Survival of dental implants in diabetic patients: Systematic Review
Keywords:
Dental implant, implant survival, marginal bone loss, type 1 diabetes, type 2 diabetesAbstract
Dental implant therapy is considered a successful oral rehabilitation treatment. Advances in design, surface characteristics and surgical protocols make implant rehabilitation an effective treatment alternative for edentulous areas and solve functional, phonetic aesthetic and psychological problems; however, risk factors such as diabetes can compromise osseointegration or negatively affect the maintenance of peri-implant biological health. Marginal Bone loss and plaque index have been used to identify peri-implant diseases related to oral rehabilitation with implants. Objective: analyze the survival rate of dental implants in diabetic patients compared to non-diabetic patients. Methodology: The PRISMA statement parameters were used to develop the search strategy and answer the PICO question: does implant placement in healthy versus diabetic patients have a higher survival rate? Results: From a total of 175 articles, 13 were selected for bias analysis. The quantitative variables of the different studies were analyzed to answer the PICO question. Conclusions: It was found that there is no relationship between the survival rate un controlled diabetic and non-diabetic patients according to the analysis of marginal bone loss and plaque index, however, significant differences were found between uncontrolled diabetic patients and non-diabetic patients.
References
1. French D, Ofec R, Levin L. Long term clinical performance of 10 871 dental implants with up to 22 years of follow-up: A cohort study in 4247 patients. Clin Implant Dent Relat Res. [Internet] 2021;1–9. DOI: 10.1111/cid.12994
2. Souto-Maior J, Piza Pellizzer E, Luna Gomes J, Cleidiel Aparecido L, Santiago Júnior J, Egito Vasconcelos B et al. Influence of diabetes on the survival rate and marginal bone loss of dental implants: An overview of systematic reviews. J Oral Implantol. [Internet] 2019;45(4):334–40. DOI: 10.1563/aaid-joi-D-19-00087
3. Jiang X, Zhu Y, Liu Z, Tian Z, Song Z. Association between diabetes and dental implant complications: a systematic review and meta-analysis. Acta Odontol Scand [Internet]. 2021;79(1):9–18. DOI: 10.1080/00016357.2020.1761031
4. Oliveira O, Oliveira I, Timbó F, Sousa-Rodrigues C, C de Lima F. Quality assessment of systematic reviews regarding dental implant placement on diabetic patients: An overview of systematic reviews. Medicin Oral Patologia Oral y Cirugia Bucal. Medicina Oral S.L. [Internet] 2019. 8(24).483–90. DOI: 10.4317/medoral.22955
5. Li C, Wang F, Jin Z. A four-year prospective study of self-assembling nano-modified dental implants in patients with type 2 diabetes mellitus. J Dent Sci. [Internet] 2020;15(3):294–301. DOI: 10.1016/j.jds.2020.03.013
6. Sghaireen M, Alduraywish A, Chandan K, Shrivastava D, Patil S, Al Habib S et al. Comparative evaluation of dental implant failure among healthy and well-controlled diabetic patients—a 3-year retrospective study. Int J Environ Res Public Health. [Internet] 2020;17(14). DOI: 10.3390/ijerph17145253
7. Al-Shibani N, Abdulrahman K, Al-Hamdan R, Alrabiah M, Basunbul G, Abduljabbar T. Comparison of clinical peri-implant indices and crestal bone levels around narrow and regular diameter implants placed in diabetic and non-diabetic patients: A 3-year follow-up study. Clin Implant Dent Relat Res. [Internet] 2019;21(2):247–52. DOI: 10.1111/cid.12712
8. Moraschini V, Barboza E, Peixoto G. The impact of diabetes on dental implant failure: a systematic review and meta-analysis. Int J Oral Maxillofac Surg. [Internet] 2016;45(10):1237–45. DOI: 10.1016/j.ijom.2016.05.019
9. Care D. Classification and diagnosis of diabetes: Standard of Medical Care in Diabetes. 2020. Diabetes Care. [Internet] 2020;43(1):14–31. DOI: 10.2337/dc21-S002
10. Alasqah M, Alrabiah M, Abdulrahman K, Mokeem S, Binmahfooz A, ArRejaie A et al. Peri-implant soft tissue status and crestal bone levels around adjacent implants placed in patients with and without type-2 diabetes mellitus: 6 years follow-up results. Clin Implant Dent Relat Res. [Internet] 2018;20(4):562–8. DOI: 10.1111/cid.12617
