Peri-Implant Bone Loss and Esthetic Outcome of Single-Tooth Implant in Patients with Type 2 Diabetes
Al-Zordk, W., Awad, S., Saker, S. (2019). Peri-Implant Bone Loss and Esthetic Outcome of Single-Tooth Implant in Patients with Type 2 Diabetes. EKB Journal Management System, 65(Issue 1 - January (Fixed Prosthodontics, Dental Materials, Conservative Dentistry & Endodontics)), 793-802. doi: 10.21608/edj.2019.72866
Walid Al-Zordk; Sally Awad; Samah Saker. "Peri-Implant Bone Loss and Esthetic Outcome of Single-Tooth Implant in Patients with Type 2 Diabetes". EKB Journal Management System, 65, Issue 1 - January (Fixed Prosthodontics, Dental Materials, Conservative Dentistry & Endodontics), 2019, 793-802. doi: 10.21608/edj.2019.72866
Al-Zordk, W., Awad, S., Saker, S. (2019). 'Peri-Implant Bone Loss and Esthetic Outcome of Single-Tooth Implant in Patients with Type 2 Diabetes', EKB Journal Management System, 65(Issue 1 - January (Fixed Prosthodontics, Dental Materials, Conservative Dentistry & Endodontics)), pp. 793-802. doi: 10.21608/edj.2019.72866
Al-Zordk, W., Awad, S., Saker, S. Peri-Implant Bone Loss and Esthetic Outcome of Single-Tooth Implant in Patients with Type 2 Diabetes. EKB Journal Management System, 2019; 65(Issue 1 - January (Fixed Prosthodontics, Dental Materials, Conservative Dentistry & Endodontics)): 793-802. doi: 10.21608/edj.2019.72866

Peri-Implant Bone Loss and Esthetic Outcome of Single-Tooth Implant in Patients with Type 2 Diabetes

Egyptian Dental Journal
Article 44, Volume 65, Issue 1 - January (Fixed Prosthodontics, Dental Materials, Conservative Dentistry & Endodontics), January 2019, Page 793-802  XML PDF (723.87 K)
Document Type: Original Article
DOI: 10.21608/edj.2019.72866
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Authors
Walid Al-Zordk1; Sally Awad2; Samah Saker3
1Assistant Professor, Fixed prosthodontics Department, Faculty of Dentistry, Mansoura University, Mansoura, Egypt
2Associate Professor, Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Mansoura University, Mansoura, Egypt
3Associate Professor, Fixed prosthodontics Department, Faculty of Dentistry, Mansoura University, Mansoura, Egypt
Abstract
Background: Esthetic outcome associated with dental implant in type 2 diabetic patients remained uninvestigated.
Purpose: To study the impact of type 2 diabetes mellitus on clinical and esthetic outcomes of single-tooth implant following delayed implant installation in the anterior maxilla.
Materials and Methods: Forty patients were recruited for this investigation. Half of patients were previously diagnosed with controlled type 2 diabetes mellitus (group D) and the remaining (n=20) were healthy individuals (group H). All implants were inserted in the anterior part of the maxilla either with sufficient bone volume /or with labial bone defect. Evaluations of soft and hard-tissue changes were checked during the follow-up period up to 24 months.
Results: Significant loss in marginal osseous tissue was observed during 24 months of evaluation with respect to diabetic (p=.001) regardless the bone augmentation procedure used, while group H showed significant loss at 6 months of evaluation followed by non-significant changes of the marginal bone level till 24 months. Mean PES and WES scores did not diverge significantly among groups D and H (p>.05).
Conclusions: Single tooth dental implants can remain functionally and esthetically acceptable in type 2 diabetic patients in a manner similar to healthy patients provided carful controlling and maintaining of blood glycemic level.
Keywords
Diabetic patient; dental implant; Anterior maxilla; Bone augmentation
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