Comparison Of Clinical Peri-Implant Indices And Alveolar Bone Levels Around Implants Placed In Non-Diabetic And Diabetic Patients
DOI:
https://doi.org/10.52783/jns.v14.3240Keywords:
Dental implants, Diabetes, Implant survival, OsseointegrationAbstract
Background: Diabetes is a serious health concern which is rising globally. This compromises the prognosis of dental implant
treatment. The aim of this study was to assess the peri-implant health parameters among the non-diabetic and diabetic
patients.
Materials and Methods: The cross-sectional study was conducted in Department of Implantology, Saveetha Dental College
and Hospitals Chennai, India among 460 patients who reported between July 2023-August 2024 and had a minimum of
single implant in function for at least 1 year after crown cementation. Among 460 patients, 228 were non-diabetic individuals
(Group A) and 232 were diabetic patients (Group B). Clinical parameters including peri-implant probing depth (PPD),
clinical attachment level (CAL) and radiographic parameter including alveolar bone level (ABL) was recorded and compared
between both the groups using independent t-test.
Results: The mean PPD among non-smokers and smokers were 2.58±0.07 and 5.04±0.05 respectively. The mean CAL
among non-smokers and smokers were 3.05±0.02 and 5.84±0.04 respectively. The mean ABL among non-smokers and
smokers were 1.36±0.03 and 3.17±0.04 respectively. Independent t-test revealed there was statistically significant difference
in PPD (p=0.02), CAL (p=0.03) and ABL (p=0.03).
Conclusion: Diabetic patients demonstrated greater peri-implant probing depth, clinical attachment loss and alveolar bone
loss as compared to non-diabetic individuals.
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References
Papaspyridakos P, Chen CJ, Singh M, Weber HP, Gallucci GO. Success criteria in implant dentistry: a
systematic review. Journal of dental research. 2012 Mar;91(3):242-8.
Durrani F, Karthickraj SM, Imran F, Ahlawat S, Kumari E, Vani SG. Comparative evaluation of hard and soft
tissue parameters by using short implants and standard long implants with sinus lift for prosthetic rehabilitation
of posterior maxilla. Journal of Indian Society of Periodontology. 2024 Jan 1;28(1):106-12.
Agarwal S, Ashok V, Maiti S, Agarwal V. Dentists' Preference toward Fixed Versus Removable Implant
Prosthesis on Edentulous Jaws to Improve Quality of Life. Journal of Long-Term Effects of Medical Implants.
;33(1):83-89.
Rajasekar A, Varghese SS. Quantification of red complex microorganisms among patients with different
surface-modified dental implants: A prospective clinical study. Journal of International Oral Health. 2023 Nov
;15(6):523-30.
Venugopalan S, Subhasree R, Thiyaneswaran N, Maiti S. An analysis of implant prosthesis and its dynamic
occlusal contacts. Journal of Long-Term Effects of Medical Implants. 2023;33(1):1-7.
Kayal VM, Rajasekar A. Comparison of peri-implant health parameters among obese and non-obese South
Indian population. Journal of Long-Term Effects of Medical Implants. 2024;34(2):85-88.
Dreyer H, Grischke J, Tiede C, Eberhard J, Schweitzer A, Toikkanen SE, Glöckner S, Krause G, Stiesch M.
Epidemiology and risk factors of peri‐implantitis: A systematic review. Journal of periodontal research. 2018
Oct;53(5):657-81.
Wild S, Roglic G, Green A, Sicree R, King H. Global prevalence of diabetes: estimates for the year 2000 and
projections for 2030. Diabetes care. 2004 May 1;27(5):1047-53.
Journal of Neonatal Surgery | Year: 2025 | Volume: 14 | Issue: 13s
pg. 360
Dr. Pragati Nirula, Dr. Arvina Rajasekar
Szoke E, Gerich JE. Role of impaired insulin secretion and insulin resistance in the pathogenesis of type 2
diabetes mellitus. Compr Ther. 2005 Summer;31(2):106–12.
Al‐Shibani N, Al‐Aali KA, Al‐Hamdan RS, Alrabiah M, Basunbul G, Abduljabbar T. Comparison of clinical
peri‐implant indices and crestal bone levels around narrow and regular diameter implants placed in diabetic and
non‐diabetic patients: A 3‐year follow‐up study. Clinical Implant Dentistry and Related Research. 2019
Apr;21(2):247-52.
Dreyer H, Grischke J, Tiede C, Eberhard J, Schweitzer A, Toikkanen SE, et al. Epidemiology and risk factors
of peri-implantitis: A systematic review. J Periodontal Res. 2018 Oct;53(5):657–81.
Chang PC, Chien LY, Chong LY, et al. Glycated matrix up-regulates inflammatory signaling similarly to
Porphyromonas gingivalis lipopolysaccharide. J Periodontal Res. 2013;48:184–193.
Chang PC, Chien LY, Yeo JF, et al. Progression of periodontal destruction and the roles of advanced glycation
end products in experimental diabetes. J Periodontol. 2013;84:379–388.
de Molon RS, Morais-Camilo JA, Verzola MH, et al. Impact of diabetes mellitus and metabolic control on bone
healing around osseointegrated implants: removal torque and histomorphometric analysis in rats. Clin Oral Impl
Res. 2013;24:831–837.
Quintero DG, Winger JN, Khashaba R, et al. Advanced glycation endproducts and rat dental implant
osseointegration. J Oral Implantol. 2010;36:97–103.
Colombo JS, Balani D, Sloan AJ, et al. Delayed osteoblast differentiation and altered inflammatory response
around implants placed in incisor sockets of type 2 diabetic rats. Clin Oral Implants Res. 2011;22:578–586.
Gómez-Moreno G, Aguilar-Salvatierra A, Rubio Roldán J, Guardia J, Gargallo J, Calvo-Guirado JL. Peri
implant evaluation in type 2 diabetes mellitus patients: a 3-year study. Clin Oral Implants Res. 2015
Sep;26(9):1031–5.
Lagunov VL, Sun J, George R. Evaluation of biologic implant success parameters in type 2 diabetic glycemic
control patients versus health patients: A meta-analysis. J Investig Clin Dent. 2019 Nov;10(4):e12478.
Abduljabbar T, Al-Sahaly F, Al-Kathami M, Afzal S, Vohra F. Comparison of periodontal and peri-implant
inflammatory parameters among patients with prediabetes, type 2 diabetes mellitus and non-diabetic controls.
Acta Odontologica Scandinavica. 2017 Jul 4;75(5):319-24.
Al-Askar M, Ajlan S, Alomar N, Al-Daghri NM. Clinical and radiographic peri-implant parameters and whole
salivary interleukin-1β and interleukin-6 levels among type-2 diabetic and nondiabetic patients with and without
peri-implantitis. Medical Principles and Practice. 2018;27(2):133-8
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