Rehabilitative Considerations for Dental Implants in the Diabetic Patient
Identifieur interne : 004D23 ( Ncbi/Merge ); précédent : 004D22; suivant : 004D24Rehabilitative Considerations for Dental Implants in the Diabetic Patient
Auteurs : Preeti Agarwal Katyayan ; Manish Katyayan ; Rupal J. ShahSource :
- The Journal of the Indian Prosthodontic Society [ 0972-4052 ] ; 2012.
Abstract
Diabetes is a serious illness that affects many people, and there are many new cases diagnosed every year in all populations around the world. Dental implant is one of the restorative methods to replace missing teeth. As implants are directly anchored into bones, they provide stability, a more natural appearance, and minimize the risk of bone resorption. Thus, today, there is a high demand of dental implants and it is inevitable to meet diabetics who request implant treatment. However, Diabetes mellitus patients may pose contraindications to dental implants because of microvascular complications leading to slower healing process after surgery. Studies have shown that dental implantation failure rate in diabetic patients is much higher than that in non-diabetic patients. This article reviews the effect of diabetes on the osseointegration of implants and the soft tissue healing. It presents the factors used in assessing the severity of diabetes and its complications, as well as considerations for rehabilitation planning in these patients. In addition, the role of antibiotic prophylaxis has been reviewed since its effect on wound healing in diabetics is controversial. Integration of these factors by the dentist can dictate whether, as well as what type of implant supported prosthesis should be given to the diabetic patient.
Url:
DOI: 10.1007/s13191-012-0207-9
PubMed: 24431731
PubMed Central: 3732704
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PMC:3732704Le document en format XML
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<front><div type="abstract" xml:lang="en"><p>Diabetes is a serious illness that affects many people, and there are many new cases diagnosed every year in all populations around the world. Dental implant is one of the restorative methods to replace missing teeth. As implants are directly anchored into bones, they provide stability, a more natural appearance, and minimize the risk of bone resorption. Thus, today, there is a high demand of dental implants and it is inevitable to meet diabetics who request implant treatment. However, Diabetes mellitus patients may pose contraindications to dental implants because of microvascular complications leading to slower healing process after surgery. Studies have shown that dental implantation failure rate in diabetic patients is much higher than that in non-diabetic patients. This article reviews the effect of diabetes on the osseointegration of implants and the soft tissue healing. It presents the factors used in assessing the severity of diabetes and its complications, as well as considerations for rehabilitation planning in these patients. In addition, the role of antibiotic prophylaxis has been reviewed since its effect on wound healing in diabetics is controversial. Integration of these factors by the dentist can dictate whether, as well as what type of implant supported prosthesis should be given to the diabetic patient.</p>
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<title-group><article-title>Rehabilitative Considerations for Dental Implants in the Diabetic Patient</article-title>
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<contrib-group><contrib contrib-type="author" corresp="yes"><name><surname>Katyayan</surname>
<given-names>Preeti Agarwal</given-names>
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<address><phone>+091-7600807617</phone>
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Department of Prosthodontics, Government Dental College, Ahmedabad, Gujarat India</aff>
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Department of Dentistry, GMERS Medical College, Gandhinagar, Gujarat India</aff>
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Government Dental College, Ahmedabad, Gujarat India</aff>
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<pub-date pub-type="epub"><day>1</day>
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<pub-date pub-type="ppub"><month>9</month>
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<volume>13</volume>
<issue>3</issue>
<fpage>175</fpage>
<lpage>183</lpage>
<history><date date-type="received"><day>11</day>
<month>9</month>
<year>2011</year>
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<date date-type="accepted"><day>18</day>
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<permissions><copyright-statement>© Indian Prosthodontic Society 2012</copyright-statement>
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<abstract id="Abs1"><p>Diabetes is a serious illness that affects many people, and there are many new cases diagnosed every year in all populations around the world. Dental implant is one of the restorative methods to replace missing teeth. As implants are directly anchored into bones, they provide stability, a more natural appearance, and minimize the risk of bone resorption. Thus, today, there is a high demand of dental implants and it is inevitable to meet diabetics who request implant treatment. However, Diabetes mellitus patients may pose contraindications to dental implants because of microvascular complications leading to slower healing process after surgery. Studies have shown that dental implantation failure rate in diabetic patients is much higher than that in non-diabetic patients. This article reviews the effect of diabetes on the osseointegration of implants and the soft tissue healing. It presents the factors used in assessing the severity of diabetes and its complications, as well as considerations for rehabilitation planning in these patients. In addition, the role of antibiotic prophylaxis has been reviewed since its effect on wound healing in diabetics is controversial. Integration of these factors by the dentist can dictate whether, as well as what type of implant supported prosthesis should be given to the diabetic patient.</p>
</abstract>
<kwd-group xml:lang="en"><title>Keywords</title>
<kwd>Dental implants</kwd>
<kwd>Diabetes mellitus</kwd>
<kwd>Osseointegration</kwd>
<kwd>Implant prosthesis</kwd>
</kwd-group>
<custom-meta-group><custom-meta><meta-name>issue-copyright-statement</meta-name>
<meta-value>© Indian Prosthodontic Society 2013</meta-value>
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