Dental Implant Survival and Complication Rate over 2 Years for Individuals with Poorly Controlled Type 2 Diabetes Mellitus.
Dental Implant Survival and Complication Rate over 2 Years for Individuals with Poorly Controlled Type 2 Diabetes Mellitus.
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DOI:
10.1111/cid.12465
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发表时间:
2017-06
影响因子:
3.6
通讯作者:
Oates TW
中科院分区:
文献类型:
--
作者:
Eskow CC;Oates TW
Emerging evidence suggests that implant therapy may be a viable option for diabetic individuals with elevated glycemic levels. The purpose of this two year observational study was to evaluate survival and clinical complications of dental implants following placement in type 2 diabetes individuals having poor glycemic control. Adult participants (n=24) with poorly controlled type 2 diabetes (8.0% ≤ HbA1c ≤ 12.0%) received two or more transgingival dental implants. Survival was evaluated after one (23 participants, 72 implants) and two (20 participants, 59 implants) years. Clinical complications were evaluated in 18 participants (52 implants) after 21–34 months. Relationships between complications and stratified HbA1c levels were assessed using Pearson’s correlation test. Survival rates were 98.6% (71/72 implants) after 1 year and 96.6% (57/59 implants) after 2 years. Complications were identified in 29% of participants with peri-implant mucositis, the most common event. Complications correlated directly with number of implants across HbA1c strata (0.42, R2=0.66). There was no correlation between HbA1c and the occurrences of complications or mucositis. This 2-year evaluation supports the broader application of implant therapy in type 2 diabetes individuals with poor glycemic control in demonstrating high survival rates with limited complications.