scholarly journals Should Quality of Glycemic Control Guide Dental Implant Therapy in Patients with Diabetes? Focus on: Peri-Implant Diseases

2021 ◽  
Vol Volume 13 ◽  
pp. 149-154
Author(s):  
Salwa Aldahlawi ◽  
Dalia Nourah ◽  
Sebastiano Andreana
Keyword(s):  
Glycemic Control ◽  
Dental Implant ◽  
Patients With Diabetes ◽  
Implant Therapy

Should the quality of glycemic control guide dental implant therapy in patients with diabetes? Focus on implant survival

2021 ◽  
Vol 17 ◽  
Author(s):  
Dalia Nourah ◽  
Salwa Aldahlawi ◽  
Sebastiano Andreana
Keyword(s):  
Risk Factors ◽  
Glycemic Control ◽  
Dental Implant ◽  
Failure Rate ◽  
Implant Failure ◽  
Diabetic Patients ◽  
Marginal Bone Loss ◽  
Good Glycemic Control ◽  
Implant Therapy

Introduction: Optimal glycemic control is crucial to dental implant long-term functional and esthetic success. Despite HbA1c levels of 7% or lower used as an indicator for good glycemic control, however, this level may not be attainable for all diabetic patients. Most dentists do not consider patients with poor glycemic control candidates for implant therapy due to higher implant failure, infection or other complications. Aim: This review challenges the concept of one size fits all and aims to critically appraise the evidence for the success or failure rate of dental implants and peri-implant health outcomes in patients with less-than-optimal glycemic control. Discussion: Evidence suggests that estimating glycemic control from HbA1c measurement alone is misleading. Moreover, elevated preoperative HbA1c was not associated with increased mortality and morbidity after major surgical procedures. Literature for the survival or success of implants in diabetic patients is inconsistent due to a lack of standardized reporting of clinical data collection and outcomes. While a number of studies report that implant treatment in patients with well-controlled diabetes has a similar success rate to healthy individuals, other studies suggest that the quality of glycemic control in diabetic patients does not make a difference in the implant failure rate or marginal bone loss. This discrepancy could indicate that risk factors other than hyperglycemia may contribute to the survival of implants in diabetic patients. Conclusion: In the era of personalized medicine, the clinician should utilize individualized information and analyze all risk factors to provide the patient with evidence-based treatment options.

Success or Failure of a Dental Implant: It's Relationship to Bone Density: A Case Report of a Failed Implant

2010 ◽  
Vol 11 (6) ◽  
pp. 65-72 ◽  
Author(s):  
Rajvir Malik ◽  
Rachna Garg ◽  
D.K. Suresh ◽  
Shalu Chandna
Keyword(s):  
Case Report ◽  
Bone Density ◽  
Dental Implant ◽  
Treatment Modalities ◽  
Success Rates ◽  
Mucoperiosteal Flap ◽  
Immediate Implant ◽  
Implant Therapy ◽  
Relationship Of

Abstract Aim The purpose of this article is to illustrate the relationship of bone quality and the prognosis of dental implant. Background Reported success rates for dental implants are high. Thus, an implant-supported restoration offers a predictable treatment for tooth replacement. Nevertheless, failures that mandate immediate implant removal do occur. Case Description A case involving a 40-yearold male patient who had a missing mandibular left first molar is reported. A mucoperiosteal flap was made using interdental and crevicular incisions. The osteotomy was performed starting with the pilot drill, then the depth of the osteotomy was assessed using the shoulder depth gauge. The site was gradually enlarged using reamers with progressively increasing diameters. The implant (Bicon's Nano Tite™) was then placed. However, three months later at the second stage surgery, the implant was found to be clinically mobile. The surgical site selected in this case had fine trabeculated bone with thin cortical plates (D4 bone) that apparently contributed to the failure of dental implant. Summary Implant therapy has become common practice and will continue to increase in popularity. This also implies that dental professionals will have to learn more how to deal with implant failure and related complications. Why an implant does not integrate could have a multifactorial etiology. Clinical Significance The type and quality of bone available to support a dental implant are very important, so attention should be directed to all the factors responsible for the success or failure of a dental implant. In cases involving D4 bone, one must consider other treatment modalities for replacement of a missing tooth or use caution in the placement of the implants, especially in the high-load-bearing molar areas. Citation Malik R, Garg R, Suresh DK, Chandna S. Success or Failure of a Dental Implant: It's Relationship to Bone Density: A Case Report of a Failed Implant. J Contemp Dent Pract [Internet]. 2010 December; 11(6):065-072. Available from: http://www.thejcdp.com/journal/view/volume11- issue6-malik

