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VOLUME 14 , ISSUE 6 ( November-December, 2013 ) > List of Articles

REVIEW ARTICLE

Can the Use of Antibiotics interfere with the Success of Dental Osseointegrated Implants in Diabetic Patients?

Alexandre Meireles Borba, Daniel Falbo Martins Souza, Mariana Aparecida Brozoski, Rafael Augusto Burim, Maria da Graça Naclério-Homem, Maria Cristina Zindel Deboni

Citation Information : Borba AM, Souza DF, Brozoski MA, Burim RA, Naclério-Homem MD, Deboni MC. Can the Use of Antibiotics interfere with the Success of Dental Osseointegrated Implants in Diabetic Patients?. J Contemp Dent Pract 2013; 14 (6):1197-1201.

DOI: 10.5005/jp-journals-10024-1476

Published Online: 00-12-2013

Copyright Statement:  Copyright © 2013; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Aim

The present review aims to discuss the last 10 years published data on the topic of the use of osseointegrated implants in diabetic subjects, particularly regarding the influence of antibiotics administration in the perioperative period.

Background

In the last decades, oral rehabilitation significantly has evolved particularly with the use of osseointegrated implants. Increased life expectation of population is reflecting in a greater number of diabetic patients who might require dental osseointegrated implants rehabilitation. Diabetes was considered for a long time as a contraindication for oral implant placement. In this context, the use of antibiotics is still a controversial factor when we correlate it to implant success rate.

Review results

Although 228 articles were initially selected for evaluation of proposed criteria, only 16 articles were considered valid. Among the 16 selected articles, only six articles represented clinical research that discussed the influence of the antibiotic in the success of osseointegration of dental implants in diabetic subjects. Five were retrospective studies and one a prospective research.

Conclusion

Data favors the use of antibiotics without significant side effects but clinical investigations of the need of prophylaxis antibiotic or therapeutic antibiotics are still scarce. The lack of adequate methodology is one of the main problems of the current articles. It is important to emphasize that studies should present detailed methodology in order to allow reproducibility.

Clinical significance

Permanent tooth loss is a pathological condition that affects millions of people worldwide. The possibility of successful treatment of edentulous areas through osseointegrated implants in those systemic compromised patients is a matter of scientific discussion. Although antimicrobial agents must be used rationally and carefully to avoid development of bacterial resistance, more studies are needed in order to support evidence regarding the influence of antibiotics in the success of dental implant surgery in diabetic patients.

How to cite this article

Borba AM, Souza DFM, Brozoski MA, Burim RA, da Graça Naclério-Homem M, Deboni MCZ. Can the Use of Antibiotics interfere with the Success of Dental Osseointegrated Implants in Diabetic Patients? J Contemp Dent Pract 2013;14(6):1197-1201.


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  1. Implants in the medically compromised patient. Crit rev oral biol Med. 2003;14(4):305-316.
  2. Does antibiotic prophylaxis at implant placement decrease early implant failures? A Cochrane systematic review. Eur J Oral Implantol 2010;3(2):101-110.
  3. A review of selected dental literature on evidence-based treatment planning for dental implants: report of the committee on research in fixed prosthodontics of the academy of fixed prosthodontics. The Journal of prosthetic dentistry 2004;92(5):447-462.
  4. Impact of diabetes mellitus and glycemic control on the osseointegration of dental implants: a systematic literature review. J Periodontol 2009;80(11):1719-1730.
  5. Dental implant treatment in diabetic patients. Implant Dent 2002;11(3):262-267.
  6. Effects of diabetes mellitus on periodontal and peri-implant conditions: update on associations and risks. J Clin Periodontol 2008;35(8 Suppl):398-409.
  7. Medical contraindications to implant therapy: Part II. Relative contraindications. Implant Dent 2007;16(1):13-23.
  8. The influence of preoperative antibiotics on success of endosseous implants at 36 months. Ann Periodontol 2000;5(1):166-174.
  9. Implant survival in patients with type-2 diabetes: placement to 36 months. Ann Periodontol 2000;5(1):157-165.
  10. Diabetes mellitus and dental implants: a clinical study. Implant Dent 2002;11(1):83-86.
  11. Impact of local and systemic factors on the incidence of failures up to abutment connection with modified surface oral implants. J Clin Periodontol 2008;35(1):51-57.
  12. Smoking, diabetes mellitus, periodontitis, and supportive periodontal treatment as factors associated with dental implant survival: a long-term retrospective evaluation of patients followed for up to 10 years. Implant Dent 2010;19(1):57-64.
  13. Dental implants in patients with type 2 diabetes mellitus: a clinical study. Implant Dent 2003;12(2):116-122.
  14. One-year clinical outcome of dental implants placed in patients with type 2 diabetes mellitus: a case series. Implant Dent 2010;19(4):323-329.
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