Are dental implants possible for diabetic patients? Methods of doing it
Dr. Farin Shamshirgar
Tehran
Implantation of dental implants requires appropriate physical conditions.... The health factor of the person makes people with underlying diseases such as diabetes face challenges for implanting dental implants.... Since diabetes can cause defects and weakness of the body's immune system, it increases the possibility of contracting various diseases and infections. Diabetics can use the possibility of dental implants with conditions that we will discuss further about dental implants for diabetic patients.. Studies show that the implant survival rate in diabetic patients is comparable to non-diabetic people, provided that blood sugar control is maintained... However, uncontrolled diabetes is associated with a higher risk of peri-implantitis and implant failure... Therefore, careful management of blood sugar and adherence to protocols Clinically, it is very important for optimal implant results in diabetic patients."*
> *«*Dental implants can be successful in diabetic patients, especially when blood sugar levels are well controlled. Studies show that implant survival rates in diabetic patients are comparable to non-diabetics, provided that blood sugar control is maintained... > However, uncontrolled diabetes is associated with a high risk of peri-implantitis and implant failure. Therefore, careful management of blood sugar and adherence to clinical protocols are very important to achieve optimal implant outcomes in diabetic patients.**
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> *Source: International Journal of Implant Dentistry*
What is in diabetes?...
Diabetes is a chronic disease that causes an excessive increase in sugar (glucose) in the blood.... This happens when the body cannot produce enough of the hormone Prosol.... a substance which helps sugar enter the cells for energy... If the body does not have enough insulin or the cells do not respond to insulin, glucose remains in the blood.. It remains and causes the blood sugar to rise, and in this case it is said that the person has diabetes... Diabetes is divided into two main types, type 1 diabetes and type 2 diabetes.... In type 1 diabetes, the body cannot produce insulin, but the body does not use insulin well...
What is the relationship between dental implants and diabetes?..
Can diabetics be affected by dentistry?
Pre-implant care for diabetic patients
It is very important for people with diabetes to consider the following precautions before implant placement:
- A few weeks before implantation, blood sugar should be checked in more detail and its level should be discussed with the dentist... - Medicines such as SGLT2 inhibitors (gliflozins) that people take to control diabetes may cause blood sugar problems during surgery... If you use these medicines, you must inform the dentist... because it may be necessary to stop taking them 48 hours before surgery... - Before the operation, you must change the insulin dose, and in this case with The dentist consulted..
Diabetic people need special care after dental implant implantation because their recovery may be slower and the risk of infection is higher... To increase the chances of implant success, it is necessary to observe the following points:
- Blood sugar level should be checked regularly... Since things like stress, difficulty eating, pain and medications can cause changes in blood sugar level... - Symptoms of implant infection such as redness, swelling, severe pain, fever and discharge from the area must be carefully controlled... - The hygiene of the implanted area must be strictly observed... - The use of diabetes medications must be done in consultation with a nutritionist.. This course....
Different methods of dental implant implantation for diabetic patients
What are the side effects of dental implants for diabetic patients?..
In addition to many advantages, dental implants for diabetic patients can have disadvantages... ### Infection
Diabetes can weaken the body's immune system, which can lead to an increase in the possibility of infection of the gums and tissue around the implant. Also, high blood sugar in other tissues causes more bacteria to grow and spread more infections, and this issue can cause the implant to fail or even reject it... ### Implant failure (implant rejection)
High blood sugar can interfere with the fusion process of the implant with the bone and cause the implant to reject. In some patients, the bone does not fuse well with the implant, which leads to the implant loosening or the implant falling out. What is the failure of the dental implant for diabetic patients?.
Since diabetes can have certain effects on the body and cause complications, the possibility of dental implant rejection is higher in diabetic people.
Among the reasons that cause implant failure in diabetic people, the following can be mentioned:
### Risk of infection
Diabetes can weaken the body's immune system and this leads to an increase in the possibility of gum and tissue infection around the implant. On the other hand, high blood sugar in the tissues, decreased blood flow and dysfunction of white blood cells are other reasons for increasing the risk of infection in diabetic people. Prolonging the process of fusion of the implant with the jawbone... ### microvascular complications
Microvascular complications are damage that occurs in small blood vessels (capillaries). These complications are more common in diabetic patients. Because high blood sugar in the long term causes damage to the walls of capillaries and disrupts blood flow.
- Type and brand of implant
- The condition of the jaw bone and the need for additional surgeries
- The number of implants required
- Expertise and experience of the dentist
- The geographic location of the clinic
- The need for special care and examinations
