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Dental Implant Survival and Complication Rate over 2 Years for Individuals with Poorly Controlled Type 2 Diabetes Mellitus
Author(s) -
Eskow Caroline C.,
Oates Thomas W.
Publication year - 2017
Publication title -
clinical implant dentistry and related research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.338
H-Index - 85
eISSN - 1708-8208
pISSN - 1523-0899
DOI - 10.1111/cid.12465
Subject(s) - medicine , glycemic , mucositis , implant , dentistry , diabetes mellitus , type 2 diabetes , complication , survival rate , dental implant , observational study , surgery , chemotherapy , endocrinology
Abstract Background Emerging evidence suggests that implant therapy may be a viable option for diabetic individuals with elevated glycemic levels. Purpose The purpose of this 2 year observational study was to evaluate survival and clinical complications of dental implants following placement in type 2 diabetes individuals having poor glycemic control. Materials and Methods 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 1 (23 participants, 72 implants) and 2 (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. Results 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, R 2 = 0.66). There was no correlation between HbA1c and the occurrences of complications or mucositis. Conclusions 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.