Cognitive functions and glycemic control in children and adolescents with type 1 diabetes

2009 ◽  
Vol 40 (1) ◽  
pp. 95-103 ◽  
Author(s):  
S. Ohmann ◽  
C. Popow ◽  
B. Rami ◽  
M. König ◽  
S. Blaas ◽  
...  
Keyword(s):  
Type 1 Diabetes ◽  
Glycemic Control ◽  
Metabolic Control ◽  
Child Behavior Checklist ◽  
Diabetes Management ◽  
Social Activity ◽  
Self Report ◽  
Patients With Diabetes

BackgroundThe relationship between metabolic control and cognitive function in adolescents with type 1 diabetes (DM type 1) is not clear. We compared the quality of glycemic control (GC) and cognitive measures in adolescents with DM type 1 to find out if the quality of diabetes management is related to cognitive impairment.MethodWe assessed executive functions (EFs) and other neuropsychological and psychosocial variables in 70 adolescent patients with DM type 1 and 20 age-matched controls. Patients were divided into two groups according to their last hemoglobin A1c (HbA1c): acceptable (HbA1c 5.9–8.0%, mean 6.9%, 36 patients, mean age 14 years) and non-optimal (HbA1c 8.2–11.6%, mean 9.3%, 34 patients, mean age 15.6 years).ResultsWe found impaired EFs, mainly problems of concept formation (p=0.038), cognitive flexibility (p=0.011) and anticipation (p=0.000), in the patients with DM type 1. Both groups did not differ in intelligence, most assessed EFs and adjustment to chronic illness (Youth Self-Report; YSR). Younger patients (<15 years) were cognitively less flexible. GC was worse in older patients and in patients with longer duration of the disease. We also found significant differences between patients with diabetes and controls concerning somatic complaints, internalizing problems (Child Behavior Checklist; CBCL) and social activity (CBCL and YSR).ConclusionsDM type 1 is associated with cognitive deficits in adolescents independent of the quality of metabolic control and the duration of the disease. These deficits are probably related to the disease, especially in patients with early-onset diabetes.

scholarly journals Effectiveness of a Multicomponent Intervention in Primary Care That Addresses Patients with Diabetes Mellitus with Two or More Unhealthy Habits, Such as Diet, Physical Activity or Smoking: Multicenter Randomized Cluster Trial (EIRA Study)

2021 ◽  
Vol 18 (11) ◽  
pp. 5788
Author(s):  
Francisco Represas-Carrera ◽  
Sabela Couso-Viana ◽  
Fátima Méndez-López ◽  
Bárbara Masluk ◽  
Rosa Magallón-Botaya ◽  
...  
Keyword(s):  
Physical Activity ◽  
Diabetes Mellitus ◽  
Glycemic Control ◽  
Mediterranean Diet ◽  
Sedentary Lifestyle ◽  
Mean Difference ◽  
Individual Group ◽  
Patients With Diabetes ◽  
Life Habits

