How Your Diabetes May Affect Your Dental Implants?

As I had stated earlier in my previous blog on; I am a Diabetic, can I get Dental Implants? Diabetic have lower healing properties as compared to other individuals. On this blog, I focus on giving you more details on diabetes and dental implants.
 

Implant-Bone Osseointegration for Diabetics

 
Several studies have been carried out on the effect of diabetes on the success of dental implants in patients. Osseointegration involves the formation of an interface between bone and implant.
 
It is a crucial process in ensuring an inflammation-free survival of implants and also in their stability. From observation, patients with poorly controlled HbA1c levels, i.e. levels with concentrations of over 10%, had little stability for about six weeks.
 
The stability improves with time to reach the baseline, and after one year of undergoing treatment, all groups are at the same level of stability.
 

What about Your Implant Survival?

 
From the various studies carried out, most of the implant failures that were observed took place within a year of having prosthetic loading. The results of some studies showed no difference in the survival of implants among people with diabetes and the healthy control.
 
One study that I came across demonstrates that the survival of implants is lower in diabetic patients as compared to a healthy population. The study done by Aguilar-Salvatierra shows that elevated HbA1c levels increase the chances of a peri-implant inflammation in patients.
 

Measures for Improving the Success of Dental Implants in Diabetics

 
Patients with well-controlled glucose levels have shown to have success rates similar to those of healthy individuals, after a dental implant surgery. For preventive measures, you may need to consider the use of antibiotics.
 
Individuals with poorly controlled levels of glucose, i.e. levels of more than 8, may have a higher chance of inflammation of gums or even implant failure, throughout the life of the implant. It is important for a person with diabetes to keep your glucose levels under control.
 
It will help improve the success rate of your dental implants. The following measures are taken to improve ones’ success rate:
 

  • For improved osseointegration, good glycemic control is required both pre and post-operative
  • Usage of a small percentage of chlorhexidine improves your success rate. The recommended rate is 0.12%
  • Use of Prophylactic antibiotics has proved to be quite capable
  • Other measures are also adopted, e.g. use of implants coated with a bioactive material, and a higher length and width of implants have proved effective in improving the success of implants.
  •  
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