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Dental implants in diabetic patients: retrospective cohort study reporting on implant survival and risk indicators for excessive marginal bone loss at 5 years

2016-11Journal article Restricted access
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dc.contributor.authorNobre, M. de Araújo
dc.contributor.authorMaló, P.
dc.contributor.authorGonçalves, Y.
dc.contributor.authorSabas, A.
dc.contributor.authorSalvado, F.
dc.date.accessioned2020-07-31T10:56:59Z
dc.date.available2020-07-31T10:56:59Z
dc.date.issued2016-11
dc.description.abstract"More studies evaluating the outcome of dental implant restorations in diabetics are needed. To investigate the outcome of immediate function implant rehabilitations in diabetic patients. This retrospective cohort study included 70 diabetic patients (type 1 = six patients; type 2 = 64 patients; 33 females and 37 males, mean age=59 years), rehabilitated with 352 implants. Primary outcome measure was implant survival estimated at 5 years through the Kaplan–Meier product limit estimator using the patient as unit of analysis (first implant failure as reference); secondary outcome measures were marginal bone loss and biological complications. Risk indicators associated with bone loss >2·0 mm were tested in a multivariate logistic regression model. The level of significance considered was 5%. Seven patients were lost to follow‐up (10%). Seven patients lost ten implants rendering a global implant cumulative survival rate for diabetic patients of 89·8% (type 1 = 80·0%; type 2 = 90·5%). The average (95% confidence interval) marginal bone loss at 1 and 5 years was 1·64 mm (0·00;3·32) and 2·55 mm (1·38;3·72) for type 1 diabetic patients, 0·79 mm (0·59;1·00) and 1·45 mm (1·09;1·82) for type 2 diabetic patients and 0·88 mm (0·65;1·10) and 1·56 mm (1·21;1·91) overall. Biological complications occurred in seven patients. Female gender (OR = 28·1) and smoking habits (OR = 10·3) were risk indicators for marginal bone loss >2·0 mm at 5 years when controlled for other variables of interest. Implant rehabilitations represent a valid treatment for diabetic patients, with a good risk/benefit ratio. Female gender and smoking habits were risk indicators for a higher marginal bone resorption at 5 years."pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationde Araújo Nobre, M., Maló, P., Gonçalves, Y., Sabas, A. and Salvado, F. (2016), Dental implants in diabetic patients: retrospective cohort study reporting on implant survival and risk indicators for excessive marginal bone loss at 5 years. J Oral Rehabil, 43: 863-870. doi:10.1111/joor.12435pt_PT
dc.identifier.doi10.1111/joor.12435pt_PT
dc.identifier.issn1365-2842
dc.identifier.urihttp://hdl.handle.net/10400.26/33024
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherWileypt_PT
dc.relation.publisherversionhttps://doi.org/10.1111/joor.12435pt_PT
dc.subjectDental implantpt_PT
dc.subjectClinical researchpt_PT
dc.subjectFixed implant prosthesispt_PT
dc.subjectMarginal bone losspt_PT
dc.subjectDiabetespt_PT
dc.subjectRiskpt_PT
dc.subjectPatientpt_PT
dc.titleDental implants in diabetic patients: retrospective cohort study reporting on implant survival and risk indicators for excessive marginal bone loss at 5 yearspt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage870pt_PT
oaire.citation.startPage863pt_PT
oaire.citation.titleJournal of Oral Rehabilitationpt_PT
oaire.citation.volume43(11)pt_PT
rcaap.embargofctPolítica de copyright do editorpt_PT
rcaap.rightsrestrictedAccesspt_PT
rcaap.typearticlept_PT

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