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Dental implants and diabetes: conditions for success
F Marchand1, A Raskin, A Dionnes-Hornes
1Service deNutrition, Maladies Métaboliques et Endocrinologie, CHU de la Timone, 264, rue Saint-Pierre, 13385 Marseille, France. france.marchand@ap-hm.fr
Aims:
To assess the success of dental-implant treatment in patients with diabetes.
Background:
Dental-implant treatment is an efficient means of replacing lost teeth. However, diabetes can be considered a relative contraindication for this type of treatment because of the slightly higher failure rate compared with populations without diabetes.
Recommendations:
Prerequisite selection of suitable diabetic patients, eradication of co-morbidities (poor oral hygiene, cigarette-smoking, periodontitis), stabilization of glycaemic control (HbA(1c) at around 7%) and preventative measures against infection can increase the success of dental implantation in diabetic patients to a satisfactory rate of 85-95%.
Conclusion:
Implant surgery is never a matter of urgency; thus, diabetes patients with the best chances of success should be conjointly selected and prepared by both dental and diabetes clinicians.
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