Abstract
Treatment with osseointegrated dental implants has been widely used throughout the world. However, it reveals biological complications and has been associated with dental implants’ lost. These changes can be classified into peri-implant mucositis and peri-implantitis. There are multiple factors associated with peri-implant changes, among them, diabetes mellitus (DM). DM is a group of metabolic disorders characterized by chronic hyperglycemia resulting from defects in the secretion or action of insulin and may be DM type 1 or type 2 DM. It presents influence on peri-implant health since it is responsible for increased inflammation, stress oxidative and cell apoptosis with consequent delay in healing. The peri-implantitis is most responsible for the loss of dental implants, so we know the DM interface in the disease process is key to creating protocols for prevention, treatment and maintenance of peri-implant health. The objective of this study is to report the case of a patient with obesity and type 2 diabetes mellitus, rehabilitated with 4 dental implants in posterior and bilateral mandibular region in the years 2008/2009 that after five years, presented peri-implantitis in rehabilitated units with considerable bone loss.
Highlights
Treatment with osseointegrated dental implants has been widely used throughout the world
The objective of this study is to report the case of a patient with obesity and type 2 diabetes mellitus, rehabilitated with 4 dental implants in posterior and bilateral mandibular region in the years 2008/2009 that after five years, presented peri-implantitis in rehabilitated units with considerable bone loss
Heitz Mayfield LJ, Salvi GE, Mombelli A, Faddy M, Lang NP
Summary
Jamille Freitas de Andrade Neri*, Roberta Santos Tunes**, Maurício Andrade Barreto***, Morbeck dos Santos Leal Jr.****, Caroline Argolo Brito de Oliveira*****, Urbino da Rocha Tunes******. A terapêutica com implantes dentários osseointegráveis tem sido utilizada em todo o mundo, entretanto, revela complicações biológicas, como as alterações peri-implantares que podem levar à perda dos mesmos. Essas alterações podem ser classificadas em mucosite peri-implantar e peri-implantite. Apresenta influência na saúde peri-implantar já que é responsável por aumento da inflamação, estresse oxidativo e apoptoses celulares com consequente retardo na cicatrização. A peri-implantite é a maior responsável pela perda de implantes dentários, por isso, conhecer a relação do DM no processo da doença é fundamental para criação de protocolos de prevenção, tratamento e manutenção da saúde peri-implantar. O objetivo deste trabalho é relatar o caso de um paciente com obesidade e diabetes mellitus tipo 2, reabilitado com 4 implantes osseointegráveis em região posterior e bilateral de mandíbula nos anos de 2008/2009 que, após 5 anos, apresentou peri-implantite nas unidades reabilitadas com considerável perda óssea.
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