Dental Care for Diabetic People

Dental implants for diabetes patients

 

interview with Dr. Dr. Dr. Christiam Marmandiu

published in Business Arena Magazine (@www.business-arena.ro )

 

 

In the early ’70s there were 100 known absolute and relative contraindications to dental implants, but in the ’80s their number subsided to 16 absolute and 51 relative contraindications. Nowadays, due to demographic changes in developed countries, which have led to an increase in the percentage of elderly individuals with special necessities and requirements, the materials and techniques used in dental implantology have been optimized and adapted to cope with a wider range of chronic diseases and multimorbidity.

 

Thus the list of contraindications has been further reduced.

 

The incidence of patients with diabetes is on the rise globally, currently affecting five to six per cent of the world’s population. Type 1 diabetes accounts for around five per cent of all diagnosed cases, while type 2 diabetes (insulin dependent) represents around 90 per cent of the total, as for the remaining five per cent the statistics provide insufficient information.

 

The treatment of diabetic patients entails proper glycemic metabolic control and the introduction of adequate antidiabetic treatment. HbA1c measurements are the main long and medium-term control parameters, while, as a short-term measure, glycemic levels must be checked several times a day. In addition, diabetic patients must be given antibiotics both prior to and after the operation, they must have normal concentration of glucose in the blood on the day of surgery and they should do mouthwashes with chlorhexidine both before and after surgery.

After surgery, patients should be integrated into a strict teeth cleaning program indefinitely.

 

As a rule, patients can opt for dental implants if they are over 21 years old and their bone development is complete. In diabetic patients, recovery and osseointegration have a longer duration and implicitly cases involving prosthetic supra-constructions must be completed in due course. In most cases, the loss of dental implants can occur in the first 12 months (up to ten per cent of the total). Osseointegration occurs in 90 per cent of the cases, provided that the necessary conditions are observed. High blood sugar and a HbA1c with negative parameters have a negative impact on osseointegration and implant stability. Such a condition will also delay recovery and both bone and soft tissue regeneration and favor the occurrence and development of peri-implantitis.

 

Swiss Ecodent is specialized in implantology, surgery and periodontal treatment for diabetes patients.