Abstract
With changing lifestyle and increasing obesity, prevalence of type -II Diabetes Mellitus is increasing in geriatric individuals, who are generally prone to tooth loss. As a result the demand for implants in these patients is also increasing and planning implants has been a challenge to present day dentists. Diabetes Mellitus causes impaired metabolism in general, especially bone metabolism resulting in impaired Osseointegration and poor wound healing. Growing demand of implants in Type II DM patients has initiated research towards implants survival rates. Extensive research till now states - poorly controlled diabetic patients have higher implant failure rates, where as Diabetic patients with controlled blood glucose levels respond to implants in similar way as healthy patients. The present article is one such trail to confirm that type II Diabetes Mellitus is no more contra-indication for Implants till Blood glucose levels are controlled to normal levels. Key words: Type-II Diabetes Mellitus; Two-piece implant; Delayed loading;
Highlights
Diabetes Mellitus (DM) is defined by the World Health Organization as “a metabolic disorder with heterogeneous etiologies that is characterized by chronic hyperglycemia and disturbances of carbohydrate, fat, and protein metabolism resulting from defects in insulin secretion, insulin action, or both [1]
As the number of patients suffering from diabetes increases with age, there are more diabetic patients demanding implants due to tooth loss
A 58 years old male diabetic patient has come to Army College of Dental Sciences, Secunderabad, Telangana
Summary
Diabetes Mellitus (DM) is defined by the World Health Organization as “a metabolic disorder with heterogeneous etiologies that is characterized by chronic hyperglycemia and disturbances of carbohydrate, fat, and protein metabolism resulting from defects in insulin secretion, insulin action, or both [1]. Diabetic patients have increased frequency of periodontitis, tooth loss, and delayed wound healing [2,3].Today, dental implants are one of the prosthetic methods to replace missing teeth [5,6]. Certain risk factors can predispose individuals to lower rates of success – for example smoking, a history of periodontitis, genetic traits and uncontrolled diabetes mellitus. Discussed as a relative contraindication for implant surgery is Diabetes. As the number of patients suffering from diabetes increases with age, there are more diabetic patients demanding implants due to tooth loss. Implant procedures are considered safe when diabetic levels are well controlled. Predictable complications in controlled diabetics are found similar to healthy patients. Implant success is improved by supportive administration of antibiotics and chlorhexidine
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Free) 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
