Implant therapy for patients with diabetes

• Autor(a) principal: Razzouk, Bader
• Data de Publicação: 2022
• Tipo de documento: Dissertação
• Idioma: eng
• Título da fonte: Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)
• Texto Completo: http://hdl.handle.net/10400.26/42740
• topic: Diabetes mellitus; Dental implant; Osseointegration; Periimplantitis

The demand of diabetic patients, after the loss of one or more teeth, for implant therapy is increasingly. This leads us to ask questions about the feasibility of implant surgery and the means to be implemented to guarantee and maintain success on subjects with systemic pathologies. To answer these questions, we proposed to carry out a review of the literature. The oral complications of diabetes can greatly increase the risk of becoming partially or totally toothless. There are many causes: gingivitis, periodontal disease, xerostomia, increased susceptibility to infection, caries and periapical lesions can all lead to increased rates of tooth extraction. However, peri-implant tissue stability and crestal bone maintenance are essential for both the survival and long-term success of dental implants. In experimental models, it is demonstrated that diabetic patients who get implants experience a satisfactory progression of osteointegration. However, diabetes is known to impair wound healing and decrease the area of tissue contact in persons who have the condition. Therefore, it is crucial to go by the recommendations before having dental implants placed, which include maintaining good glycemic control, using antibiotic prophylaxis, using chlorhexidine mouthwash, and maintaining good oral hygiene. All these actions are crucial for diabetic patients' implant survival. All articles over 15 years old in English, Portugues and French including the following criteria will be retained: Meta-analysis, Systematic reviews, Randomized controlled trials, Cohorts, Case control studies, Case reports.