Diabetes Mellitus and Dental Implants: A Clinical Study

Abdulwassie, Hassan; Dhanrajani, Parmanand

doi:10.1097/00008505-200201000-00019

Cited by 49 publications

(53 citation statements)

References 10 publications

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“…In addition, factors inherent to the patient, such as bone quality and local and systemic health, should also be considered. 22 The osseointegration and the time required for it to occur are directly related to the ability of bone healing of the patient. This brings some doubts about the necessity to assess the conditions of balanced metabolic control in diabetic patients with osteoporosis or not, previous to surgical procedures.…”

Section: Literature Review Osteoporosis In the Jawmentioning

confidence: 99%

“…This brings some doubts about the necessity to assess the conditions of balanced metabolic control in diabetic patients with osteoporosis or not, previous to surgical procedures. 22 According to the classification of Lekholm and Zarb, 23 the osteoporotic bone is similar to bone type 4 regarding cortical bone density. This is an important characteristic during surgical planning because a thin layer of cortical bone involving a large amount of trabecular bone with low resistance can be faced.…”

Section: Literature Review Osteoporosis In the Jawmentioning

confidence: 99%

“…However, the surgeon should be more careful during surgery, mainly in the maxillary tuberosity site where the bone is thinner and the fracture of cortical bone can affect the implant locking. 22 The use of implants with surface treatment proved to be extremely viable in this situation.…”

Section: Literature Review Osteoporosis In the Jawmentioning

confidence: 99%

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Dental Implants in Patients With Osteoporosis

Gaetti-Jardim

Santiago²,

Goiato³

et al. 2011

Journal of Craniofacial Surgery

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Osteoporosis is a systemic disorder characterized by generalized decrease in bone mineral density. Dental implantology is a specialty with high predictability when both quantity and quality of the bone are respected. Therefore, the diagnosis and the implant treatment in patients with osteoporosis are important. In the current study, a literature review about osteoporosis and dental implant therapy was conducted. PubMed, Cochrane, ISI, Dentistry Oral Science, SciELO, and Bireme databases were consulted over the last 20 years. English- and Portuguese-language articles were included in this revision. Some authors stated that the osteoporotic bone is similar to the proposed model of bone type IV. Randomized clinical studies reported implant failure in patients with osteoporosis after menopause. Studies that contraindicate the use of implants in patients with osteoporosis infer that the impaired bone metabolism led to reduction of bone healing around the implants. Nevertheless, other authors believe that the presence of osteoporosis is not a definitive condition to contraindicate the therapy with dental implants. In these cases, the dentist should perform a proper treatment planning, modifying the implant geometry, and use larger implant diameter and with surface treatment. Thus, osteoporosis is not a contraindication for implant surgery because an accurate analysis of bone quality by means tomography is performed.

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Section: Literature Review Osteoporosis In the Jawmentioning

confidence: 99%

Section: Literature Review Osteoporosis In the Jawmentioning

confidence: 99%

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Dental Implants in Patients With Osteoporosis

Gaetti-Jardim

Santiago²,

Goiato³

et al. 2011

Journal of Craniofacial Surgery

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“…Clinical studies, however, have reported highly varied implant failure rates, ranging from 0–14.7% of implants and 0–31.3% of patients, leaving the consequences of diabetes on implant success in question (Shernoff 1994; Garrett 1998; Fiorellini 2000; Olson 2000; Morris 2000; Abdulwassie 2002; Moy 2005). Furthermore, glycemic status of the patients defined as well-controlled was not clearly reported in these studies.…”

Section: Introductionmentioning

confidence: 99%

Glycemic Control and Implant Stabilization in Type 2 Diabetes Mellitus

et al. 2009

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Diabetes mellitus is considered a relative contraindication to implant therapy. However, the effects of glycemic level on implant integration in patients with diabetes remains poorly understood. The hypothesis of the research was that poor glycemic control is directly related to short-term impairments implant stabilization. This prospective clinical study evaluated 10 non-diabetic patients (12 implants) and 20 type 2 diabetic patients (30 implants). Glycated hemoglobin (HbA1c) levels ranged from 4.7–12.6%. Implant stability was assessed using resonance frequency analysis over 4 months following placement. Minimum stability levels were observed 2–6 weeks following placement for all 42 implants. Patients with HbA1c≥8.1% had both a greater maximum decrease in stability from baseline and required a longer time for healing as indicated by return of stability level to baseline. This study demonstrates alterations in implant stability consistent with impaired implant integration for patients with type 2 diabetes mellitus in direct relation to hyperglycemic conditions.

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“…• Fattori protesici: tipo di riabilitazione protesica. L'età e la razza del paziente sembrano non influire sulla riabilitazione implantoprotesica, il fumo rappresenta un fattore di rischio anche per i pazienti non diabetici [16]. Fiorellini et al [14], al contrario di Olson et al [12], non trovarono nessuna relazione fra età d'insorgenza della patologia diabetica e fallimento implantare; da tenere in considerazione, invece, il livello glicemico e il valore di emoglobina glicata (HbAc1), che rileva la glicemia media negli ultimi tre mesi (tabella III).…”

Section: Intolleranza Al Glucosio Negli Adulti Intolleranza Al Glucosunclassified