To what extent should dental implant placement be adopted as a standard for diabetic patients?

Abstract

Diabetes mellitus (DM) is considered one of the major chronic diseases in the world. Long-term hyperglycemia considerably affects the body tissues, and consequently, can lead to morbidity and mortality. Moreover, many oral complications have been observed with DM but little consideration in relation to the placement of dental implants has been investigated. Dental research has analyzed the relation of dental implants and bone osseointegration in diabetic patients. Theoretically, an impaired immune system and delayed wound healing of these patients might decrease the success rate of implant placement; however, with noticeable advances in evidence-based dentistry and statistically significant results, successful implant treatment could be achieved significantly in well-controlled diabetic patients.

Quality assessment of systematic reviews regarding dental implant placement on diabetic patients: an overview of systematic reviews

“…Finally, eight articles were selected for overview (4,5,14-19). Figure 1 shows a synthesis of search and selection process as well as excluded papers and reasons for exclusions (20-28).…”

Dental Implants with a Calcium Ions-Modified Surface and Platelet Concentrates for the Rehabilitation of Medically Compromised Patients: A Retrospective Study with 5-Year Follow-Up

“…Several studies and systematic reviews of the literature evaluated the outcome of implant treatment in medically compromised patients [ 29 , 30 , 31 , 32 , 33 , 34 , 35 ]. These studies highlighted that there are very few absolute medical contraindications to dental implant placement.…”

“…Nevertheless, many conditions may pose an increased risk for implant failure or complications. In Table 5 are resumed the main conditions that have been identified to increase the risk for implant treatment success [ 29 , 30 , 31 , 32 , 34 , 35 , 36 ].…”

“…In diabetic patients with elevated glycemic levels, the risk of numerous systemic co-morbidities, including periodontal disease, infection, impaired wound healing, and peri-implant complications are increased [29,32,37,38].…”

Evaluation of dental implants failure rate in medically compromised patients: A randomized case control study

“…, shows that age group 30-40 comprised of 17 patients in group I and 12 in group II, 40-50 years had 25 in group I and 27 in group II and 50-60 years had 8 in group I and 11 in group II. Mann Whitney test was applied which showed significant difference in distribution of patients in both groups (p< 0.05).Table III, shows that most commonly seen medically compromised patients were diabetes (20) with 24 dental implants followed by Hypothyroidism (12) with 12 implants, osteoporosis (8) with 15 dental implants, organ transplant(7) with 8 dental implants and CVD (3) with 3 dental implants. Chi-square test was applied which revealed significant difference in patients (p< 0.05).…”