Introduction: We evaluated the effectiveness of an individual, group and community intervention to improve the glycemic control of patients with diabetes mellitus aged 45–75 years with two or three unhealthy life habits. As secondary endpoints, we evaluated the inverventions’ effectiveness on adhering to Mediterranean diet, physical activity, sedentary lifestyle, smoking and quality of life. Method: A randomized clinical cluster (health centers) trial with two parallel groups in Spain from January 2016 to December 2019 was used. Patients with diabetes mellitus aged 45–75 years with two unhealthy life habits or more (smoking, not adhering to Mediterranean diet or little physical activity) participated. Centers were randomly assigned. The sample size was estimated to be 420 people for the main outcome variable. Educational intervention was done to improve adherence to Mediterranean diet, physical activity and smoking cessation by individual, group and community interventions for 12 months. Controls received the usual health care. The outcome variables were: HbA1c (main), the Mediterranean diet adherence score (MEDAS), the international diet quality index (DQI-I), the international physical activity questionnaire (IPAQ), sedentary lifestyle, smoking ≥1 cigarette/day and the EuroQuol questionnaire (EVA-EuroQol5D5L). Results: In total, 13 control centers (n = 356) and 12 intervention centers (n = 338) were included with similar baseline conditions. An analysis for intention-to-treat was done by applying multilevel mixed models fitted by basal values and the health center: the HbA1c adjusted mean difference = −0.09 (95% CI: −0.29–0.10), the DQI-I adjusted mean difference = 0.25 (95% CI: −0.32–0.82), the MEDAS adjusted mean difference = 0.45 (95% CI: 0.01–0.89), moderate/high physical activity OR = 1.09 (95% CI: 0.64–1.86), not living a sedentary lifestyle OR = 0.97 (95% CI: 0.55–1.73), no smoking OR = 0.61 (95% CI: 0.54–1.06), EVA adjusted mean difference = −1.26 (95% CI: −4.98–2.45). Conclusions: No statistically significant changes were found for either glycemic control or physical activity, sedentary lifestyle, smoking and quality of life. The multicomponent individual, group and community interventions only showed a statistically significant improvement in adhering to Mediterranean diet. Such innovative interventions need further research to demonstrate their effectiveness in patients with poor glycemic control.

scholarly journals Epidemiology of acute diabetes complications (coma) according to the Federal Diabetes register of the Russian Federation (2013–2016)

2019 ◽  
Vol 21 (6) ◽  
pp. 444-454 ◽  
Author(s):  
Alexander Y. Mayorov ◽  
Olga K. Vikulova ◽  
Anna V. Zheleznyakova ◽  
Mikhail А. Isakov ◽  
Olga G. Melnikova ◽  
...  
Keyword(s):  
Glycemic Control ◽  
Russian Federation ◽  
Diabetes Care ◽  
Adult Patients ◽  
Duration Of Diabetes ◽  
Patients With Diabetes ◽  
Quality Of Diabetes Care ◽  
The Russian Federation ◽  
Diabetes Register

Background: Despite the improvement in the quality of diabetes care in the Russian Federation (RF), coma remain one of the causes of death in patients with diabetes. Aim: To assess dynamic of epidemiological characteristic of acute complications in adult patients with T1D and T2D in 201316. Materials and methods: The database of the Russian Federal Diabetes register (81 regions). The indicators of coma for 201316 were estimated for 10000 adult patients with diabetes (18 years). Results: In 2016, the prevalence of coma in RF was 225.9 with T1D and 11.6/10000 adults with T2D. For the period from 2007 the prevalence of ketoacidotic coma decrease three times in T1D, 4 times for T2D.Totally in 2016, 165 new cases of coma for both types of diabetes were registered, an average of 0.4/10000 adults. Interregional differences in the prevalence of coma were observed 04.2/10000 adults. The frequency of new cases of coma has a tendency to decrease: 0,90,4/10000 adults: T1D 5.73.4, T2D 0.60.2/10000 adults. When evaluating the structure of coma, redistribution is evident in their form. So in 2016 the proportion of hypoglycemic coma increased to 40.7%, and ketoacidotic coma decreased to 56.6% in T1D. With T2D, the difference expressed in a lesser degree. The mean duration of diabetes at the time of coma development increased with T1D from 3.89.1 years, with T2D 3.57.0 years. The maximum frequency of development of coma is recorded with the diabetes duration more than 30 years, regardless of the type. The patients age at the time of coma development in T1D increased to 27.5 years old, and in T2D it was 60.4 years, it didnt change significantly. The assessment of glycemic control showed a significant improvement: a decrease in the proportion of patients with HbA1c 9.0% (23% with T1D, 8.8% with T2D), an increase with HbA1c 7% (32.4% and 51.7%, respectively). The average value of HbA1c in 2016 with T1D 8.21%, with T2D 7.48%. Conclusions: It is established that the dynamics of the frequency of development of coma in 201316 in adult patients with diabetes in the RF has a stable tendency to decrease: 1.5 times with T1D and more than 3 times with T2D. It can be assumed that this is due to the improvement in the quality of diabetes care and glycemic control in general, as well as the use of modern medicines. Attention is required to draw to the high frequency of coma in T1D, the development of coma with a longer duration of diabetes, an increase in the proportion of patients with hypoglycemic coma. Significant interregional differences in the frequency of coma registration require additional analysis.

