J Adv Prosthodont.  2012 Aug;4(3):134-138. 10.4047/jap.2012.4.3.134.

Short-term evaluation of dental implants in a diabetic population: an in vivo study

• Inbarajan
• Veeravalli PT
• Vaidyanathan AK
• Grover M

• KMID: 2176407
• DOI: http://doi.org/10.4047/jap.2012.4.3.134

Abstract

PURPOSE
The study was conducted to evaluate the efficacy of implant supported tooth replacement in diabetic patients.
MATERIALS AND METHODS
The study involved placement of implants (UNITI implants, Equinox Medical Technologies, Zeist, Holland, diameter of 3.7 mm and length 13 mm) in five diabetic patients (three females and two males) of age ranging from 35-65 years with acceptable metabolic control of plasma glucose. All patients included in the study were indicated for single tooth maxillary central incisor replacement, with the adjacent teeth intact. The survival of the restored implants was assessed for a period of three months by measurement of crestal bone heights, bleeding on probing and micro flora predominance. Paired t-test was done to find out the difference in the microbial colonization, bleeding on probing and crestal bone loss. P values of less than 0.05 were taken to indicate statistical significance.
RESULTS
Results indicated that there was a significant reduction in bleeding on probing and colonization at the end of three months and the bone loss was not statistically significant.
CONCLUSION
The study explores the hypothesis that patients with diabetes are appropriate candidates for implants and justifies the continued evaluation of the impact of diabetes on implant success and complications.

Keyword

Diabetes mellitus; Dental implants; Gingival bleeding on probing; Osseointegration; Implant prosthesis

MeSH Terms

Colon
Dental Implants
Diabetes Mellitus
Female
Glucose
Hemorrhage
Humans
Incisor
Netherlands
Osseointegration
Periodontal Index
Plasma
Tooth
Dental Implants
Glucose

Figure

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  Fig. 1 Preoperative facial view of single missing maxillary central incisor.

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  Fig. 2 UNITI implant (Equinox Medical Technologies, Zeist, Holland) with a diameter of 3.7 mm and length 13 mm placed.

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  Fig. 3 Specimen collection using sterile swab to identify microorganisms located subgingivally along the implant site.

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  Fig. 4 Transfer of samples to vials.

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  Fig. 5 A: Blood agar medium demonstrating colonization of fastidious organisms, B: Chocolate agar medium showing largest proportion of microorganisms obtained from the samples. This is a non-selective medium that showed colonies of respiratory bacteria, anaerobic organisms and gram positive cocci, C: MacConkey agar medium showing colonization. Colonies of Gram negative bacteria were seen.

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