Immediate implant-prosthetic dental rehabilitation of patients with diabetes using four immediately loaded dental implants: a pilot study

Abstract

Objectives: Type 2 diabetes mellitus (T2DM) involves endocrine changes that cause a persistent increase in blood glucose. Many disorders are associated with T2DM, including disorders that affect the oral cavity. Oral cavity disorders interfere with a patient's capacity to follow a correct diet, which results in worsening systemic disease. Oral rehabilitation is necessary for patients with T2DM. Therefore, this prospective study was performed to evaluate the immediate dental rehabilitation capacity of patients with T2DM using four immediately loaded dental implants. Methods: In this prospective study, four implants each were placed in four patients with T2DM and loaded within 24 hours. Demographic characteristics were assessed at baseline; systemic and oral health parameters were assessed at baseline and at 6 months after implant placement. Results: The mean glycated hemoglobin (HbA1c) level was 7.05% (range, 6.8%-7.3%). The mean Implant Stability Quotient of the dental implants was 74.5 (range, 67-85). Postoperative evolution was favorable: only one implant exhibited inflammation of the prosthetic stump. Conclusions: Immediate prosthetic rehabilitation using four maxillary dental implants was an effective treatment modality for patients with T2DM in this study. Larger studies are needed to confirm these findings.

Survival rate and peri-implant evaluation of immediately loaded dental implants in individuals with type 2 diabetes mellitus: a systematic review and meta-analysis

“…The countries in which the 7 included studies were conducted were Portugal, Lebanon, Spain, Saudi Arabia, Egypt, and Romania [ 16 , 17 , 19 , 20 , 24 , 26 , 27 ]. All the studies were published in the English language between 2008 [ 24 ] and 2020 [ 26 ].…”

“…The countries in which the 7 included studies were conducted were Portugal, Lebanon, Spain, Saudi Arabia, Egypt, and Romania [ 16 , 17 , 19 , 20 , 24 , 26 , 27 ]. All the studies were published in the English language between 2008 [ 24 ] and 2020 [ 26 ]. Five studies were longitudinally observational [ 16 , 19 , 24 , 26 , 27 ], and two studies were clinical trials [ 17 , 20 ].…”

“…All the studies were published in the English language between 2008 [ 24 ] and 2020 [ 26 ]. Five studies were longitudinally observational [ 16 , 19 , 24 , 26 , 27 ], and two studies were clinical trials [ 17 , 20 ]. Three studies were conducted in private clinics [ 16 , 24 , 27 ], two were conducted in healthcare centers [ 17 , 20 ], and two studies did not report the setting [ 19 , 26 ].…”

“…Five studies were longitudinally observational [ 16 , 19 , 24 , 26 , 27 ], and two studies were clinical trials [ 17 , 20 ]. Three studies were conducted in private clinics [ 16 , 24 , 27 ], two were conducted in healthcare centers [ 17 , 20 ], and two studies did not report the setting [ 19 , 26 ]. Most included studies had a follow-up ranging from 6 to 24 months [ 16 , 17 , 19 , 20 , 26 ].…”

DENTAL ORTHOPEDIC REHABILITATION IN PATIENTS WITH PROBLEMS RELATED TO TYPE 2 DIABETES. Literature Review

“…Recently, there has been success demonstrated in immediate implantation and prosthetic rehabilitation employing the All-in-Four method, when working with patients with type 2 diabetes. In R.I. Juncar's study, implants demonstrated good osseointegration and stability 6 months after the installation in individuals with diabetes; however, the authors emphasize the importance of maintaining proper oral hygiene and glycemic control for better postoperative recovery [36].…”