One-year clinical outcome of dental implants placed in patients with type 2 diabetes mellitus: a case series.
OBJECTIVE
Diabetes mellitus is a prevalent medical disorder. It is often accompanied with systemic adverse sequelae, such as wound healing alterations, which may affect osseointegration of dental implants. The use of dental implants in patients with diabetes mellitus remains controversial because altered bone healing around implants has been reported. The purpose of this study was to present 1-year clinical outcomes of 23 implants placed in 10 patients with well-, or moderately well, controlled type 2 diabetes mellitus.


METHODS
All implants were uneventfully placed in the mandible or maxilla. Three different types of definitive implant-supported prostheses, cement- or screw-retained fixed dental prostheses, and overdentures were delivered to the patients.


RESULTS
At 1-year follow-up recall, no implants were lost, and 0.3 +/- 0.2 mm marginal bone loss was noted. No periapical radiolucencies, no bleeding on probing, or pathologic probing depth were recorded at these recalls.


CONCLUSIONS
This clinical report supports the use of dental implants in patients with well-, or moderately well, controlled type 2 diabetes mellitus as a dental treatment modality. No evidence of diminished clinical success or significant complication related to implant treatment was found for this patient population.
Turkyilmaz
Ilser
I
Department of Prosthodontics, Dental School, University of Texas Health Science Center, San Antonio, TX, USA. turkyilmaz@uthscsa.edu
D000368:Aged; D016301:Alveolar Bone Loss / Q000145:classification; D002484:Cementation; D000044:Dental Abutments; D003758:Dental Implantation, Endosseous; D015921:Dental Implants; D019094:Dental Prosthesis, Implant-Supported; D003781:Denture Retention / Q000295:instrumentation; D003828:Denture, Overlay; D003830:Denture, Partial, Fixed; D003924:Diabetes Mellitus, Type 2 / Q000150:complications* / Q000517:prevention & control; D005500:Follow-Up Studies; D006801:Humans; D007091:Image Processing, Computer-Assisted; D008334:Mandible / Q000601:surgery; D008437:Maxilla / Q000601:surgery; D008875:Middle Aged; D016348:Osseointegration / Q000502:physiology; D012189:Retrospective Studies; D013524:Surgical Flaps; D016896:Treatment Outcome
D015921:Dental Implants