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Association Between Diabetes and Dental Implant Complications
abstract
This abstract is available on the publisher's site.
Access this abstract nowObjectives
The aim of this study was to explore the possible association between diabetes mellitus and dental implant complications.
Material and methods
A systematic literature review was conducted to answer the following PICO (Participants, Intervention, Comparison, and Outcome) question: Is there association between diabetes mellitus and dental implant complications? Two independent searchers performed a literature search of the PubMed/MEDLINE, Web of Science, Cochrane Library and EMBASE databases for studies published until February 2020, focusing on studies including continuous outcomes, marginal bone loss (primary outcome), probing depth, and bleeding upon probing (secondary outcomes).
Results and conclusions
A final total of 10 published studies were included in this systematic review. There were statistically significant differences between the groups with regard to marginal bone loss (p < .00001), probing depth (p < .00001) and bleeding around dental implants (p < .00001), and subjects without diabetes had lower complication rates. Additionally, in the subgroup analysis performed with loading time and HbA1c levels, a more evident association was found in immediate loading for probing depth. Moreover, the analysis results of bleeding around dental implants suggested that as HbA1c level increases, the bleeding of the tissues surrounding the implant will also increase. With regard to dental implant complications, there were statistically significant differences favouring patients without diabetes mellitus.
Additional Info
Disclosure statements are available on the authors' profiles:
Association Between Diabetes and Dental Implant Complications: A Systematic Review and Meta-Analysis
Acta Odontol. Scand. 2020 May 13;[EPub Ahead of Print], X Jiang, Y Zhu, Z Liu, Z Tian, S ZhuFrom MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.
This article examines whether there is an association between diabetes and implant complications. The authors conducted a systematic review according to PRISMA guidelines and, after an extensive review of literature, identified 10 articles to includes in the meta-analysis. They concluded that there was a statistically significant difference in marginal bone loss, probing depth, and bleeding on probing when comparing patients with and without a diagnosis of diabetes. They address an important gap in knowledge that was identified by the 2017 World Workshop on the Classification of Periodontal and Peri-Implant Diseases and Conditions, which assembled experts from around the world to create globally accepted peri-implant disease definitions, standardize the diagnostic criteria, and identify risk factors with strong evidence associating them with peri-implant disease. The World Workshop reported that there is strong evidence to associate a history of periodontal disease, poor plaque control, and no regular maintenance with peri-implant disease, but that the data associating diabetes and peri-implantitis were inconclusive. This systematic review is positioned to provide information that will help clinicians and patients make decisions when planning implant treatment. At the same time, it is critical to remember the strong association of risk factors previously identified with peri-implant complications as well as the association between diabetes and periodontal disease, which has been clearly documented. The danger in taking the results of this study at face value is that the confounding factors of periodontal disease, plaque control, and lack of maintenance are not accounted for in the analysis. This article adds valuable information to the body of literature; however, without reporting on the periodontal status of the patients, it is difficult to draw definitive conclusions.