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

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...

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Bibliographic Details
Published in:Journal of international medical research 2020-03, Vol.48 (3), p.300060519897195-300060519897195
Main Authors: Juncar, Raluca-Iulia, Precup, Alexandru-Iosif, Juncar, Mihai
Format: Article
Language:English
Subjects:
Bone Resorption - pathology
Dental Implants
Diabetes
Diabetes Mellitus - diagnostic imaging
Diabetes Mellitus - rehabilitation
Female
Follow-Up Studies
Humans
Imaging, Three-Dimensional
Male
Middle Aged
Pilot Projects
Postoperative Complications - etiology
Prospective Clinical Research Report
Prostheses
Radiography, Panoramic
Rehabilitation
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Summary: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.
ISSN:0300-0605
1473-2300
DOI:10.1177/0300060519897195