Full Arch Implant-Prosthetic Rehabilitation in Patients with Type I Diabetes Mellitus: Retrospective Clinical Study with 10 Year Follow-Up

Bianca D’Orto, Elisabetta Polizzi, Matteo Nagni, Giulia Tetè and Paolo Capparè ()
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Bianca D’Orto: Dental School, Vita-Salute San Raffaele University, 20132 Milan, Italy
Elisabetta Polizzi: Department of Dentistry, IRCCS San Raffaele Hospital, 20132 Milan, Italy
Matteo Nagni: Dental School, Vita-Salute San Raffaele University, 20132 Milan, Italy
Giulia Tetè: Dental School, Vita-Salute San Raffaele University, 20132 Milan, Italy
Paolo Capparè: Dental School, Vita-Salute San Raffaele University, 20132 Milan, Italy

IJERPH, 2022, vol. 19, issue 18, 1-9

Abstract: The aim of this retrospective clinical study was to evaluate and compare implant survival, marginal bone loss, and clinical and prosthetic complications in healthy patients and patients with type I diabetes undergoing full arch implant-prosthetic rehabilitation. A total of 47 patients needing total fixed rehabilitation of one or both arches were enrolled for this study. Based on the absence of any systemic diseases (Group A) or the presence of type I diabetes (Group B), the sample was divided into two groups. According to the grade of bone atrophy in the posterior region, patients received full arch rehabilitation (of one or both jaws) with 6 axial implants or, if the residual posterior bone height was insufficient, All-on-Four rehabilitation and a total 236 dental implants were placed. Follow-up visits were performed 1 week after surgery, at 3 and 6 months and then once a year for the next 10 years. No statistically significant differences between groups were recorded about implant survival rates, marginal bone loss, or clinical and prosthetic complications. However, concerning complications, post-surgical bleeding and wound infection were recorded in Group A more than in Group B. In cases of compensated diabetes compensation, implant placement could be considered a safe procedure.

Keywords: systemic diseases; edentulism; dental implants; diabetes mellitus (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (1)

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