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A critical review of diabetes, glycemic control, and dental implant therapy

Identifieur interne : 007B05 ( Istex/Corpus ); précédent : 007B04; suivant : 007B06

A critical review of diabetes, glycemic control, and dental implant therapy

Auteurs : Thomas W. Oates ; Guy Huynh-Ba ; Adriana Vargas ; Peggy Alexander ; Jocelyne Feine

Source :

RBID : ISTEX:F896D674AB15C1812996CCDA841099933D11183A

English descriptors

Abstract

To systematically examine the evidence guiding the use of implant therapy relative to glycemic control for patients with diabetes and to consider the potential for both implant therapy to support diabetes management and hyperglycemia to compromise implant integration.

Url:
DOI: 10.1111/j.1600-0501.2011.02374.x

Links to Exploration step

ISTEX:F896D674AB15C1812996CCDA841099933D11183A

Le document en format XML

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Objectives
<p>To systematically examine the evidence guiding the use of implant therapy relative to glycemic control for patients with diabetes and to consider the potential for both implant therapy to support diabetes management and hyperglycemia to compromise implant integration.</p>
Material and Methods
<p>A systematic approach was used to identify and review clinical investigations directly assessing implant survival or failure for patients with diabetes. A
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Results
<p>Although the initial search identified 129 publications, this was reduced to 16, for inclusion. Reported implant failure rates for diabetic patients ranged from 0% to 14.3%. The identification and reporting of glycemic control was insufficient or lacking in 13 of the 16 studies with 11 of these enrolling only patients deemed as having acceptable glycemic control, limiting interpretation of findings relative to glycemic control. Three of the 16 studies having interpretable information on glycemic control failed to demonstrate a significant relationship between glycemic control and implant failure, with failure rates ranging from 0% to 2.9%.</p>
Conclusions
<p>Clinical evidence is lacking for the association of glycemic control with implant failure while support is emerging for implant therapy in diabetes patients with appropriate accommodations for delays in implant integration based on glycemic control. The role for implants to improve oral function in diabetes management and the effects of hyperglycemia on implant integration remain to be determined.</p>
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<p>Although the initial search identified 129 publications, this was reduced to 16, for inclusion. Reported implant failure rates for diabetic patients ranged from 0% to 14.3%. The identification and reporting of glycemic control was insufficient or lacking in 13 of the 16 studies with 11 of these enrolling only patients deemed as having acceptable glycemic control, limiting interpretation of findings relative to glycemic control. Three of the 16 studies having interpretable information on glycemic control failed to demonstrate a significant relationship between glycemic control and implant failure, with failure rates ranging from 0% to 2.9%.</p>
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<affiliation>Department of Periodontics, University of Texas Health Science Center at San Antonio, San Antonio, TX</affiliation>
<role>
<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">Jocelyne</namePart>
<namePart type="family">Feine</namePart>
<affiliation>Oral Health and Society Research Division, McGill University, Montreal, Canada</affiliation>
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<genre type="review-article" displayLabel="reviewArticle" authority="ISTEX" authorityURI="https://content-type.data.istex.fr" valueURI="https://content-type.data.istex.fr/ark:/67375/XTP-L5L7X3NF-P">review-article</genre>
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<publisher>Blackwell Publishing Ltd</publisher>
<dateIssued encoding="w3cdtf">2013-02</dateIssued>
<dateCreated encoding="w3cdtf">2013-01-15</dateCreated>
<dateValid encoding="w3cdtf">2011-10-15</dateValid>
<edition>Oates TW, Huynh‐Ba G, Vargas A, Alexander P, Feine J. A Critical Review of Diabetes, Glycemic Control and Dental Implant Therapy. Clin. Oral Impl. Res. 24, 2013, 117–127. doi: 10.1111/j.1600-0501.2011.02374.x</edition>
<copyrightDate encoding="w3cdtf">2013</copyrightDate>
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<language>
<languageTerm type="code" authority="rfc3066">en</languageTerm>
<languageTerm type="code" authority="iso639-2b">eng</languageTerm>
</language>
<abstract>To systematically examine the evidence guiding the use of implant therapy relative to glycemic control for patients with diabetes and to consider the potential for both implant therapy to support diabetes management and hyperglycemia to compromise implant integration.</abstract>
<abstract>A systematic approach was used to identify and review clinical investigations directly assessing implant survival or failure for patients with diabetes. A MEDLINE (PubMED) database search identified potential articles for inclusion using the search strategy: (dental implants OR oral implants) AND (diabetes OR diabetic). Inclusion in this review required longitudinal assessments including at least 10 patients, with included articles assessed relative to documentation of glycemic status for patients.</abstract>
<abstract>Although the initial search identified 129 publications, this was reduced to 16, for inclusion. Reported implant failure rates for diabetic patients ranged from 0% to 14.3%. The identification and reporting of glycemic control was insufficient or lacking in 13 of the 16 studies with 11 of these enrolling only patients deemed as having acceptable glycemic control, limiting interpretation of findings relative to glycemic control. Three of the 16 studies having interpretable information on glycemic control failed to demonstrate a significant relationship between glycemic control and implant failure, with failure rates ranging from 0% to 2.9%.</abstract>
<abstract>Clinical evidence is lacking for the association of glycemic control with implant failure while support is emerging for implant therapy in diabetes patients with appropriate accommodations for delays in implant integration based on glycemic control. The role for implants to improve oral function in diabetes management and the effects of hyperglycemia on implant integration remain to be determined.</abstract>
<note type="funding">NIDCR - No. R01 DE017882; </note>
<subject>
<genre>keywords</genre>
<topic>dental care</topic>
<topic>diabetes</topic>
<topic>glycemic control</topic>
<topic>implant</topic>
<topic>literature review</topic>
</subject>
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<title>Clinical Oral Implants Research</title>
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<title>Clin. Oral Impl. Res.</title>
</titleInfo>
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<subject>
<genre>article-category</genre>
<topic>Review Article</topic>
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<identifier type="ISSN">0905-7161</identifier>
<identifier type="eISSN">1600-0501</identifier>
<identifier type="DOI">10.1111/(ISSN)1600-0501</identifier>
<identifier type="PublisherID">CLR</identifier>
<part>
<date>2013</date>
<detail type="volume">
<caption>vol.</caption>
<number>24</number>
</detail>
<detail type="issue">
<caption>no.</caption>
<number>2</number>
</detail>
<extent unit="pages">
<start>117</start>
<end>127</end>
<total>11</total>
</extent>
</part>
</relatedItem>
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<identifier type="ark">ark:/67375/WNG-GXD2DFZH-1</identifier>
<identifier type="DOI">10.1111/j.1600-0501.2011.02374.x</identifier>
<identifier type="ArticleID">CLR2374</identifier>
<accessCondition type="use and reproduction" contentType="copyright">Copyright © 2013 John Wiley & Sons A/S© 2011 John Wiley & Sons A/S</accessCondition>
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