A retrospective study of the dental implants placed in the controlled diabetes mellitus patients

조절되는 당뇨환자에게 식립된 치과 임플란트의 생존율에 대한 후향적 연구

  • Kim, Young-Hee (Department of Periodontology, College of Dentistry, Yonsei University) ;
  • Um, Yoo-Jung (Department of Periodontology, College of Dentistry, Yonsei University) ;
  • Jung, Ui-Won (Department of Periodontology, College of Dentistry, Yonsei University) ;
  • Kim, Chang-Sung (Department of Periodontology, College of Dentistry, Yonsei University) ;
  • Cho, Kyu-Sung (Department of Periodontology, College of Dentistry, Yonsei University) ;
  • Choi, Seong-Ho (Department of Periodontology, College of Dentistry, Yonsei University)
  • 김영희 (연세대학교 치과대학 치주과학교실) ;
  • 엄유정 (연세대학교 치과대학 치주과학교실) ;
  • 정의원 (연세대학교 치과대학 치주과학교실) ;
  • 김창성 (연세대학교 치과대학 치주과학교실) ;
  • 조규성 (연세대학교 치과대학 치주과학교실) ;
  • 최성호 (연세대학교 치과대학 치주과학교실)
  • Published : 2009.09.30

Abstract

Purpose: The aim of the present study was to analyze 7-year cumulative survival rate (CSR, %) of dental implants in the controlled diabetic patients and to evaluate the influence of the position, diameter and length of fixture, bone quality, age, gender and the method of maxillary sinus elevation on the survival rate. Methods: The data of 342 placed implants in the 104 diabetic patients collected between 1995 and 2007 at the Department of Periodontology in Yonsei University Hospital were analyzed. Results: Seven-year CSR of the 342 dental implants in the 104 controlled diabetic patients was 96.5%. The survival rates of the placed implants according the position have no statistically significant difference. The survival rates according to the length or diameter of the fixtures have no statistically significant difference. The survival rates according to the bone quality were 100% (Type I), 97.1% (Type II), 97.7% (Type III) and 85.7%(Type IV). The difference between the survival rate of Type I, II and III and that of Type IV was statistically significant. The survival rates according to patient gender were 96.8% (male), 95.5% (female). The survival rates according to patient age were 100% (${\leq}59$), 93.8% (${\geq}60$). The survival rates according to the method of sinus elevation in the maxillary posterior area were 96.8% (without sinus elevation), 92.9% (lateral approach) and 89.8% (crestal approach). Conclusions: Dental implants can be used successfully in the controlled diabetic patients. In case of upper posterior region which has poor bone density and older patients, the implant treatment should be more properly planed, executed, and followed-up.

Keywords

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