Implant implantation for diabetic patients

The relationship between diabetes and tooth loss. Diabetes and oral health are closely related, and it appears that people with diabetes are more at risk of developing gum disease and, as a result, losing teeth. But what is the reason for this connection? ### Weaker immune system in people with diabetes Diabetes (high blood sugar) weakens the immune system. As a result, the body is less able to fight bacterial infections in all parts of the body (such as the mouth). This makes it easy for bacteria to accumulate in the gums. It is clear from here on! Bacteria that are normally present in the mouth multiply more easily in the mouth of diabetics and cause swelling of the gums after the implant. Infections gradually spread to deeper tissues and destroy the bones around the teeth. ### Decreased blood flow to the gums and teeth Diabetes can reduce blood flow to the gums. Decreased blood flow also makes the gums work slower to repair themselves and become more vulnerable to infections. Also, gum cells in diabetic people may not function properly due to lack of oxygen. As a result, the gums become more vulnerable to infection and minor wounds and, if damaged, take longer to heal. ### Increased blood sugar levels Excess blood sugar can increase the level of sugar in saliva. This makes the oral environment favorable for the growth of bacteria and increases the risk of tooth decay. Additionally, excess sugar can damage gum tissues and make them susceptible to infection. ### Changes in the nervous system Diabetes can damage the nerves in the gums. This damage to the nerves makes diabetics less sensitive to gum infections and notice the symptoms of the disease later. ### Dry mouth Another side effect of diabetes is dry mouth. Saliva acts as a natural protector for teeth and protects them from decay. Decreased saliva production in diabetics increases the risk of tooth decay and gum disease. Is implant implantation possible for diabetics? yes People with diabetes, like other people, can use dental implants to replace their missing teeth. However, the process of dental implant implantation should be done with special caution in these people. Because dental implants in diabetics can be associated with many challenges. In an article entitled "Diabetes Mellitus and Dental Implants", it is written about implant for diabetic patients: > According to the results of the present review, diabetic patients presented a statistically significant higher risk of dental implant failure and higher marginal bone loss than non-diabetic patients. > > Based on the results of this study, diabetic patients statistically showed a higher risk of dental implant failure and marginal bone loss compared to non-diabetic patients. If you need more information about implant surgery, visit the article What is a dental implant? Challenges of implant implantation for diabetic patients Implant for diabetic patients has 3 challenges: ### The first challenge of implant implantation for diabetics The first challenge is related to the speed of healing of diabetic mouth ulcers. The healing process of wounds happens more slowly in people with diabetes. Because these people have a disorder in the immune system and their blood circulation is slower than people who have perfect health. For this reason, this can affect the speed at which the implant base fuses with the person's jawbone and even prevent this healing. In such a situation, before making a decision, it should be checked how many teeth can be implanted and whether the patient's condition is suitable for multiple implants. ### The second challenge of implant implantation for diabetic patients The second challenge after the speed of wound healing is related to gum diseases. Unfortunately, gum disease is very common in people with diabetes. Because diabetes weakens the body's immune system, and as a result, the body has less ability to fight bacterial infections in the gums. This makes it easy for bacteria to accumulate in the gums and cause inflammation and infection. This is why diabetics are more prone to problems such as oral thrush, fungal infections and dry mouth. Read more: The best age for implants ### The third challenge of implants for diabetic patients The third challenge is related to infections after surgery. As we said, diabetics have a weak immune system. For this reason, even if they get through the dental implant stage well, they may get an infection after the treatment is completed. As a result, they have to remove the implant from their mouth. As a result, dental implant implantation in diabetic people should be done with double precision and after controlling all the patient's conditions so as not to take the time and cost of the patient and the dentist. Necessary checks before implant for diabetic patients People with diabetes should be examined from several different points of view before proceeding to implant dental implants. The first thing is a complete examination of the health of the gums, teeth and jawbone. The dentist should carefully examine the gums to make sure there is no inflammation, bleeding, or infection. Also, measure the depth of the gum pockets to be aware of periodontal (gum) disease. He should also pay attention to the condition of the teeth in terms of decay, fracture and old fillings and check the condition of the jaw bone using radiography to ensure sufficient bone density to support the implant. Next, the dentist should thoroughly review the patient's medical history. That: 1. Is the patient's diabetes controlled or uncontrolled? 