Comparison of clinical and radiographic status around immediately loaded versus conventional loaded implants placed in patients with type 2 diabetes: 12- and 24-month follow-up results

Journal Article

2017

Published in: Comparison of clinical and radiographic status around immediately loaded versus…

Al-Kheraif, M. D. Al Amri, A. M. Alfarraj Aldosari, S. S. Al-Johany, A. M. Al Baker, M. Q. Al Rifaiy, A. A. . 2017

Summary: There are no studies that have compared the clinical and radiographic status around

immediately loaded (IL) and conventional loaded (CL) implants placed in patients with type 2

diabetes mellitus (T2DM). The aim was to compare the clinical and radiographic status around IL and

CL implants placed in T2DM patients. One hundred and eight diabetic patients [55 with IL implants

(Group 1) and 53 with CL implants (Group 2)] were included in this cross-sectional study. All implants

were placed in healed sites in the maxillary and mandibular premolar and molar regions and

supported single restorations. All patients underwent full mouth mechanical debridement

biannually. Haemoglobin A1c (HbA1c) levels, clinical [bleeding on probing (BOP) and probing

depth (PD) ≥ 4 mm] and radiographic [crestal bone loss (CBL)] peri-implant parameters were measured

for both groups at 12- and 24-month follow-up.Group comparisons were performed using the Mann–Whitney U-test (P < 0
05). The mean age and duration of T2DM in groups 1 and 2 were 50
6  2
2 and 51
8  1
7 years, and 9
2  2
4 and 8
5  0
4 years, respectively. At 12- and 24-month follow-up, the mean HbA1c levels in groups 1 and 2 were 5
4%

(4
8–5
5%) and 5
1% (4
7–5
4%) and 5
1% (4
7–5
2%) and 4
9% (4
5–5
2%), respectively. At 12- and 24-

month follow-up, there was no statistically significant difference in peri-implant BOP, PD and CBL in both groups. It was concluded that clinical and radiographic status is comparable around IL and CL implants placed in patients with T2DM.

The contribution of careful case selection, oral hygiene maintenance and glycaemic control is emphasised.

 

• Volume Number: 44
• Magazine \ Newspaper: Journal of Oral Rehabilitation
• Pages: 220 - 228