Among the complications of uncontrolled diabetes are the buildup of bacterial plaque along the gumline, and the increased risk of oral infections leading to gum disease and tooth and bone loss. The combination of dental implants and diabetes is highly risky, simply because a dental implant will fail if the patient’s jawbone cannot grow and fuse with the implanted titanium rod, so that it is permanently secured. Uncontrolled diabetes could prevent adequate bone growth, leading to loose implants which eventually fall out.
Hope For Controlled Diabetics
But there have also been studies which indicate that dental implants and diabetes may not be such a poor combination if done in individuals who have their diabetes well under control. One such study followed thirty-four people who received a total of two hundred and twenty-seven implants, of which two hundred and fourteen, or nearly 95%, were successfully fused to the jawbone when the time for the second phase of the implant surgery arrived.
Of those two hundred and fourteen implants, one hundred and seventy seven were examined at the third and final phase of the implantation process, and only one had failed, for a success rate of nearly 100%.
It seems clear from the results of the above study that if dental implants and diabetes are to be successfully merged, the individuals getting the implants will have to get their diabetes under control prior to the first implant surgery, and maintain that control throughout the entire implant process. Doing so will give them the best chance of having their titanium implant rods become fully integrated with their jawbones, forming a solid foundation for their prosthetic ceramic teeth.
Ways Of Improving The Odds
Other ways in which diabetics can improve their odds of dental implant successes are to take a course of antibiotics prior to their surgery, and to stop smoking if they have the habit. Dental implants and diabetes are no longer considered mutually exclusive, if the individuals concerned will take these steps and also be responsible for following their dentists’ post-operative oral care instructions.
Preventing post-surgical infections is even more critical in diabetics than it is in healthy implant patients, simply because infections can reduce a diabetic’s already impaired ability to metabolize insulin, and aggravate his or her diabetes. Diabetics, especially uncontrolled diabetics, are also prone to more severe forms of periodontal disease.
dental Implant and diabetes can be manageable, but the success of the implants will depend far more on the commitment of the patient both before and after surgery than it does in non-diabetic patients.
Periodontal diseases will be more severe than those of a non-diabetic and treatment more difficult. However, well-controlled diabetics have a lower incidence of decay and periodontitis. Implant procedures and periodontal surgery are routinely successful on well controlled diabetics.
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