Tip 2 Diabetik ve Nondiabetik Hastalarda Uygulanan Tek Diş İmplantların Çevresindeki Marjinal Kemik Kaybının Klinik ve Radyolojik Olarak Kıyaslanması

Year 2023, Volume: 24 Issue: 3, 84 - 89, 31.12.2023

Belgin Gülsün , Fatma Eriş Derkuş , Utku Nezih Yılmaz , Ufuk Bakay , Ersin Uysal

Abstract

Amaç: Kemik metabolizmasını etkileyen lokal ve sistemik durumlar, osseointegrasyon için risk faktörüdür. Bu risk faktörlerinde en çok tartışılan hastalıklardan birisi de diabetes mellitustur. Bu çalışmanın amacı; diabetik ve nondiabetik hastalarda uygulanacak olan 60 dental implantın, belli aralıklarla alınmış kontrol radyografilerinde ve cep derinliği ölçümlerinde implant çevresindeki marjinal kemik kayıplarının ilişkilendirilmesi ve tip 2 diabetin dental implant çevresindeki marjinal kemik kaybına etkisinin araştırılmasıdır.
Gereç ve Yöntem: Dental implant cerrahisi görmüş hastalardan iyileşme başlığı takılmasını takiben, protezin yapılıp dişler çiğneme fonksiyonuna girdikten sonra 3. ay ve 6. aylarda ring holder kullanılarak, paralel teknikle periapikal filmler alındı ve implant çevresindeki kemik ölçümleri radyolojik olarak yapıldı.
Bulgular: Tip 2 diabetik ve nondiabetik hasta grupları cep derinlikleri bakımından incelendiğinde; tüm zamanlarda cep derinliklerinin ve marjinal kemik kayıplarının tip 2 diabetli hastalarda daha yüksek olduğu görülmüştür.
Sonuç: Tip 2 diabetin cep derinliği ve kemik kaybına doğrudan bir etkisi olduğu gözlenmiştir.

Keywords

Dental i̇mplant, marjinal kemik kaybı, osseointegrasyon, tip 2 diabet

Clinical and Radiological Comparison of Marginal Bone Loss Around of Single Dental Implants Applied in Type 2 Diabetic and Nondiabetic Patients

Abstract

Aim: Local and systemic conditions affecting bone metabolism are risk factors for osseointegration. One of the most discussed treatments for those at risk is diabetes mellitus. The purpose of this process is; the permanence of marginal bone loss of the implant in radiographs and pocket depth measurements in which certain fractures were checked in 60 dental implants with diabetic and non-diabetic spread, and the effects of marginal bone loss of the dental implant in type 2 diabetes.
Material and Method: Following the installation of a healing cap in patients who had undergone dental implant surgery, periapical films were taken with a parallel technique using a ring holder at the 3rd and 6th months after the prosthesis was made and the teeth entered chewing function, and bone measurements around the implant were made radiologically.
Results: When type 2 diabetic and nondiabetic patient groups are examined in terms of pocket depths; It has been observed that pocket depths and marginal bone losses are always higher in patients with type 2 diabetes.
Conclusion: It has been observed that type 2 diabetes has a direct effect on pocket depth and bone loss.

