Restoring Confidence: Dental Implants for Diabetics
Dental implants in diabetic patients
Diabetes Mellitus is a pandemic metabolic disease prevailing globally and is characterized by chronic hyperglycemia due to absolute or relative deficiency of insulin. It affects most parts of human body including the oral cavity. The review describes the effect of diabetes in the process of osseointegration of implants
Implants in Patients with Diabetes MellitusSuccess/Failure of Dental Implants in Diabetic Patients
Most of the studies observed slightly high percentage of early failure of implants in diabetics compared to late failure. Some reports indicated increased failure rate within first year of placement of implant. The success rate of implants in diabetic patients ranges from 85.5 -100%. Most of the studies were of opinion that success rate in well/fairly controlled diabetics was either equal or insignificantly lower than normal individuals. However, it is noteworthy that number of patients and implants placed (4 implants in 3 patients) in uncontrolled diabetics was quite low and all the patients selected were free of micro and macro-vascular complications. Only two studies reported significantly high failure of implant in diabetic patients even when glucose level was adequately under control. One of these studies retrospectively included early, as well as late failures of implants over the period of 10 years but did not specify the glycemic control over that period. While other study, prospective in nature, observed significantly high early failures with probable reason that placement of multiple adjoining implants in diabetic patients increased the failure rates due to large wound, delayed healing and greater force posed over implants.
Most of the studies observed slightly high percentage of early failure of implants in diabetics.
Measures for improving success of dental implant in diabetics
Good glycemic control, preoperative and post-operative, is required to achieve improved osseointegration in diabetic patients & use of 0. 12% chlorhexidine further improves the success rate. Certain factors like implant surface characteristics (implant coated with bioactive material) and higher implant length and width has been shown to improve success rate of implant in diabetic patients. In few studies, it was observed that systemic administration of aminoguanidine reduced the deleterious effect of diabetes on osseointegration. A recent hypothesis was made by Bai et al that adiponectin, an insulin sensitive adipokine may improve osseointregration in diabetic patients by infusing it systemically or using locally as it has shown potent anti-inflammatory properties and increased bone density by enhancing osteoblast and inhibiting osteoclast formation.
If you are a diabetic, you will need special pre and post implant care. This is important s as to prevent and minimize complications. Recent research findings indicate that dental implants are safe for people living with controlled diabetes.
Dental implants safe for diabetics
forgoing dentures for more permanent dental implants can improve the health of those with diabetes.
In addition to helping you comfortably maintain a well-balanced diet, implants eliminate the inflammation, irritation and infections that are more common with dentures. This minimizes the risk of dangerous periodontal disease as well as post-implant infections and complications.
While it’s true that those with diabetes may require special pre- and post-implant care, in order to minimize complications, recent studies show that dental implants are safe for those with controlled diabetes as long as their overall health complies with standard, pre-procedure health guidelines.
If you have diabetes, feel free to reach out to us at Krisshnaa Dental & Multispeciality care.
How Does Diabetes Affect My Ability to Get Dental Implants?
According to a 2016 systematic review of studies on dental implants and diabetes, researchers found that, “When diabetes is under well control, implant procedures are safe and predictable with a complication rate similar to that of healthy patients.” This great news for adults with diabetes who want a safe and more lasting alternative to dentures.
Here are some of the considerations for those who want to ensure dental implants are a safe choice for their mouths:
Do you have type 1 or type 2 diabetes?
Type 1 diabetes can be more difficult to control. This means the risks and failure rates associated with type 1 diabetes and dental implants is slightly higher than it is for those with type 2 diabetes. That doesn’t mean those with type 1 diabetes can’t have dental implants. However, your oral surgeon will be even more diligent in reviewing medical and dental records, assessing your general health and learning more about your history of infection and your body’s typical timeline when it comes to healing.
Also, in patients with diabetes – age may matter more than usual. This is because the longer you’ve had diabetes, the more prone you are to infections and slower healing processes. If you have diabetes and are interested in getting dental implants, sooner is definitely better than later in most cases.
Is your diabetes under control?
While the systematic review of multiple studies showed patients with controlled diabetes have no more risk of complications or failures than their non-diabetic counterparts, it also shows that patients with un-controlled diabetes had higher rates of both post-procedure infection and implant failure.
Dental implants are embedded into the gums and the bones of the jaws. They rely on the body’s natural healing processes to rebuild jaw bone tissues, which fuses the bone around the posts (osseiointegration). Then, the gums must heal as well. This complete integration into the jaw and gums is what makes dental implants so much like real teeth, and a much more permanent solution than dentures.
Because the healing process can be slower for those with diabetes, patients with un-controlled diabetes have a more difficult time healing. Thus, your oral surgeon will help you get back on track, creating a plan to get your diabetes under control and ensuring you’re doing all you can to prevent gum disease. Once those pieces of the puzzle are in place, we’ll meet again to see whether or not your mouth is ready for dental implants.
Dental implants can help you maintain a diabetes-healthy diet
Have you noticed that the healthiest diets for individuals with diabeties include lots of fresh, whole foods that require extra chewing and grinding mechanics? The permanent nature of dental implants – which are securely anchored in your jaw and gum – makes it as easy and painless to eat the foods you want when compared with dentures.
Dentures are much more prone to moving around, causing gum tenderness and/or making it more difficult to eat foods that require stronger resistance when it comes to pulling, tearing or grinding certain foods – like nutritious, high-fiber vegetables, for instance. When people suffer from the poor fit, irritation and discomfort caused by dentures, they’re more apt to eat less or eat the wrong foods (softer, processed, higher-carb options), which can make it more difficult to keep blood sugar levels in check.
Are you interested in learning more about whether dental implants are safe with your diabetes diagnosis?
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