2. How many types of diabetes does the patient have? 3. In what range is the blood sugar level usually? 4. What is the patient's hemoglobin A1C (HbA1C)? 5. Does the patient use insulin or other drugs related to diabetes or not? Apart from these factors, issues such as drug addiction, alcohol and the patient's oral habits (such as grinding teeth) are also examined at this stage so that there is no disruption in the patient's treatment process. These diseases can affect the healing process after implant placement. Also, the dentist should check the patient's oral habits, such as smoking and taking certain medications, because these factors can affect the success of implant placement. After the initial examinations, the dentist can provide a suitable treatment plan for the patient. Which group of diabetics can have their teeth implanted? Implants are prohibited for which group of diabetics? If you want to know for whom the implant is not suitable, you can read the relevant article. But if you want to know the conditions under which implants should not be implanted for diabetics, you should know: - People who have uncontrolled diabetes and their blood sugar is constantly high. Because the risk of infection and implant failure is higher in these people. - Diabetics who have a history of gum disease or frequently suffer from tooth and gum infections. - Those who, in addition to diabetes, have a weak immune system or suffer from autoimmune, heart or kidney diseases. - People who are faced with the problem of non-coagulability of blood. - People who have both diabetes and smoke. Benefits of implant implantation for diabetics Dental implants are a very effective solution for replacing missing teeth for people with diabetes. Especially considering that diabetes can have a great impact on the health of the teeth of diabetics. This method, in addition to restoring the beauty of the teeth, also brings other benefits for diabetics. For example, one of the common side effects of tooth loss is jawbone atrophy. Especially in diabetics who are prone to bone loss. In this situation, the dental implant can prevent the decay of the jaw bone in this group of people by simulating the behavior of the tooth root. Improving self-confidence, facilitating oral and dental hygiene, stability and long life, stability and long life, improving speech and preventing problems with movable prostheses are all other benefits that dental implants bring to people with high blood sugar. **Read more:** Advantages of dental prosthesis ### Implant implantation experience for a diabetic patient at Dr. Benianian's clinic ** Implant complications for diabetics** Although dental implants have many benefits for all groups of people; But implant implantation for diabetics may experience more complications from this surgery. ### Dental implant infection One of the most common complications of implant implantation for diabetics is infection. Because the immune system of diabetics is weaker and can increase the risk of infection. ### Non-welding of the implant Implant for diabetic patients is completely successful in 95% of the time. But this rate of success will decrease if the person has diabetes. That is, in some cases, the implant may not fuse completely with the jawbone. This problem can occur for various reasons. For example, insufficient blood sugar control, gum disease, and the use of certain medications are all among the reasons that can affect the implant fixture, the speed and quality of implant fusion with the jawbone, and cause the implant to loosen. **Read more:** Maxillofacial surgeon Care of implant implantation for diabetics Although, as we have explained, dental implant placement is not an obstacle for diabetics with controlled sugar levels. However, this treatment method requires special attention and care. Care that can help a person to go through a successful surgery and recover in the shortest possible time. We divide dental implant care into two categories: pre-surgery care and post-surgery care: ### Care before implant surgery for diabetics The first and most important issue that we can mention at the beginning of this section is informing the dentist about the person's condition. It means informing the doctor about the type and severity of diabetes, the medications you are taking and, in general, your medical history. Please answer your dentist's questions carefully and be honest in all aspects of this answer. Because your treatment plan and even your dental implant placement method will be determined according to the answers you give to these questions. The second factor that is necessary for the success of dental implant implantation in diabetics is accurate blood sugar control. Because extreme fluctuations in blood sugar during surgery can change the intensity of bleeding in these people. Even from surgery, unstable blood sugar can slow the healing process and increase the chance of infection. For this reason, before the implantation of the implant, the dentist and the internist must work together to set up a detailed plan to control the patient's blood sugar. A program including adjusting the dose of diabetes medications, changing the diet and increasing the frequency of blood sugar measurements. Finally, a person with diabetes should stop taking certain medications (such as SGLT2 