Comparative Evaluation of Dental Implant Failure among Healthy and Well-Controlled Diabetic Patients—A 3-Year Retrospective Study

Mohammed Ghazi Sghaireen, Abdulrahman A. Alduraywish, Kumar Chandan Srivastava, Deepti Shrivastava, Santosh R Patil, Selham Al Habib, May Hamza, Saifulizan Ab Rahman, Edward Lynch and Mohammad Khursheed Alam
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Mohammed Ghazi Sghaireen: Prosthodontics, Prosthetic Dental Sciences, College of Dentistry, Jouf University, Sakakah 72345, Saudi Arabia
Abdulrahman A. Alduraywish: Department of Internal medicine, Medical College, Jouf University, Sakakah 72345, Saudi Arabia
Kumar Chandan Srivastava: Oral Medicine & Radiology, Department of Oral & Maxillofacial Surgery & Diagnostic Sciences, College of Dentistry, Jouf University, Sakakah 72345, Saudi Arabia
Deepti Shrivastava: Periodontics, Department of Preventive Dentistry, College of Dentistry, Jouf University, Sakakah 72345, Saudi Arabia
Santosh R Patil: Oral Medicine & Radiology, Department of Oral & Maxillofacial Surgery & Diagnostic Sciences, College of Dentistry, Jouf University, Sakakah 72345, Saudi Arabia
Selham Al Habib: Prosthodontics, Prosthetic Dental Sciences, College of Dentistry, Jouf University, Sakakah 72345, Saudi Arabia
May Hamza: Prosthodontics, Prosthetic Dental Sciences, College of Dentistry, Jouf University, Sakakah 72345, Saudi Arabia
Saifulizan Ab Rahman: School of Dental Sciences, Universiti Sains Malaysia, Kelantan, Kubang Kerian 16150, Malaysia
Edward Lynch: Director of Biomedical and Clinical Research, University of Nevada, Las Vegas, NV 89154, USA
Mohammad Khursheed Alam: Orthodontic Division, Preventive Dentistry Department, College of Dentistry, Jouf University, Sakakah 72345, Saudi Arabia

IJERPH, 2020, vol. 17, issue 14, 1-10

Abstract: Diabetes mellitus is known to compromise the various aspects of homeostasis, including the immune response and the composition of oral microflora. One of the oral manifestations of diabetes mellitus is tooth loss and the survival rate of dental implants chosen as a treatment modality for its rehabilitation is controversial. The current study aims to evaluate and compare the failure rate of dental implants between well-controlled diabetic and healthy patients. A retrospective study of case-control design was conceptualized with 121 well-controlled diabetic and 136 healthy individuals. Records of subjects who had undergone oral rehabilitation with dental implants between the periods of January 2013 to January 2016 were retrieved. Post-operative evaluation was carried out for all patients for about three years to assess the immediate and long-term success of the procedure. From a total of 742 dental implants, 377 were placed in well-controlled diabetic patients (case group) and 365 in healthy subjects (control group). A comparable (9.81%), but non-significant ( p = 0.422) failure rate was found in the case group in comparison to the control group (9.04%). A non-significant ( p = 0.392) raised number (4.98%) of failure cases were reported among females in comparison to males (4.44%). In respect to arch, the mandibular posterior region was reported as the highest failure cases (3.09%; p = 0.411), with 2.29% of cases reported in the mandibular anterior ( p = 0.430) and maxillary posterior ( p = 0.983) each. The maxillary anterior region was found to have the least number (1.75%; p = 0.999) of failure cases. More (4.98%; p = 0.361) cases were reported to fail during the functional loading stage in contrast to osseointegration (4.44%; p = 0.365). A well-controlled diabetic status does not impose any additional risk for individuals undergoing dental implant therapy.

Keywords: dental implant; diabetes mellitus; dental implant survival; peri-implantitis; implant osseointegration (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2020
References: View complete reference list from CitEc
Citations: View citations in EconPapers (4)

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