Diabetes and inflammation around dental implants

Summarised from:

Association Between Diabetes and Peri-Implantitis: Evidence From a Swedish Register-Based Study
(Journal of Clinical Periodontology; doi: 10.1111/jcpe.70023)

Authors:

Anna Trullenque-Eriksson, Fernando Valentim Bitencourt, Cristiano Tomasi, Tord Berglundh, Jan Derks

Summarised by:

Dr Varkha Rattu

Research Topic:

Why does this matter?

Peri-implantitis is inflammation with loss of bone around a dental implant. This study investigated whether it was more common in people living with diabetes and whether blood glucose management made a difference.

What was studied?

Researchers linked Swedish dental and diabetes registers over 2010–2020. They examined existing cases and new cases during follow-up separately, and considered type 1 and type 2 diabetes. Most diagnoses were identified through recorded treatment rather than a standardised research examination.

What did the researchers find?

The findings differed by diabetes type and outcome. Existing peri-implantitis was more common with type 1 diabetes, while new cases were more frequent in the type 2 diabetes group.

Some comparisons of implant loss were inconclusive.

Higher glucose levels were associated with less favourable outcomes in several analyses, particularly in type 1 diabetes, but the pattern was not uniform.

What does this mean for me?

Diabetes is relevant to implant assessment, but these results do not mean implants inevitably fail. They also do not give a single risk estimate that applies to everyone.

The records lacked information about smoking and some implant features, which could affect the comparisons.

Discussing your diabetes history, gum health and follow-up needs can help your dental team assess your circumstances rather than relying on a headline figure.

What should I keep in mind?

Following people over time helps researchers study the order of events, but it does not remove all uncertainty. People with different health or dental histories may also differ in medicines, smoking, access to care and other influences. Some participants may be missing from later assessments. Statistical adjustments cannot fully account for everything. The results describe patterns in the people studied, not a personal forecast. They should be considered alongside other research and your own clinical findings when discussing their relevance to you.

Read the full article Back to Research

Research  |  27.08.25

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tag iconPeriodontitis,Diabetes

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