Immediately loaded implant retained mandibular overdenture in controlled diabetic patients: results of 5 years prospective clinical study

Abstract

Objectives This cohort study was carried out to evaluate dental implants retained overdenture in controlled type II diabetic patients after 5 years of immediate loading. Patients and methods Thirty completely edentulous patients (18 men and 12 women) with a mean age of 62 years old were included in this study. For each patient, two immediately loaded implants were inserted at the interforaminal region with ball and socket attachments to retained mandibular overdenture. Patients were evaluated clinically and radiographically at baseline (overdenture insertion) and after 6 months, 1, 3, and 5 years after loading. Data were collected and statistically analyzed using repeated measures analysis of variance test. Results The cumulative implant success rate at 5 years was 100%. There was no statistically significant difference along the time intervals (P ≥ 0.05). Marginal bone loss was 0.796 ± 0.187 after 5 years of function. No complications or implant failure were reported. Conclusions Within the limitations of this study concerning small sample size, age range and the value of glycosylated hemoglobin test, dental implants can be immediately loaded successfully to retain overdentures in type II diabetic edentulous patients.