Yoshioka Fumi, Ozawa Shogo, Sakane Mizuho, Kumano Hirokazu, Hata Masaki, Matsukawa Ryohei, Takebe Jun
{"title":"Longitudinal Evaluation of Autogenous Bone Graft Prior to Implant Placement.","authors":"Yoshioka Fumi, Ozawa Shogo, Sakane Mizuho, Kumano Hirokazu, Hata Masaki, Matsukawa Ryohei, Takebe Jun","doi":"10.11607/jomi.10855","DOIUrl":"https://doi.org/10.11607/jomi.10855","url":null,"abstract":"<p><strong>Purpose: </strong>To conduct a longitudinal evaluation of sites grafted with autogenous bone prior to implant placement using a dental cast with a 3D modeling system.</p><p><strong>Materials and methods: </strong>A total of nine patients underwent implant treatment with bone grafting for anterior missing teeth. Informed consent was obtained from each patient. Casts were made and evaluated at three time periods, including before bone grafting (Pre BG), 4 or 5 months after grafting (Post BG), and 4 or 5 months after implant placement (Post IP). 3D data of these casts were acquired using a 3D digital scanner and then superimposed with reference to the remaining teeth. The volume of the anterior area of the cast was evaluated Pre BG and Post BG.</p><p><strong>Results: </strong>Accuracy of superimposition on the remaining teeth was between 20 and 50 µm. Horizontal differences Post BG and Post IP were 0.1 to 1.6 mm. The volume Post IP decreased by 14% to 38% compared to the volume Post BG.</p><p><strong>Conclusions: </strong>This 3D modeling technique allowed 3D evaluation before and after bone grafting. Results suggested that the volume of the maxilla was sequentially decreased after bone grafting.</p>","PeriodicalId":94230,"journal":{"name":"The International journal of oral & maxillofacial implants","volume":"39 6","pages":"845-850"},"PeriodicalIF":0.0,"publicationDate":"2024-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142820518","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Kai Yuit Ang, Christopher Quek, Frank Lee Kong Fei, Yoong Liang Seetoh, Li Wen Tan, Keson Beng Choon Tan
{"title":"Rotational Load Fatigue Performance of a One-Size Implant- Abutment Connection System.","authors":"Kai Yuit Ang, Christopher Quek, Frank Lee Kong Fei, Yoong Liang Seetoh, Li Wen Tan, Keson Beng Choon Tan","doi":"10.11607/jomi.10907","DOIUrl":"10.11607/jomi.10907","url":null,"abstract":"<p><strong>Purpose: </strong>To investigate the rotational load fatigue performance of different implant diameters and abutment platforms of a one-size implant-abutment (OSIA) connection system.</p><p><strong>Materials and methods: </strong>Narrow-, regular-, and wide-diameter implants were tested with regular base (RB/WB) abutments of an OSIA system (BLX, Straumann). Wide-diameter implants (WDIs) were also tested with wide base (WB) abutments. This resulted in four test groups: (1) narrow-diameter implants (NDIs; 3.5 mm) with RB/WB abutments, (2) regular-diameter implants (RDIs; 4.0 mm) with RB/WB abutments, (3) WDIs (5.0 mm) with RB/WB abutments, and (4) WDIs (5.0 mm) with WB abutments. Each group tested five of their respective implants (n = 5). A rotational load fatigue machine applied a sinusoidally varying stress at a 45-degree angle, producing an effective bending moment of 35 Ncm at a frequency of 10 Hz in 20°C air. The number of cycles to failure was recorded, and the results were evaluated using two-way ANOVA. Failed specimens were examined with a scanning electron microscope (SEM) to evaluate the failure mode. Pristine specimens were sectioned to examine the implant-abutment connection.</p><p><strong>Results: </strong>All specimens in three of the test groups with RB/WB abutments failed within the range of 558,750 cycles to 4,497,619 cycles, while the WDI-WB test group reached the upper limit of 5 million cycles without failure. A significant difference was found between abutment platforms (P < .001). There were no significant differences found for implant diameters (P = .857). However, with a greater implant diameter, implant fracture was less common, and the failure location was more coronal. It was consistently at the implant platform level for the abutment and at the screw neck.</p><p><strong>Conclusions: </strong>For WDIs, WB abutments exhibited superior fatigue performance compared to RB/WB abutments and would be preferred in situations of high mechanical risk. Increasing the implant diameter, when used with RB/WB abutments, did not improve fatigue performance due to the one-size prosthetic connection; however, failures were less catastrophic and coronally located, which may be advantageous in managing failures.