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2.1.3.2 Diabetes Mellitus

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 Diabetes mellitus is a common endocrine disorder affecting the metabolism of glucose. Patients with diabetes may experience increased susceptibility to wound‐healing complications and increased inflammatory destruction. Furthermore, they possess altered bone and mineral metabolism which may interfere with bone metabolism [3]. A prospective study of 89 patients with well‐controlled type 2 diabetes found an early failure rate of 2.2% in implants placed in edentulous mandibles. This increased to 7.3% after one year when the implants were loaded with overdentures [4]. The five‐year results of this study revealed a survival rate of 90% [5]. Diabetes mellitus is not a barrier to successful osseointegration provided the implants are placed in patients with well‐controlled diabetes.

Practical Procedures in Implant Dentistry

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