Caroline C Eskow1, Thomas W Oates2. 1. Resident, Department of Comprehensive Dentistry, Graduate Prosthodontics, University of Texas Health Science Center at San Antonio; currently at private practice in Fairfax, VA, USA. 2. Professor and Chair, Department of Endodontics, Periodontics, and Prosthodontics University of Maryland, Baltimore, formerly Department of Periodontics, University of Texas Health Science Center at San Antonio, San Antonio, TX, USA.
Abstract
BACKGROUND: Emerging evidence suggests that implant therapy may be a viable option for diabetic individuals with elevated glycemic levels. PURPOSE: The purpose of this 2 year observational study was to evaluate survival and clinical complications of dental implants following placement in type 2 diabetes individuals having poor glycemic control. MATERIALS AND METHODS: Adult participants (n = 24) with poorly controlled type 2 diabetes (8.0% ≤ HbA1c ≤ 12.0%) received two or more transgingival dental implants. Survival was evaluated after 1 (23 participants, 72 implants) and 2 (20 participants, 59 implants) years. Clinical complications were evaluated in 18 participants (52 implants) after 21-34 months. Relationships between complications and stratified HbA1c levels were assessed using Pearson's correlation test. RESULTS: Survival rates were 98.6% (71/72 implants) after 1 year and 96.6% (57/59 implants) after 2 years. Complications were identified in 29% of participants with peri-implant mucositis, the most common event. Complications correlated directly with number of implants across HbA1c strata (0.42, R2 = 0.66). There was no correlation between HbA1c and the occurrences of complications or mucositis. CONCLUSIONS: This 2-year evaluation supports the broader application of implant therapy in type 2 diabetes individuals with poor glycemic control in demonstrating high survival rates with limited complications.
BACKGROUND: Emerging evidence suggests that implant therapy may be a viable option for diabetic individuals with elevated glycemic levels. PURPOSE: The purpose of this 2 year observational study was to evaluate survival and clinical complications of dental implants following placement in type 2 diabetes individuals having poor glycemic control. MATERIALS AND METHODS: Adult participants (n = 24) with poorly controlled type 2 diabetes (8.0% ≤ HbA1c ≤ 12.0%) received two or more transgingival dental implants. Survival was evaluated after 1 (23 participants, 72 implants) and 2 (20 participants, 59 implants) years. Clinical complications were evaluated in 18 participants (52 implants) after 21-34 months. Relationships between complications and stratified HbA1c levels were assessed using Pearson's correlation test. RESULTS: Survival rates were 98.6% (71/72 implants) after 1 year and 96.6% (57/59 implants) after 2 years. Complications were identified in 29% of participants with peri-implant mucositis, the most common event. Complications correlated directly with number of implants across HbA1c strata (0.42, R2 = 0.66). There was no correlation between HbA1c and the occurrences of complications or mucositis. CONCLUSIONS: This 2-year evaluation supports the broader application of implant therapy in type 2 diabetes individuals with poor glycemic control in demonstrating high survival rates with limited complications.
Authors: Namita Khandelwal; Thomas W Oates; Adriana Vargas; Peggy P Alexander; John D Schoolfield; C Alex McMahan Journal: Clin Oral Implants Res Date: 2011-12-06 Impact factor: 5.977
Authors: R Shurtz-Swirski; S Sela; A T Herskovits; S M Shasha; G Shapiro; L Nasser; B Kristal Journal: Diabetes Care Date: 2001-01 Impact factor: 19.112
Authors: Thomas W Oates; Patrick Galloway; Peggy Alexander; Adriana Vargas Green; Guy Huynh-Ba; Jocelyn Feine; C Alex McMahan Journal: J Am Dent Assoc Date: 2014-12 Impact factor: 3.634
Authors: Teodora Rodic; Eva Maria Wölfel; Petar Milovanovic; Imke A K Fiedler; Danica Cvetkovic; Katharina Jähn; Michael Amling; Jelena Sopta; Slobodan Nikolic; Vladimir Zivkovic; Björn Busse; Marija Djuric Journal: Clin Oral Investig Date: 2021-03-11 Impact factor: 3.573