ARE DENTAL IMPLANTS SAFE FOR YOU IF YOU HAVE DIABETES?
The number of people having diabetes in 2010 were 285 million and it is expected to be 438 million by 2030. Considering the modern lifestyle and stress levels we are looking forward towards a population in which every other person we meet is going to be diabetic. In dentistry, replacement of missing tooth is now a days more commonly done with dental implants because of several advantages it offers. However, the placement of dental implant involves some surgical work and requires good healing conditions for the implant to integrate with our bone. It is known fact that diabetics have delayed wound healing. So, then the most common question that arises is that : Are dental implants safe in patient’s with diabetes or not ? This blog aims to discuss and to bust all the myths concerning this controversial topic. Diabetes mellitus is a chronic disorder of carbohydrate metabolism characterized by hyperglycaemia. The periodontal disease is the sixth major complication of diabetes. Number of studies has proved the adverse effect of chronic hyperglycaemia on oral mucosa. Dental implants are root form titanium screws placed in bone for anchorage on which your tooth crown is fixed. Diabetes does interfere with bone healing by affecting the bone cells and collagen fibers but this is not generalized for all patients. Recent studies show that dental implants are safe for those with controlled diabetes as long as their overall health complies with standard, pre-procedure health guidelines. A review of multiple studies showed patients with controlled diabetes have no more risk of complications or failures. The control of diabetes is mandatory for dental implants. Thus if you have controlled diabetes then you are at the same risk level as a non diabetic normal patient for dental implants. The control of diabetes is patient specific and depends on several criteria like type of diabetes, dietary habits, lifestyle, medications, any other comorbities e.t.c. Another important point is that dental implants and diabetes conditions for success rest on your ability to maintain your disease as well as being able to keep up with a vigilant oral hygiene routine and healthy diet. According to the latest research people with controlled and uncontrolled diabetes have an equal chance of successful dental implant surgical procedures. However, we do not recommend conventional dental implants in uncontrolled diabetics. This does not mean that uncontrolled diabetics can’t be rehabilitated. They have option of either improving their diabetes control or to go for basal or unconventional dental implants as they are not affected by diabetes. However the selection of conventional or basal implants is case specific and depends on several other criteria apart from your diabetes control and so it should be best entrusted to your doctor. Our recommendations for diabetics wishing to go for dental implants
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1. Get your glucose cont rol normalized with exercise, diet regulation, reducing stress
2.levels and medications after discussing with your diabetologist or physician Go for regular follow ups to your physician Avoid heavy meals. Avoid sweet and sugary foods meals. in excess. Avoid skippin g of any Have an early dinner. All this will ensure better sugar level control and avoid fluctuating levels of your glucose Never skip or miss your diabetes medications Maintain your oral hygiene by brushing twice a day and flossing and using mouthwash Regular dental follow up visits and get your teeth cleaned every 6 months to 1 year depending on how your dentist advices you Once you follow all this and your diabetes levels are under control then you can go ahead for dental implants. However y ou need to understand that you may need longer time intervals for healing and you need to put extra efforts in maintaining oral hygiene after implants and come for regular follow ups. Those with uncontrolled levels can be rehabilitated with basal implants possible. Both graftless and bone grafting diabetics but graftless is more approaches for dental implants are successful in preferable, but it varies case to case and a consult with your dentist is a must . Rehabilitation of diabetics with dental implant lifestyle and quality of life of the patients as they are able eat s has also shown to improve if healthy dietary foods and thus are able to maintain their health better and thus resulting in good Thus, to summarize dental implants are safe in diabetes and diabetes control as well. the best option of replacement provided the diabetes level is under control and in acceptable levels.
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