The Effect of Diabetes (Controlled vs. Non-Controlled) on Dental Implant Success The Effect of Diabetes on Dental Implant Success

Abstract

Background: Among of the fixed prosthodontics for replacing missing tooth or teeth is the use of dental implants. Implants give stability, a more natural appearance, and reduce the danger of bone resorptions and atrophy since they are immediately fixed into bones. Yet, research studies revealed that individuals with diabetes mellitus experienced a slower recovery process following operation as a result of microangiopathies, lowered host defense, the generation of advanced glycation end products (AGEs), reduced generation of collagen, and raised collagenase activity. Individuals with diabetes mellitus might not be a good candidate for dental implants. Because of this, people with diabetes have a substantially greater probability of dental implant failure than healthy people.

Aim: In this experimental study, controlled and non- controlled diabetic patients were assessed in terms of implants success 90 days from the operation.

Methods: 100 controlled and other 100 non- controlled cases of type 2 diabetic patients with one or more missing tooth were chosen. Local infiltration anesthesia was used during implantation. Every participant received 0.2% chlorohexidine mouthwash for 14 days after having their wounds sutured. After 90 days and before loading, assessments were carried out to check Implants osseointegration by reverse torque test denoted by the torque wrench.

Results: Out of 300 implants in 100 non-controlled diabetics, there was 70 implants failed (not osseointegration) after 90 days, whereas 10 out of 200 implants in controlled diabetic subjects had their implants failed. Some implants were removed because they were deemed unsuccessful.

Conclusion:  the rate of implant failure in non-controlled diabetics was much higher than in controlled diabetics.