</p>","PeriodicalId":94230,"journal":{"name":"The International journal of oral & maxillofacial implants","volume":"0 0","pages":"223-233"},"PeriodicalIF":0.0,"publicationDate":"2024-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140878305","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Mechanical Influence of Edentulous Mandible Morphology on Peri-implant Bone in Implant Prosthetics: 3D Finite Element Analysis.","authors":"Takumi Hamada, Tomoya Gonda, Kohei Murase, Yoshinobu Maeda, Kazunori Ikebe","doi":"10.11607/jomi.10859","DOIUrl":"10.11607/jomi.10859","url":null,"abstract":"<p><strong>Purpose: </strong>To examine the mechanical influence of edentulous mandible morphology on peri-implant bone in implant prosthetics via finite element analysis (FEA).</p><p><strong>Materials and methods: </strong>Computed tomographic (CT) data from 25 patients with edentulous mandibles were selected. Measurements such as the radius of mandibular curvature and the height of the mandible at the midline were taken to clarify the morphologic characteristics of the mandible. From the measurements, two patients with the smallest and largest radii of the mandible were selected. Two types of 3D finite element models were created from the two selected edentulous mandibles (small and large radius), and they included superstructures (a cantilever bridge), implants, and abutments. In both models, four implants were placed between the right and left mental foramina. The upper surface of the mandibular condyle was constrained, and a vertical load of 100 N was applied on the occlusal surface of the right first molar. 3D FEA of each model was performed to examine the mechanical influence of the edentulous mandible morphology on the peri-implant bone.</p><p><strong>Results: </strong>The mandibular morphology measurement in the CT images indicated that the smaller the mandibular height, the larger the radius of the anterior mandibular curvature. FEA revealed that higher equivalent stress was generated in the model of the peri-implant bone with a larger radiusof curvature than that of the model with a smaller radius of curvature. The highest equivalent stress in the mandible was generated in the distal margin of the peri-implant bone posterior to the loaded side of the large-radius model.</p><p><strong>Conclusions: </strong>The mandibular morphology had a mechanical influence on the peri-implant bone.</p>","PeriodicalId":94230,"journal":{"name":"The International journal of oral & maxillofacial implants","volume":"0 0","pages":"931-937"},"PeriodicalIF":0.0,"publicationDate":"2024-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139941424","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Sling Suture Technique Used to Stabilize a Collagen Membrane on the Lateral Bone Window During Maxillary Sinus Floor Augmentation with a Lateral Approach: A Retrospective Case Series.","authors":"Laurent Ohayon, Massimo Del Fabbro","doi":"10.11607/jomi.10803","DOIUrl":"10.11607/jomi.10803","url":null,"abstract":"<p><strong>Purpose: </strong>To present a sling suture technique used to stabilize a collagen membrane against the lateral bone window to improve bone substitute stability inside the sinus cavity.</p><p><strong>Materials and methods: </strong>Maxillary sinus floor augmentation was performed on 17 patients (8 women and 9 men; mean age 58.2 years) using a lateral approach with the sling suture technique to maintain a collagen membrane against the lateral bone window. Postoperative CBCT images were captured at 6-month follow-up of each patient to monitor the bone graft stability at the level of the lateral antrostomy. Clinical postoperative pain and swelling were assessed via visual analog scale (VAS) questionnaire, measured from level 1 (low) to level 5 (acceptable) to level 10 (high) at 1 week postoperative.</p><p><strong>Results: </strong>No bone substitute displacement was observed in any clinical cases on the CBCT images at 6 months postoperative. The pain and swelling levels observed 1 week postoperatively were significantly low (mean ± SD; 1.6 ± 1.0 and 2.1 ± 0.9, respectively).