Peri-implant evaluation in type 2 diabetes mellitus patients: a 3-year study

被引:87
作者
Gomez-Moreno, Gerardo [1 ]
Aguilar-Salvatierra, Antonio [2 ]
Rubio Roldan, Jeronimo [3 ]
Guardia, Javier [2 ]
Gargallo, Jordi [4 ]
Luis Calvo-Guirado, Jose [5 ]
机构
[1] Univ Granada, Dept Special Care Dent Pharmacol Res Dent Periodo, Fac Dent, Granada, Spain
[2] Univ Granada, Fac Dent, Dept Pharmacol Res Dent, Granada, Spain
[3] Univ Granada, Fac Dent, Periodontol & Implant Dent, Granada, Spain
[4] Univ Int Catalunya, Dept Dent, Fac Dent, Barcelona, Spain
[5] Univ Murcia, Sch Med & Dent, Dept Implant Dent Implant Dent & Biomat, Murcia, Spain
关键词
dental implants; marginal bone loss; peri-implant mucositis; peri-implantitis; type 2 diabetes mellitus; EUROPEAN WORKSHOP; GLYCEMIC CONTROL; BONE LOSS; DISEASES; OSSEOINTEGRATION; PERIODONTOLOGY; INFLAMMATION; HEMOGLOBIN; FRACTURES; DIAGNOSIS;
D O I
10.1111/clr.12391
中图分类号
R78 [口腔科学];
学科分类号
100302 [口腔临床医学];
摘要
ObjectiveThe aim of this study was to analyze the changes produced in peri-implant tissues in type 2 diabetes mellitus patients with different glycemia levels, measured by monitoring glycated hemoglobin A1c (HbA1c), over a period of 3years following dental implant placement. Materials and methodsSixty-seven patients were divided into four groups according to their HbA1c levels: 21 patients in Group 1 (<6); 24 patients in Group 2 (6.1-8); and 11 patients in Group 3 (8.1-10) and Group 4 (>10.1). Each patient received one implant. All implants were placed in the anterior zone of the maxilla. The variables selected to assess the general state of patients' peri-implant health were as follows: probing depth, bleeding on probing, and marginal bone loss. ResultsMarginal bone loss was found to increase in relation to increases in HbA1c levels. Bleeding on probing showed statistically significant differences between groups. When the peri-implant area was probed, mean levels of bleeding varied from 0.43 in Group 1 at 1year after implant surgery to 0.62 in Group 4 (P=0.042 between the four study groups). After the second year, greater bleeding on probing was observed in Group 4 (0.63) in comparison with groups with lower HbA1c levels. Peri-implant pocket depths presented values that were too low to be considered pathological and without statistically significant differences between the study groups. ConclusionImplant therapies for diabetic patients can be predictable, providing these patients fall within controlled ranges of glycemia over time, assessed by monitoring HbA1c levels.
引用
收藏
页码:1031 / 1035
页数:5
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