Impacto do controle glicêmico sobre as complicações associadas ao diabetes mellitus na osseointegração

• Autor(a) principal: Alves Rezende, Maria Cristina Rosifini [UNESP]
• Data de Publicação: 2014
• Outros Autores: Wada, Criatiane Mayumi, Fiorin, Luiz Guilherme, Cury, Marina Tolomei Sandoval, Lisboa-Filho, Paulo Noronha [UNESP]
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Repositório Institucional da UNESP
• Texto Completo: http://www.archhealthinvestigation.com.br/index.php/ArcHI/article/view/279; http://hdl.handle.net/11449/133226
• topic: Diabetic complications; Dental Implants; Metabolism; Osseointegration; Complicaciones de la diabetes; Implantes Dentales; Metabolismo; Oseointegración; Complicações do diabetes; Implantes dentários; Metabolismo; Osseointegração

The increased prevalence of diabetic individuals has become a public health problem. Diabetes Mellitus is a metabolic disorder characterized by an increase in plasma glucose levels. It impairs the physiological equilibrium in utilization of carbohydrate by tissues. The persistent hyperglycemia can produce deleterious effects on bone formation due the microvascular complication. The present paper reviews the bibliography linking the impact of glycemic control at complications associated at diabetes mellitus on osseointegration. In experimental models of diabetes it was observed a reduced level of bone-implant contact. This failure can be reduced by means of hyperglycemia control. Also, several studies point the beneficial effect of coated implant on osseointegration process. It is necessary to take special care into account for the placement of implants in diabetic patient and improve the percentages of implant survival. A rigorous control of plasma glycaemia, together with other measures, like as absence of chronic complications, good oral hygiene and regular medical follow-up has been related to rising the percentages of successful in diabetic patients.