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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">A Critical Review of Diabetes, Glycemic Control and Dental Implant Therapy</title>
<author><name sortKey="Oates, Thomas W" sort="Oates, Thomas W" uniqKey="Oates T" first="Thomas W." last="Oates">Thomas W. Oates</name>
<affiliation><nlm:aff id="A1">Department of Periodontics, University of Texas Health Science Center at San Antonio, San Antonio, TX</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Huynh Ba, Guy" sort="Huynh Ba, Guy" uniqKey="Huynh Ba G" first="Guy" last="Huynh-Ba">Guy Huynh-Ba</name>
<affiliation><nlm:aff id="A1">Department of Periodontics, University of Texas Health Science Center at San Antonio, San Antonio, TX</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Vargas, Adriana" sort="Vargas, Adriana" uniqKey="Vargas A" first="Adriana" last="Vargas">Adriana Vargas</name>
<affiliation><nlm:aff id="A2">Department of Comprehensive Dentistry, University of Texas Health Science Center at San Antonio, San Antonio, TX</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Alexander, Peggy" sort="Alexander, Peggy" uniqKey="Alexander P" first="Peggy" last="Alexander">Peggy Alexander</name>
<affiliation><nlm:aff id="A1">Department of Periodontics, University of Texas Health Science Center at San Antonio, San Antonio, TX</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Feine, Jocelyne" sort="Feine, Jocelyne" uniqKey="Feine J" first="Jocelyne" last="Feine">Jocelyne Feine</name>
<affiliation><nlm:aff id="A3">Oral Health and Society Research Division, McGill University, Montreal, Canada</nlm:aff>
</affiliation>
</author>
</titleStmt>
<publicationStmt><idno type="wicri:source">PMC</idno>
<idno type="pmid">22111901</idno>
<idno type="pmc">3329564</idno>
<idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3329564</idno>
<idno type="RBID">PMC:3329564</idno>
<idno type="doi">10.1111/j.1600-0501.2011.02374.x</idno>
<date when="2011">2011</date>
<idno type="wicri:Area/Pmc/Corpus">002762</idno>
<idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">002762</idno>
</publicationStmt>
<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">A Critical Review of Diabetes, Glycemic Control and Dental Implant Therapy</title>
<author><name sortKey="Oates, Thomas W" sort="Oates, Thomas W" uniqKey="Oates T" first="Thomas W." last="Oates">Thomas W. Oates</name>
<affiliation><nlm:aff id="A1">Department of Periodontics, University of Texas Health Science Center at San Antonio, San Antonio, TX</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Huynh Ba, Guy" sort="Huynh Ba, Guy" uniqKey="Huynh Ba G" first="Guy" last="Huynh-Ba">Guy Huynh-Ba</name>
<affiliation><nlm:aff id="A1">Department of Periodontics, University of Texas Health Science Center at San Antonio, San Antonio, TX</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Vargas, Adriana" sort="Vargas, Adriana" uniqKey="Vargas A" first="Adriana" last="Vargas">Adriana Vargas</name>
<affiliation><nlm:aff id="A2">Department of Comprehensive Dentistry, University of Texas Health Science Center at San Antonio, San Antonio, TX</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Alexander, Peggy" sort="Alexander, Peggy" uniqKey="Alexander P" first="Peggy" last="Alexander">Peggy Alexander</name>
<affiliation><nlm:aff id="A1">Department of Periodontics, University of Texas Health Science Center at San Antonio, San Antonio, TX</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Feine, Jocelyne" sort="Feine, Jocelyne" uniqKey="Feine J" first="Jocelyne" last="Feine">Jocelyne Feine</name>
<affiliation><nlm:aff id="A3">Oral Health and Society Research Division, McGill University, Montreal, Canada</nlm:aff>
</affiliation>
</author>
</analytic>
<series><title level="j">Clinical oral implants research</title>
<idno type="ISSN">0905-7161</idno>
<idno type="eISSN">1600-0501</idno>
<imprint><date when="2011">2011</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
</fileDesc>
<profileDesc><textClass></textClass>
</profileDesc>
</teiHeader>
<front><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>
</TEI>
<pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<pmc-dir>properties manuscript</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-journal-id">9105713</journal-id>
<journal-id journal-id-type="pubmed-jr-id">1142</journal-id>
<journal-id journal-id-type="nlm-ta">Clin Oral Implants Res</journal-id>
<journal-id journal-id-type="iso-abbrev">Clin Oral Implants Res</journal-id>
<journal-title-group><journal-title>Clinical oral implants research</journal-title>
</journal-title-group>
<issn pub-type="ppub">0905-7161</issn>
<issn pub-type="epub">1600-0501</issn>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">22111901</article-id>
<article-id pub-id-type="pmc">3329564</article-id>
<article-id pub-id-type="doi">10.1111/j.1600-0501.2011.02374.x</article-id>
<article-id pub-id-type="manuscript">NIHMS337297</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Article</subject>
</subj-group>
</article-categories>
<title-group><article-title>A Critical Review of Diabetes, Glycemic Control and Dental Implant Therapy</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Oates</surname>
<given-names>Thomas W.</given-names>
</name>
<degrees>DMD, PhD</degrees>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Huynh-Ba</surname>
<given-names>Guy</given-names>
</name>
<degrees>DDS, Dr med dent, MS</degrees>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Vargas</surname>
<given-names>Adriana</given-names>
</name>
<degrees>DDS, MPH, MS</degrees>
<xref ref-type="aff" rid="A2">2</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Alexander</surname>
<given-names>Peggy</given-names>
</name>
<degrees>DDS, MPH</degrees>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Feine</surname>
<given-names>Jocelyne</given-names>
</name>
<degrees>DDS, MS, HDR</degrees>
<xref ref-type="aff" rid="A3">3</xref>
</contrib>
</contrib-group>
<aff id="A1"><label>1</label>
Department of Periodontics, University of Texas Health Science Center at San Antonio, San Antonio, TX</aff>
<aff id="A2"><label>2</label>
Department of Comprehensive Dentistry, University of Texas Health Science Center at San Antonio, San Antonio, TX</aff>
<aff id="A3"><label>3</label>
Oral Health and Society Research Division, McGill University, Montreal, Canada</aff>
<author-notes><corresp id="FN1">Corresponding Author: Thomas Oates, DMD, PhD, Department of Periodontics, University of Texas Health Science Center at San Antonio, 7703 Floyd Curl Drive, San Antonio, TX 78229-3900, <email>oates@uthscsa.edu</email>
</corresp>
</author-notes>
<pub-date pub-type="nihms-submitted"><day>6</day>
<month>12</month>
<year>2011</year>
</pub-date>
<pub-date pub-type="epub"><day>24</day>
<month>11</month>
<year>2011</year>
</pub-date>
<pub-date pub-type="ppub"><month>2</month>
<year>2013</year>
</pub-date>
<pub-date pub-type="pmc-release"><day>01</day>
<month>2</month>
<year>2013</year>
</pub-date>
<volume>24</volume>
<issue>2</issue>
<fpage>117</fpage>
<lpage>127</lpage>
<abstract><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>
</abstract>
<kwd-group><kwd>Diabetes</kwd>
<kwd>dental care</kwd>
<kwd>implant</kwd>
<kwd>glycemic control</kwd>
<kwd>literature review</kwd>
</kwd-group>
<funding-group><award-group><funding-source country="United States">National Institute of Dental and Craniofacial Research : NIDCR</funding-source>
<award-id>R01 DE017882-05 || DE</award-id>
</award-group>
</funding-group>
</article-meta>
</front>
</pmc>
</record>
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