scholarly journals Quality of life improves among post-menopausal women who received bone augmentation during dental implant therapy

2012 ◽  
Vol 41 (12) ◽  
pp. 1558-1562 ◽  
Author(s):  
S. Reisine ◽  
M. Freilich ◽  
D. Ortiz ◽  
D. Pendrys ◽  
D. Shafer ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Dental Implant ◽  
Bone Augmentation ◽  
Menopausal Women ◽  
Implant Therapy ◽  
Post Menopausal

scholarly journals Perception of Patients of their Quality of Life after Dental Implant Therapy

2020 ◽  
Vol 10 (12) ◽  
Author(s):  
Ata Mohamad Neto ◽  
Renato Valiati ◽  
Lilia AparecidaKanan ◽  
Bruna Fernanda da Silva ◽  
Anelise Viapiana Masiero
Keyword(s):  
Quality Of Life ◽  
Dental Implant ◽  
Implant Therapy

The impact of improved glycemic control on quality of life in patients with diabetes: Does socioeconomic status play a role?

2000 ◽  
Vol 50 ◽  
pp. 218-219
Author(s):  
Janice C Zgibor ◽  
Jacqueline Wesche ◽  
Nancie Gallagher ◽  
Steven T Kaufman ◽  
Mary T Korytkowski ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Socioeconomic Status ◽  
Glycemic Control ◽  
Patients With Diabetes ◽  
The Impact

scholarly journals A critical review of diabetes, glycemic control, and dental implant therapy

2011 ◽  
Vol 24 (2) ◽  
pp. 117-127 ◽  
Author(s):  
Thomas W. Oates ◽  
Guy Huynh-Ba ◽  
Adriana Vargas ◽  
Peggy Alexander ◽  
Jocelyne Feine
Keyword(s):  
Glycemic Control ◽  
Dental Implant ◽  
Critical Review ◽  
Implant Therapy

scholarly journals ONE-PIECE DENTAL IMPLANT UNTUK REHABILITASI RUANG KANINUS YANG SEMPIT

2017 ◽  
Vol 4 (1) ◽  
pp. 61
Author(s):  
Fredy Mardiyantoro ◽  
Ariyati Retno Pratiwi
Keyword(s):  
Dental Implant ◽  
Tooth Loss ◽  
Dental Treatment ◽  
Implant Therapy ◽  
Successful Rehabilitation ◽  
Narrow Space ◽  
Space Case ◽  
Root Planning ◽  
Implant Treatment

Background: Tooth loss has serious functional, esthetic disabilities, and compromising the patients’ quality of life. Dental implant treatment has become increasingly common for the management tooth loss. Different clinical situations, such as narrow edentulous space, are often encountered in which modifications have to be considered in order to achieve successful rehabilitation. One piece dental implan provided a solution for rehabilitation of narrow edentulous space. The purpose of this paper is to report a rehabilitation management of narrow edentulous space. Case Management: A 22-year-old woman had an upper right canine #13 malposition so there was a narrow space between upper right lateral insisiv #12 and upper right first premolar #14. The spacing between upper right lateral insisivus #12 and upper right first premolar #14 was found to be about 5 mm. Radiograph was assessed for type of bone and for the presence of any pathology. A patient given an initial dental treatment such as scalling root planning and extraction of caninus #13. Following the clinical evaluation, the procedure and complication of implant therapy were explained and consent taken for proposed treatment. One piece dental implant site was anesthetized. Flaps on the buccal aspect were raised. One Piece dental implant inserted using dental implant kit. On completion of treatment, the patient’s esthetics and funcions improved. Conclusion: This study observed that one piece dental implants are suitable for rehabilitation of narrow edentulous space

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