1. Clinical performance of hydrophilic, titanium‐zirconium dental implants in patients with well‐controlled and poorly controlled type 2 diabetes: One‐year results of a dual‐center cohort study
- Author
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Georgios A. Kotsakis, Tamir Shalev, Hai Zhang, Katherine L Roll, Jessica M. Latimer, Larry F. Wolff, and Diane M. Daubert
- Subjects
Postoperative pain ,Dentistry ,Cohort Studies ,Diabetes mellitus ,Humans ,Medicine ,Prospective Studies ,Aged ,Dental Implants ,Glycated Hemoglobin ,Titanium ,business.industry ,Dental Implantation, Endosseous ,Clinical performance ,Type 2 Diabetes Mellitus ,Middle Aged ,medicine.disease ,Titanium zirconium ,Dental patients ,Treatment Outcome ,Dental Prosthesis Design ,Diabetes Mellitus, Type 2 ,Cohort ,Quality of Life ,Periodontics ,Dental Prosthesis, Implant-Supported ,Zirconium ,Implant ,business - Abstract
This study assessed the clinical performance of hydrophilic dental implants in a patient cohort with type 2 diabetes mellitus (T2DM).Subjects with T2DM of ≥2-years duration were allocated to either the well-controlled (WC; HbA1c ≤ 7.0%,) or poorly-controlled (PC; 7.5 HbA1c 10%) groups in a dual-center, prospective cohort study. Each subject received a single, titanium-zirconium (Ti-Zr) dental implant with a chemically-modified, hydrophilic (modSLA) surface in a posterior mandibular site. Postoperatively, subjects were followed at 1, 2, 4, 8, and 12-week intervals. Post-loading, subjects were followed at 3, 6, and 12-months. Clinical and radiographic parameters of implant success, and dental patient-reported outcomes were collected.Twenty-one dental patients (NElevated HbA1c levels 7.5% did not compromise 1-year success rates, or oral health-related quality of life in PC patients receiving modSLA, Ti-Zr implants. Given that implant placement up to 10% HbA1c significantly enhanced oral health-related quality of life without complications or morbidity, the safety and efficacy of implants to improve oral function in T2DM is supported, even without ideal glycemic control.
- Published
- 2022