implant therapy may be important for diabetic patients dependent on dietary management to aid in controlling their condition.…”

mentioning

confidence: 99%

The effects of elevated hemoglobin A1c in patients with type 2 diabetes mellitus on dental implants

Oates¹,

Galloway²,

Alexander³

et al. 2014

The Journal of the American Dental Association

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Background The authors conducted a prospective cohort study to determine whether poor glycemic control is a contraindication to implant therapy in patients with type 2 diabetes. Methods The study sample consisted of 117 edentulous patients, each of whom received two mandibular implants, for a total of 234 implants. Implant-retained mandibular overdentures were loaded after a four-month healing period and followed up for an additional one year. The authors assessed implant survival and stability (by means of resonance frequency analysis) relative to glycated hemoglobin A1c (HbA1c) levels, with baseline levels up to 11.1 percent and levels as high as 13.3 percent over one year. Results Implant survival rates for 110 of 117 patients who were followed up for one year after loading were 99.0 percent, 98.9 percent and 100 percent, respectively, for patients who did not have diabetes (n = 47), those with well-controlled diabetes (n = 44) and those with poorly controlled diabetes (n = 19). The authors considered the seven patients lost to follow-up as having had failed implants; consequently, their conservative estimates of survival rates in the three groups were 93.0 percent, 92.6 percent and 95.0 percent (P = .6510) . Two implants failed at four weeks, one in the nondiabetes group and the other in the well-con trolled diabetes group. Delays in implant stabilization were related directly to poor glycemic control. Conclusions The results of this study indicate that elevated HbA1c levels in patients with type 2 diabetes were not associated with altered implant survival one year after loading. However, alterations in early bone healing and implant stability were associated with hyperglycemia. Practical Implications Within the clinical parameters of this study, the findings indicate likely implant success among patients with type 2 diabetes who lacked good glycemic control. Further investigation, including longer-term evaluation, is needed.

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Dental implants and diabetes: Conditions for success

Cited by 76 publications

References 27 publications

Dental implants in patients affected by systemic diseases

Dental implants in patients affected by systemic diseases

Dental implant survival rate in well-controlled diabetic patients. A systematic review.

The effects of elevated hemoglobin A1c in patients with type 2 diabetes mellitus on dental implants

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