Keywords

Dental implants, marginal bone loss, type 2 diabetes, osseointegration

References

• The Expert Committee on the Diagnosis and Classification of Diabetes Mellitus; Report of the Expert Committee on the Diagnosis and Classification of Diabetes Mellitus. Diabetes Care 1 January 2003; 26 (suppl_1): s5–s20. https://doi.org/10.2337/diacare.26.2007.S5
• Morris HF, Ochi S, Winkler S. Implant survival in patients with type 2 diabetes: placement to 36 months. Ann Periodontol. 2000;5(1):157-165. doi:10.1902/annals.2000.5.1.157
• Prithviraj DR, Gupta V, Muley N, Sandhu P. One-piece implants: placement timing, surgical technique, loading protocol, and marginal bone loss. J Prosthodont. 2013;22(3):237-244. doi:10.1111/j.1532-849X.2012.00928.x
• Dowell S, Oates TW, Robinson M. Implant success in people with type 2 diabetes mellitus with varying glycemic control: a pilot study. J Am Dent Assoc. 2007;138(3):355-398. doi:10.14219/jada.archive.2007.0168
• Moy PK, Medina D, Shetty V, Aghaloo TL. Dental implant failure rates and associated risk factors. Int J Oral Maxillofac Implants. 2005;20(4):569-577.
• Ferreira SD, Silva GL, Cortelli JR, Costa JE, Costa FO. Prevalence and risk variables for peri-implant disease in Brazilian subjects. J Clin Periodontol. 2006;33(12):929-935. doi:10.1111/j.1600-051X.2006.01001.x
• Naujokat H, Kunzendorf B, Wiltfang J. Dental implants and diabetes mellitus-a systematic review. Int J Implant Dent. 2016;2(1):5. doi:10.1186/s40729-016-0038-2
• Nevins ML, Karimbux NY, Weber HP, Giannobile WV, Fiorellini JP. Wound healing around endosseous implants in experimental diabetes. Int J Oral Maxillofac Implants. 1998;13(5):620-629.
• Bingül B, İki farklı implant yüzeyinin marjinal dokular üzerine etkilerinin klinik ve radyolojik olarak kıyaslanması. Dicle Üniversitesi Ağız Diş ve Çene Cerrahisi Anabilim Dalı. Uzmanlık tezi. Diyarbakır. 2018; 64-97
• Kotsovilis S, Karoussis IK, Fourmousis I. A comprehensive and critical review of dental implant placement in diabetic animals and patients. Clin Oral Implants Res. 2006;17(5):587-599. doi:10.1111/j.1600-0501.2005.01245.x
• de Lima AKA, Amorim Dos Santos J, Stefani CM, Almeida de Lima A, Damé-Teixeira N. Diabetes mellitus and poor glycemic control increase the occurrence of coronal and root caries: a systematic review and meta-analysis. Clin Oral Investig. 2020;24(11):3801-3812. doi:10.1007/s00784-020-03531-x
• Ben-Aryeh H, Serouya R, Kanter Y et al. Oral health and salivary composition in diabetic patients. J Diabetes Complicat. 1993; 7:57–62.
• Mattout C, Bourgeois D, Bouchard P. Type 2 diabetes and periodontal indicators: epidemiology in France 2002-2003. J Periodontal Res. 2006;41(4):253-258. doi:10.1111/j.1600-0765.2006.00862.x
• Salvi GE, Carollo-Bittel B, Lang NP. Effects of diabetes mellitus on periodontal and peri-implant conditions: update on associations and risks. J Clin Periodontol. 2008;35(8 Suppl):398-409. doi:10.1111/j.1600-051X.2008.01282.x
• Christensen DK, Karoussis IK, Joss A, Hämmerle CH, Lang NP. Simultaneous or staged installation with guided bone augmentation of transmucosal titanium implants. A 3-year prospective cohort study. Clin Oral Implants Res. 2003;14(6):680-686. doi:10.1046/j.0905-7161.2003.00963.x
• Donos N, Mardas N, Chadha V. Clinical outcomes of implants following lateral bone augmentation: systematic assessment of available options (barrier membranes, bone grafts, split osteotomy). J Clin Periodontol. 2008;35(8 Suppl):173-202. doi:10.1111/j.1600-051X.2008.01269.x
• Misch CE, Perel ML, Wang HL, et al. Implant success, survival, and failure: the International Congress of Oral Implantologists (ICOI) Pisa Consensus Conference. Implant Dent. 2008;17(1):5-15. doi:10.1097/ID.0b013e3181676059
• Clementini M, Morlupi A, Agrestini C, Barlattani A. Immediate versus delayed positioning of dental implants in guided bone regeneration or onlay graft regenerated areas: a systematic review. Int J Oral Maxillofac Surg. 2013;42(5):643-650. doi:10.1016/j.ijom.2013.01.018
• Shernoff AF, Colwell JA, Bingham SF. Implants for type II diabetic patients: interim report. VA Implants in Diabetes Study Group. Implant Dent. 1994;3(3):183-185. doi:10.1097/00008505-199409000-00009
• Ibraheem EMA, Hammad HGH, El-Sisy AME. Comparing marginal bone height changes around immediately and delayedimplant-retained mandibular overdentures in controlled diabetic patients: A randomized clinical study. Bull Natl Res Cent 2019;43:198. doi:10.1186/s42269-019-0228-1