Department of Prosthetics, Department of Dental Medicine, Faculty of Medicine and Pharmacy, University of Oradea, Oradea, Romania.
Oral and Maxillofacial Surgery, Department of Dental Medicine, Faculty of Medicine and Pharmacy, University of Oradea, Oradea, Romania.
J Int Med Res. 2020 Mar;48(3):300060519897195. doi: 10.1177/0300060519897195.
Type 2 diabetes mellitus (T2DM) involves endocrine changes that cause a persistent increase in blood glucose. Many disorders are associated with T2DM, including disorders that affect the oral cavity. Oral cavity disorders interfere with a patient’s capacity to follow a correct diet, which results in worsening systemic disease. Oral rehabilitation is necessary for patients with T2DM. Therefore, this prospective study was performed to evaluate the immediate dental rehabilitation capacity of patients with T2DM using four immediately loaded dental implants.
In this prospective study, four implants each were placed in four patients with T2DM and loaded within 24 hours. Demographic characteristics were assessed at baseline; systemic and oral health parameters were assessed at baseline and at 6 months after implant placement.
The mean glycated hemoglobin (HbA1c) level was 7.05% (range, 6.8%–7.3%). The mean Implant Stability Quotient of the dental implants was 74.5 (range, 67–85). Postoperative evolution was favorable: only one implant exhibited inflammation of the prosthetic stump.
Immediate prosthetic rehabilitation using four maxillary dental implants was an effective treatment modality for patients with T2DM in this study. Larger studies are needed to confirm these findings.
2 型糖尿病（T2DM）涉及导致血糖持续升高的内分泌变化。许多疾病与 T2DM 有关，包括影响口腔的疾病。口腔疾病干扰患者遵循正确饮食的能力，从而导致全身疾病恶化。T2DM 患者需要进行口腔康复。因此，进行了这项前瞻性研究，以评估使用四颗即刻负载种植体对 T2DM 患者进行即刻牙齿康复的能力。
在这项前瞻性研究中，在 4 名 T2DM 患者的每个象限中分别植入四颗种植体，并在 24 小时内负载。在基线时评估人口统计学特征；在基线时和植入后 6 个月评估全身和口腔健康参数。
糖化血红蛋白（HbA1c）的平均水平为 7.05%（范围，6.8%–7.3%）。种植体的平均种植体稳定性指数为 74.5（范围，67–85）。术后情况良好：只有一个种植体的修复体残端有炎症。
在这项研究中，使用四颗上颌种植体即刻修复是 T2DM 患者的一种有效治疗方法。需要更大规模的研究来证实这些发现。