inhibitors - gliflozin) 48 hours before their dental implant surgery. Because these drugs can interfere with your surgery. But this issue is not a general prescription for everyone. After taking or stopping your medication, do not consult your doctor or dentist. **Read more:** Dental implant price ### Care after implant surgery for diabetics After you have successfully completed your dental surgery, you must take extra care of your new tooth. Care after maxillofacial surgery is supposed to facilitate your healing process and prevent any infection in the area under your surgery. - Measure your blood sugar regularly. - Take the medicines prescribed by your doctor and dentist on time. - Your nutrition is very important on your recovery process. So be sure to follow a healthy and soft diet. - After surgery, give your body enough rest and avoid heavy activities and intense sports. - To reduce swelling and pain, you can use an ice compress. - To control dental implant pain, you can use prescription painkillers. **What are the reasons for implant failure for diabetics?** One of the most important reasons for implant failure in diabetics is improper blood sugar control. If a person with diabetes does not control his blood sugar level, the chances of his surgery being unsuccessful will increase. History of gum disease is another important factor in implant failure in diabetics. Because diabetics are more susceptible to gum disease. For this reason, because gum disease can damage the jawbone and disrupt the healing process of the implant, the possibility of implant failure increases in this group of people. The weak immune system in people with diabetes, the use of certain drugs and the late healing of wounds in the surgical areas are all among the reasons that lead to the failure of implant implantation for people with diabetes. Different methods of implant implantation for diabetic patients In general, there is no obstacle in terms of the type and method of dental implant implantation in diabetic patients. This means that this group of people can use all methods of dental implant implantation, including digital implant, single implant and even All on Four. The only limitation of diabetics in terms of the type of dental implant implantation is related to the immediate dental implant method. It means a type of implant implantation in which the implant base is placed inside the jaw bone at the same time as tooth extraction. Dr. Benianian says about the various methods of implant implantation for diabetics: > Statistics show that immediate dental implant implantation is not an effective and appropriate option for people with diabetes. Because without these patients, it cannot quickly weld the implant fixture to their jaw bone. As a result, the probability of implant failure in this method will increase for people with diabetes. **Read more:** How many years does the implant last? Dental implants for diabetics in Tehran Diabetics may face challenges in the recovery process after implant placement due to circulatory problems and a weaker immune system. For this reason, implant implantation for diabetics is possible only with examinations and careful treatment planning. So, if you are looking for an implant specialist in Tehran, Dr. Benianian's dentistry is the best option for you. Because we understand the high importance of oral and dental health in diabetics, we provide our services in a more specialized and special way to this group of people. Considering the specific conditions of diabetic patients, our dentists will formulate the best treatment plan for you, and assure you that you will get an implant with the highest percentage of success. Before performing any treatment, we perform complete examinations on your mouth and teeth to fully evaluate your general and oral health. Also, our dentistry is equipped with the most advanced dental equipment. Equipment that provides the most accurate and least traumatic treatments. Before the treatment, the dentists of our group will provide you with full consultations about the treatment process, its advantages, disadvantages and costs so that you can make an informed decision. Finally, all treatment steps in Dr. Benianian's dentistry are performed with strict adherence to health protocols to prevent any infection. You can get more information about dental implant procedures for people with diabetes in Dr. Benianian's dental complex by calling 02188539720 or providing your information to our experts through the form below. 5 strategies for successful implant implantation for diabetic patients - Before implant implantation, control your blood sugar carefully. - You must treat any gum disease completely before implanting for diabetics. - It is necessary to seek help from a dentist with experience in implanting implants for diabetics. - You must fully follow the post-operative care. In some cases, it may be necessary to use antibiotics to prevent infection. However, consult your doctor before taking any medication. **Read more:** The price of the best type of implant **The final result of implant implantation for diabetics** Although implant implantation for diabetics is associated with challenges; But with careful planning, proper blood sugar control and cooperation with the dental team, very good results can be achieved in this field. Dental implants can help diabetics to have a more beautiful smile, increase their self-confidence and enjoy a better quality of life.