Glycemic Control and Implant Stabilization in Type 2 Diabetes Mellitus
Diabetes mellitus is considered a relative contra-indication for implant therapy. However, the effect of glycemic level on implant integration in persons with diabetes remains poorly understood. The hypothesis of this research was that poor glycemic control is directly related to short-term-impairme...
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| Veröffentlicht in: | Journal of dental research 2009-04, Vol.88 (4), p.367-371 |
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| creator | Oates, T.W. Dowell, S. Robinson, M. McMahan, C.A. |
| description | Diabetes mellitus is considered a relative contra-indication for implant therapy. However, the effect of glycemic level on implant integration in persons with diabetes remains poorly understood. The hypothesis of this research was that poor glycemic control is directly related to short-term-impairment implant stabilization. This prospective clinical study evaluated 10 non-diabetic individuals (12 implants) and 20 persons with type 2 diabetes (30 implants). Glycated hemoglobin (HbA1c) levels ranged from 4.7–12.6%. Implant stability was assessed by resonance frequency analysis over 4 months following placement. Minimum stability levels were observed 2–6 weeks following placement for all 42 implants. Persons with HbA1c ≥ 8.1% had a greater maximum decrease in stability from baseline and required a longer time for healing, as indicated by return of stability level to baseline. This study demonstrates alterations in implant stability consistent with impaired implant integration for persons with type 2 diabetes mellitus in direct relation to hyperglycemic conditions. |
| doi_str_mv | 10.1177/0022034509334203 |
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However, the effect of glycemic level on implant integration in persons with diabetes remains poorly understood. The hypothesis of this research was that poor glycemic control is directly related to short-term-impairment implant stabilization. This prospective clinical study evaluated 10 non-diabetic individuals (12 implants) and 20 persons with type 2 diabetes (30 implants). Glycated hemoglobin (HbA1c) levels ranged from 4.7–12.6%. Implant stability was assessed by resonance frequency analysis over 4 months following placement. Minimum stability levels were observed 2–6 weeks following placement for all 42 implants. Persons with HbA1c ≥ 8.1% had a greater maximum decrease in stability from baseline and required a longer time for healing, as indicated by return of stability level to baseline. 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However, the effect of glycemic level on implant integration in persons with diabetes remains poorly understood. The hypothesis of this research was that poor glycemic control is directly related to short-term-impairment implant stabilization. This prospective clinical study evaluated 10 non-diabetic individuals (12 implants) and 20 persons with type 2 diabetes (30 implants). Glycated hemoglobin (HbA1c) levels ranged from 4.7–12.6%. Implant stability was assessed by resonance frequency analysis over 4 months following placement. Minimum stability levels were observed 2–6 weeks following placement for all 42 implants. Persons with HbA1c ≥ 8.1% had a greater maximum decrease in stability from baseline and required a longer time for healing, as indicated by return of stability level to baseline. This study demonstrates alterations in implant stability consistent with impaired implant integration for persons with type 2 diabetes mellitus in direct relation to hyperglycemic conditions.</description><subject>Adult</subject><subject>Blood Glucose - analysis</subject><subject>Case-Control Studies</subject><subject>Dental Implantation, Endosseous</subject><subject>Dental Implants</subject><subject>Dental Restoration Failure</subject><subject>Dentistry</subject><subject>Diabetes Mellitus, Type 2 - blood</subject><subject>Diabetes Mellitus, Type 2 - complications</subject><subject>Diabetes Mellitus, Type 2 - surgery</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Glycated Hemoglobin A - analysis</subject><subject>Humans</subject><subject>Hyperglycemia - blood</subject><subject>Hyperglycemia - prevention & control</subject><subject>Hyperglycemia - surgery</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Osseointegration - physiology</subject><subject>Pilot Projects</subject><subject>Prospective Studies</subject><subject>Reference Values</subject><subject>Research Reports</subject><subject>Wound Healing - physiology</subject><subject>Young Adult</subject><issn>0022-0345</issn><issn>1544-0591</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp1kc1r3DAQxUVJaDZp7z0VkUNvTkZftnUplG12E9jSQ9OzGMtSosW2tpYd2Pz18bJL8wE5aeD95mkej5AvDC4YK4pLAM5BSAVaCDlNH8iMKSkzUJodkdlOznb6CTlNaQ3ANC_FR3LCtISCKT0ji2Wzta4Nls5jN_SxodjV9KbdNNgN9M-AVWjCIw4hdjR09Ha7cZTTnwErN7hEf7mmCcOYPpFjj01ynw_vGfm7uLqdX2er38ub-Y9VZpWSQ8a0L1Ha0lc1hwJB1hbR2wq8VrkVzLNcl5CL3KLX6DgK4euC16rkua1LL87I973vZqxaV1s33YyN2fShxX5rIgbzWunCvbmLD4ZrkELnk8G3g0Ef_40uDaYNyU4psHNxTCYvmFYM-ASevwHXcey7KZzhoKXMFdtBsIdsH1Pqnf9_CQOza8i8bWha-foywfPCoZIJyPZAwjv3_Om7hk_w8Zij</recordid><startdate>20090401</startdate><enddate>20090401</enddate><creator>Oates, T.W.</creator><creator>Dowell, S.</creator><creator>Robinson, M.</creator><creator>McMahan, C.A.</creator><general>SAGE Publications</general><general>SAGE PUBLICATIONS, INC</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RQ</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>S0X</scope><scope>U9A</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20090401</creationdate><title>Glycemic Control and Implant Stabilization in Type 2 Diabetes Mellitus</title><author>Oates, T.W. ; 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| subjects | Adult Blood Glucose - analysis Case-Control Studies Dental Implantation, Endosseous Dental Implants Dental Restoration Failure Dentistry Diabetes Mellitus, Type 2 - blood Diabetes Mellitus, Type 2 - complications Diabetes Mellitus, Type 2 - surgery Female Follow-Up Studies Glycated Hemoglobin A - analysis Humans Hyperglycemia - blood Hyperglycemia - prevention & control Hyperglycemia - surgery Male Middle Aged Osseointegration - physiology Pilot Projects Prospective Studies Reference Values Research Reports Wound Healing - physiology Young Adult |
| title | Glycemic Control and Implant Stabilization in Type 2 Diabetes Mellitus |
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