Consultez les mentions légales (RCP) des médicaments disponibles dans votre pays
You organize a medical congress in Africa?
APIDPM stands by your side to promote it. As of now, ask for your « Partnership » file.
Do you have expertise in a specific field and would like to contribute your experience and help our authors publish better articles?
Published in French in Tropical Dental Journal Volume 34 - September 2011 pages 26-32
Article Open access
Authors : P. Niang, A. Ba, S. Dia Tine, B. Tamba, B.C. Gassama Barry, B. Diallo - Senegal
Les implants dentaires sont de plus en plus utilisés pour la réhabilitation orale des diabétiques. Cependant, les taux de succès satisfaisants ne doivent pas occulter les échecs précoces associés à l’altération de l’ostéo-intégration.
Cette revue de la littérature fait le point des connaissances sur la relation entre le diabète et l’ostéo-intégration. Les modèles expérimentaux de diabète montrent une diminution du contact os-implant par rapport aux témoins, qui peut être corrigée par l’insulinothérapie. Les taux de survie des implants à la 2ème phase chirurgicale chez les diabétiques contrôlés sont inférieurs à ceux observés dans la population générale, bien que comparables.
L’augmentation des échecs associés à l’altération de l’ostéo-intégration est observée à la 2ème phase chirurgicale ; elle montre que le diabète est un facteur de risque en raison des atteintes microvasculaires. Il est indispensable de suivre des recommandations préalables à la pose des implants dentaires chez les diabétiques. Le contrôle de la glycémie, l’antibioprophylaxie, les bains de bouche antiseptiques et les mesures d’hygiène permettent d’améliorer la survie des implants chez les diabétiques.
It has become increasingly common for diabetic patients to be considered as candidates for dental implants. However even though success rates of implant therapy in diabetic are high, this does not preclude failures. Failure to osseointegrate in the initial healing phase results in a fibrous tissue encapsulation of the implant and clinical mobility, leading ultimately to the failure of the implant.
This review presents the current knowledge regarding the effect of diabetes mellitus on the osseointegration of implants including pathophysiologic aspects as well as their potential implications on bone metabolism and osseointegration, implant success rate at the second-phase surgery and guidelines for pre and post-operative management.
In experimental models of diabetes mellitus, a reduced level of bone-implant contact has been shown, and this can be reversed by means of treatment with insulin. Compared with the general population, a higher failure rate is seen in diabetic patients. Most of these occur at the second-phase surgery, seemingly pointing to the microvascular complications of this condition as a possible causal factor.
It is necessary to take certain special considerations into account for the placement of implants in diabetic patient. A good control of plasma glycemia, together with other measures, has been shown to improve the percentages of implant survival in these patients.
This article is currently rated (2.5 stars) by the subscribers of Tropical Dental Journal Online.
It has been viewed 2764 times, downloaded 5 times and rated 2 times.
No comment has yet been added about this article
N.B.: to add a comment, type your text in the form available under the full article.
Address
Phone
Contact us
TDJ practical
Read
Publish
News
Publisher: