Oral Rehabilitation on Implants and Introduction of Pathogenic Mechanisms in Relation to Oral Implants - Sugar Diabetes

doi:10.37358/rc.19.10.3750

Abstract

Dental implants are made of medical titanium and perfectly fit into human bone tissue; the dental implant can last a lifetime. Not beeing living organic structures, there are no nerve endings, neither at the implant level nor at the artificial crown level. The use of quality implants by an experienced implantologist, assisted by advanced technology, transforms the treatment with dental implants into the medical-surgical act with the highest success rate among dental and even medical treatments.Through the complete replacement of the tooth, including the root, can artificially reproduce the function of the natural tooth, with a strong and stable base. The implant crown, made of aesthetic materials (porcelain, zirconium) and anchored to it by means of the prosthetic abutment, will be surrounded by a healthy and aesthetic gum. Especially if the prosthetic abutment (the connecting element between the implant itself and the artificial crown) will be made of zirconium - natural light will cross ceramic layers, similar to enamel and dentine, offering a white of envy and glitter to the smile. Around the porcelain crowns (whole ceramics or zirconia ceramics) the gingiva will conform healthily, without the slightest sign of inflammation. These elements, the white of the teeth and the pink of the gums define the concept of dental aesthetics. The main problems that diabetic patients may encounter, are gingival inflammation and periodontal disease, dental mobility and tooth loss. When a dental implant is influenced by the type of diabetes, its failure rate is higher in patients with type 1 diabetes than in patients with type 2 diabetes. The study included a number of 56 patients, who presented themselves for performing an implant. Of these, 7 patients did not perform an implant. Diabetes mellitus defines a chronic metabolic disorder, which may have multiple etiopathogenesis, characterized by changes in carbohydrate, lipid and protein metabolism. Stability of the implant in the bone, immediately after implantation is crucial for the success of the treatment; this immediate stability is called primary stability and is purely mechanical in nature. Keywords: Dental implants, dental treatments, diabetes, failure rate

Highlights

Dental implants are made of medical titanium and perfectly fit into human bone tissue; the dental implant can last a lifetime
Diabetes is a chronic metabolic disorder characterized by hyperglycemia; a large number of factors amplify efforts to determine the risk of infection and its complications
The relationship of the infection with diabetes is bidirectional: diabetes favors the infection and the infection induces and maintains a prolonged metabolic imbalance.Infections in the diabetic patient are a frequent cause of metabolic decompensation, in our country occupying the first position on the list of factors that induce ketoacidotic or hyperosmolar coma

Summary

Introduction

Dental implants are made of medical titanium and perfectly fit into human bone tissue; the dental implant can last a lifetime. A large number of variables including disease duration, severity of non-infectious complications, associated diseases, level of glycemic control as well as the degree of medical supervision determine a very heterogeneous group of individuals, estimating the population at high risk for infections being a difficult problem to obtain in the case of diabetics.

Results

Conclusion