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

Identifieur interne : 002E26 ( Main/Merge ); précédent : 002E25; suivant : 002E27

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

Auteurs : Thomas W. Oates [États-Unis] ; Guy Huynh-Ba [États-Unis] ; Adriana Vargas [États-Unis] ; Peggy Alexander [États-Unis] ; Jocelyne Feine [Canada]

Source :

RBID : ISTEX:F896D674AB15C1812996CCDA841099933D11183A

Descripteurs français

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

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ISTEX:F896D674AB15C1812996CCDA841099933D11183A

Le document en format XML

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<term>Clinical periodontology</term>
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<term>Diabetes care</term>
<term>Diabetes mellitus</term>
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<term>Diabetic patient</term>
<term>Diabetic patients</term>
<term>Diabetic rats</term>
<term>Dietary intake</term>
<term>Disease control</term>
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<term>Failure rates</term>
<term>Feine</term>
<term>Fracture</term>
<term>Fracture healing</term>
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<term>Glucose</term>
<term>Glycemic</term>
<term>Glycemic control</term>
<term>Good glycemic control</term>
<term>Hamada</term>
<term>Hba1c</term>
<term>Hba1c levels</term>
<term>Hyperglycemia</term>
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<term>Implant dentistry</term>
<term>Implant failure</term>
<term>Implant failure rate</term>
<term>Implant failure rates</term>
<term>Implant failures</term>
<term>Implant integration</term>
<term>Implant success</term>
<term>Implant survival</term>
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<term>Implants research</term>
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<term>Mandibular overdentures</term>
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<term>Maxillofacial</term>
<term>Maxillofacial implants</term>
<term>Maxillofacial surgery</term>
<term>Mellitus</term>
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<term>Metabolism</term>
<term>Ndings</term>
<term>Oates</term>
<term>Older adults</term>
<term>Older women</term>
<term>Oral epidemiology</term>
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<term>Periodontology</term>
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<term>Prosthetic dentistry</term>
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<front>
<div type="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.</div>
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<name sortKey="Huynh Ba, Guy" sort="Huynh Ba, Guy" uniqKey="Huynh Ba G" first="Guy" last="Huynh-Ba">Guy Huynh-Ba</name>
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<name sortKey="Vargas, Adriana" sort="Vargas, Adriana" uniqKey="Vargas A" first="Adriana" last="Vargas">Adriana Vargas</name>
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<name sortKey="Feine, Jocelyne" sort="Feine, Jocelyne" uniqKey="Feine J" first="Jocelyne" last="Feine">Jocelyne Feine</name>
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<title xml:lang="en" level="a" type="main">A Critical Review of Diabetes, Glycemic Control and Dental Implant Therapy</title>
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<name sortKey="Oates, Thomas W" sort="Oates, Thomas W" uniqKey="Oates T" first="Thomas W." last="Oates">Thomas W. Oates</name>
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<nlm:aff id="A1">Department of Periodontics, University of Texas Health Science Center at San Antonio, San Antonio, TX</nlm:aff>
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<wicri:cityArea>Department of Periodontics, University of Texas Health Science Center at San Antonio, San Antonio</wicri:cityArea>
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<name sortKey="Huynh Ba, Guy" sort="Huynh Ba, Guy" uniqKey="Huynh Ba G" first="Guy" last="Huynh-Ba">Guy Huynh-Ba</name>
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<nlm:aff id="A1">Department of Periodontics, University of Texas Health Science Center at San Antonio, San Antonio, TX</nlm:aff>
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<placeName>
<region type="state">Texas</region>
</placeName>
<wicri:cityArea>Department of Periodontics, University of Texas Health Science Center at San Antonio, San Antonio</wicri:cityArea>
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<name sortKey="Vargas, Adriana" sort="Vargas, Adriana" uniqKey="Vargas A" first="Adriana" last="Vargas">Adriana Vargas</name>
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<name sortKey="Feine, Jocelyne" sort="Feine, Jocelyne" uniqKey="Feine J" first="Jocelyne" last="Feine">Jocelyne Feine</name>
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<settlement type="city">Montréal</settlement>
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<title level="j">Clinical oral implants research</title>
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<div type="abstract" xml:lang="en">
<sec id="S1">
<title>Objectives</title>
<p id="P1">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>
</sec>
<sec id="S2">
<title>Material and Methods</title>
<p id="P2">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.</p>
</sec>
<sec id="S3">
<title>Results</title>
<p id="P3">The initial search identified 129 publications, reduced to 16 for inclusion. Reported implant failures rates for diabetic patients ranged from 0–14.3%. 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 0–2.9%.</p>
</sec>
<sec id="S4">
<title>Conclusions</title>
<p id="P4">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 remains to be determined.</p>
</sec>
</div>
</front>
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