Primordial and primary prevention of peri-implant diseases: A systematic review and meta-analysis.
(Journal of Clinical Periodontology; doi: 10.1111/jcpe.13790)
Maria Clotilde Carra, Nicolas Blanc-Sylvestre, Alexandre Courtet, Philippe Bouchard
Dental implants can develop inflammation in the surrounding gum and bone.
Researchers wanted to understand whether blood glucose management affects these problems in people living with diabetes.
This review brought together studies of risk factors for disease around implants.
Eleven observational studies addressed diabetes and compared people with better and poorer blood glucose management.
Researchers examined bone loss, inflammation and implant survival.
Better glucose management was associated with less inflammation-related bone disease around implants and less loss of supporting bone.
Implant loss was also less common in the better-managed groups.
However, some measures, including bleeding and the depth of gum pockets around implants, did not show a clear difference.
The studies used different definitions of glucose management, and several comparisons were based on small numbers.
Diabetes does not automatically mean that an implant will fail.
The findings support discussing blood glucose, gum health and follow-up care when planning or maintaining implants. They do not identify one blood test result that guarantees success.
Your own assessment needs to consider the whole picture, including the implant site, smoking and your ability to attend ongoing care.
The diabetes evidence here came from observational studies rather than treatment experiments.
A review can bring together more evidence than one study, but its conclusions still depend on the quality of the research included. Differences in participants, measurements and follow-up can make results difficult to combine.
An average finding may not describe every patient, and an uncertain result does not prove there is no effect.
This review also reflects the evidence available when its search ended. It should be read as one part of the evidence, with newer research considered before making current treatment decisions.
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Periodontitis is the 6th most prevalent condition globally
Periodontitis and diabetes are bidirectionally linked
Diabetic complications are increased if you have both diseases
Successful periodontal treatment can improve blood glucose control
Periodontitis is the 6th most prevalent condition globally
Periodontitis and diabetes are bidirectionally linked
Diabetic complications are increased if you have both diseases
Successful periodontal treatment can improve blood glucose control