11. Al-Askar M, Ajlan S, Alomar N, Al-Daghri N. Clinical and Radiographic Peri-Implant Parameters and Whole Salivary Interleukin-1β and Interleukin-6 Levels among Type-2 Diabetic and Nondiabetic Patients with and without Peri-Implantitis. Med Princ Pract. [Internet] 2018 ;27(2):133–8. DOI: 10.1159/000488032
12. Abduljabbar T, Al-Sahaly F, Al-Kathami M, Afzal S, Vohra F. Comparison of periodontal and peri-implant inflammatory parameters among patients with prediabetes, type 2 diabetes mellitus and non-diabetic controls. Acta Odontol Scand. [Internet] 2017;75(5):319–24. DOI: 10.1080/00016357.2017.1303848
13. Alrabiah M, Abdulrahman K, Al-Sowygh Z, Binmahfooz A, Mokeem S, Abduljabbar T. Association of advanced glycation end products with peri-implant inflammation in prediabetes and type 2 diabetes mellitus patients. Clin Implant Dent Relat Res. [Internet] 2018;20(4):535–40. DOI: 10.1111/cid.12607
14. Mokeem S, Abdulaziz S, Al-Shibani N, Alrabiah M, Al-Hamdan R, Vohra F et al. Clinical and radiographic peri-implant variables around short dental implants in type 2 diabetic, prediabetic, and non-diabetic patients. Clin Implant Dent Relat Res. [Internet] 2019;21(1):60–5. DOI: 10.1111/cid.12691
15. Cabrera J, Castellanos-Cosano L, Tores-Lagares D, Pérez-Fierro M, Machuca-Portillo G. Clinical performance of titanium-zirconium implants with a hydrophilic surface in patients with controlled type 2 diabetes mellitus: 2-year results from a prospective case-control clinical study. Clin Oral Investig. [Internet] 2020;24(7):2477–86. DOI: 10.1007/s00784-019-03110-9
16. Al Amri M, Abduljabbar T. Comparison of clinical and radiographic status of platform-switched implants placed in patients with and without type 2 diabetes mellitus: a 24-month follow-up longitudinal study. Clin Oral Implants Res. [Internet] 2017;28(2):226–30. DOI: 10.1111/clr.12787
17. Al Amri M, Varela S, Al-Dheraif A, Malmstrom H, Javed F, Romanos G. Effect of oral hygiene maintenance on HbA1c levels and peri-implant parameters around immediately-loaded dental implants placed in type-2 diabetic patients: 2 years follow-up. Clin Oral Implants Res. [Internet] 2016;27(11):1439–43. DOI: 10.1111/clr.12758
18. Cabrera J, Castellanos-Cosano L, Tores-Lagares D, Machuca-Portillo G. A Prospective Case-Control Clinical Study of Titanium-Zirconium Alloy Implants with a Hydrophilic Surface in Patients with Type 2 Diabetes Mellitus. Int J Oral Maxillofac Implants. [Internet] 2017;32(5):1135–44. DOI: 10.11607/jomi.5577
19. Al Zahrani S, Al Mutairi A. Stability and bone loss around submerged and non-submerged implants in diabetic and non-diabetic patients: a 7-year follow-up. Braz Oral Res. [Internet] 2018;32:e57. DOI: 10.1590/1807-3107bor-2018.vol32.0057
20. Palacios-Garzón N, Mauri-Obradors E, Roselló-Llabrés X, Estrugo-Devesa A, Jané-Salas E, López-López J. Comparison of Marginal Bone Loss Between Implants with Internal and External Connections: A Systematic Review. Int J Oral Maxillofac Implants. [Internet] 2018;33(3):580–9. DOI: 10.11607/jomi.6190
Downloads
Published
Issue
Section
License
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
Aquellos autores/as que tengan publicaciones con esta revista, aceptan los términos siguientes:
- Los autores/as conservarán sus derechos de autor y garantizarán a la revista el derecho de primera publicación de su obra, el cuál estará simultáneamente sujeto a la Licencia de reconocimiento de Creative Commons que permite a terceros:
- Compartir — copiar y redistribuir el material en cualquier medio o formato
- La licenciante no puede revocar estas libertades en tanto usted siga los términos de la licencia
- Los autores/as podrán adoptar otros acuerdos de licencia no exclusiva de distribución de la versión de la obra publicada (p. ej.: depositarla en un archivo telemático institucional o publicarla en un volumen monográfico) siempre que se indique la publicación inicial en esta revista.
- Se permite y recomienda a los autores/as difundir su obra a través de Internet (p. ej.: en archivos telemáticos institucionales o en su página web) después del su publicación en la revista, lo cual puede producir intercambios interesantes y aumentar las citas de la obra publicada. (Véase El efecto del acceso abierto).