Intricate Assessment and Evaluation of Long-term Implant Success as affected by Clinicomicrobial and Salivary Diagnostics in Type II Diabetic Patients: A Longitudinal Study

Abstract

Introduction Replacement of missing teeth by dental implants is one of the most common methods employed these days. Because of significant advancement in the design of implants and modifications in the procedure of dental implant surgery, the survival rate of the dental implants has reached up to approximately 95%. Osseointegration is one of the important factors affecting the survival of dental implants. Apart from these, the body's physiologic alterations can also predispose the dental implants for failure. Diabetes is one such metabolic disease characterized by abnormal or delayed wound healing. Hence, we assessed the clinicomicrobial and salivary profile of diabetic patients undergoing rehabilitation by dental implants. Materials and methods This study included diabetic patients who underwent dental implant surgeries for prosthetic rehabilitation. Follow-up records of the patients’ up to 1 year were maintained. Various clinicoradiographic and periodontal parameters were measured at various time intervals during follow-up time; 25 mL of salivary and blood sample was taken from all the subjects and was sent to the laboratories for assessment of various salivary biomarkers. All the results were analyzed by Statistical Package for the Social Sciences software. Results The mean level of interleukin-â at baseline time was found to be 2.38 and 2.21 in diabetic group and control group respectively. While comparing the levels of osteoprotegerin in both study groups, a significant correlation was obtained. In diabetic and control group, 62 and 61 years was the mean age of the patients respectively. No significant correlation was obtained while comparing the microbial flora of diabetic and control group. Conclusion In both diabetic and nondiabetic patients, similar microbial, salivary marker, and clinicoradiological patterns were seen. Clinical significance Diabetic patients who maintain their body's metabolic rate show similar success rate of dental implants as seen in nondiabetic patients. How to cite this article Raghav D, Alqahtani F, Albaker FJ, Bhagat TV, Kola Z. Intricate Assessment and Evaluation of Long-term Implant Success as affected by Clinicomicrobial and Salivary Diagnostics in Type II Diabetic Patients: A Longitudinal Study. J Contemp Dent Pract 2017;18(5):405-409.

Impacto Na Qualidade De Vida De Pacientes Com Necessidade De Reabilitação Com Implantes

“…Os avanços nas técnicas reabilitadoras com implantes possibilitam atingir taxa de sucesso até 95% (Raghav et al, 2017;Reich et al, 2020). A procura pela reabilitação com próteses sobre implantes aumentam cada vez mais, pois sabe-se que o tratamento devolve além da estética, a segurança e longevidade da reabilitação, mas ainda é pouco acessível para classes sociais mais baixas ou muitos pacientes deixam de realizar o procedimento devido a fatores relacionados ao medo da etapa cirúrgica (Naujokat et al, 2016).…”