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Publication
A influência da diabetes mellitus na osteointegração
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Abstract(s)
Ao longo dos anos, a utilização de implantes dentários como forma de reabilitação tem vindo a aumentar, tendo demonstrado ser um tratamento seguro e previsível. No entanto, o sucesso dos implantes vai depender da osteointegração bem sucedida
e são inúmeros os fatores que podem comprometer este processo. A diabetes mellitus (DM) é um dos principais fatores de risco. A DM é uma doença metabólica, caracterizada pela hiperglicemia, que compromete o processo de cicatrização, formação
e remodelação óssea, podendo prejudicar a osteointegração. A sua prevalência tem vindo a aumentar em todo o mundo, sendo um fator importante a ser considerado na reabilitação com implantes dentários. Foi demonstrado que a DM mal controlada afeta negativamente o processo de osteointegração. Desta forma, um paciente diabético pode recorrer ao tratamento com implantes dentários, desde que apresente um bom controlo glicémico (HbA1c<7%), é também recomendada a utilização de profilaxia antibiótica, bochechos com clorohexidina e monitorização da higiene oral do paciente, com o objetivo de minimizar o risco de falha do implante. Posto isto, o propósito deste estudo foi realizar uma revisão da literatura sobre a influência da Diabetes Mellitus na osteointegração do implante.
Over the years, the use of dental implants as a form of rehabilitation has been increasing and has proven to be a safe and predictable treatment. However, the success of implants will depend on successful osseointegration and there are numerous factors that can compromise this process. Diabetes mellitus (DM) is a major risk factor. DM is a metabolic disease, characterized by hyperglycemia, which compromises the healing process, formation and bone remodeling, which impairs osseointegration. It’s prevalence has been increasing worldwide, being an important factor to be considered in the treatment with dental implants. It has been shown that poorly controlled DM adversely affects the osseointegration process. In conclusion, a diabetic patient may resort to treatment with dental implants, as long as they present a good glycemic control (HbA1c <7%). It is also recommended the use of antibiotic prophylaxis, chlorhexidine and oral hygiene monitoring, in order to minimize the risk of implant failure. Therefore, the purpose of this study was to perform a review of the literature about the influence of Diabetes Mellitus on osseointegration of the implant.
Over the years, the use of dental implants as a form of rehabilitation has been increasing and has proven to be a safe and predictable treatment. However, the success of implants will depend on successful osseointegration and there are numerous factors that can compromise this process. Diabetes mellitus (DM) is a major risk factor. DM is a metabolic disease, characterized by hyperglycemia, which compromises the healing process, formation and bone remodeling, which impairs osseointegration. It’s prevalence has been increasing worldwide, being an important factor to be considered in the treatment with dental implants. It has been shown that poorly controlled DM adversely affects the osseointegration process. In conclusion, a diabetic patient may resort to treatment with dental implants, as long as they present a good glycemic control (HbA1c <7%). It is also recommended the use of antibiotic prophylaxis, chlorhexidine and oral hygiene monitoring, in order to minimize the risk of implant failure. Therefore, the purpose of this study was to perform a review of the literature about the influence of Diabetes Mellitus on osseointegration of the implant.
Description
Dissertação para obtenção do grau de Mestre no Instituto Universitário Egas Moniz
Keywords
Diabetes mellitus Osteointegração Implantes dentários Controlo glicémico