</p><p><strong>Conclusions: </strong>The use of the sling suture technique to maintain a barrier membrane at the level of the lateral bone window in cases of maxillary sinus floor augmentation using a lateral approach is a predictable protocol to prevent bone substitute displacement outside the sinus cavity.</p>","PeriodicalId":94230,"journal":{"name":"The International journal of oral & maxillofacial implants","volume":"0 0","pages":"851-856"},"PeriodicalIF":0.0,"publicationDate":"2024-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139941425","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ibrahim Abazar Younes, Francine Badin Able, Kely Cristina De Moraes, Ivete Aparecida de Mattias Sartori
{"title":"Survival Rate of Implants and Mechanical Complications for 64 Implant-Supported Complete-Arch Prostheses in Maxillary Edentulous Patients with a Follow-up of up to 12 Years: A Cross-Sectional Analytical Study.","authors":"Ibrahim Abazar Younes, Francine Badin Able, Kely Cristina De Moraes, Ivete Aparecida de Mattias Sartori","doi":"10.11607/jomi.10809","DOIUrl":"10.11607/jomi.10809","url":null,"abstract":"<p><strong>Purpose: </strong>To identify the technical complications associated with maxillary complete-arch implant-supported fixed prostheses (ISFPs) and to evaluate the survival rates of both dental implants and prostheses. In addition, we sought to analyze the impact that the presence of cantilevers, the type of prosthetic abutment, and the number of implants have on the occurrence of complications.</p><p><strong>Materials and methods: </strong>Data were obtained from standardized clinical assessments carried out in a single appointment by two calibrated professionals (F.B.A. and I.A.Y.) using information from dental records.</p><p><strong>Results: </strong>The sample consisted of 64 patients rehabilitated with ISFPs classified as hybrid prostheses (metal-resin). The survival rate for implants was 98.6% after 1 to 12 years (5.2 years ± 36.6 months) and was 100% for the prostheses after a follow-up of 12 to 144 months (mean: 48.1 ± 33.94 months). The most frequent complications were occlusal wear (82.8% of patients) as well as loosening of prosthetic screws (16.6%) and abutments (8.1%). The screw loosening frequency was significantly greater in 30-degree abutments compared with straight abutments (P = .008), but no significant difference was found between 17-degree and 30-degree abutments. Prostheses with a higher occurrence of screw loosening had a greater average cantilever length/anteroposterior spread (CL/AP) ratio (0.9 ± 0.5). In addition, abutments placed on distal implants were more likely to loosen (P < .001). The absence of mutually protected occlusion did not significantly influence the loosening of prosthetic screws and abutments.</p><p><strong>Conclusions: </strong>Implant-supported fixed maxillary complete-arch rehabilitations have high survival rates but are subject to technical complications.</p>","PeriodicalId":94230,"journal":{"name":"The International journal of oral & maxillofacial implants","volume":"0 0","pages":"823-828"},"PeriodicalIF":0.0,"publicationDate":"2024-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140159812","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Design and Biomechanical Analysis of a Customized Angled Abutment Based on Tooth Inclination for Immediate Implant Placement in the Anterior Maxilla.","authors":"Chih-Ching Chi, Yen-Wen Shen, Jui-Ting Hsu, Lih-Jyh Fuh, Heng-Li Huang","doi":"10.11607/jomi.10877","DOIUrl":"10.11607/jomi.10877","url":null,"abstract":"<p><strong>Purpose: </strong>To perform a finite element analysis (FEA) and an in vitro experiment to investigate and compare the loading effects (effects on the implant and surrounding bone) of various customized angled abutments to commercial 15-degree angled abutments (control).</p><p><strong>Materials and methods: </strong>Four customized angled abutment models (21.9, 24.15, 20.22, and 33 degrees) were developed using CBCT images of incisor inclination measurements from patients of various age groups (20 to 23, 24 to 39, and 40 to 65 years). 3D maxillary bone models were created from the CBCT images of four individual patients: One patient from each age group with the respective average incisor inclination measurement and another patient with the overall average were selected. Then, FEA and in vitro strain gauge experiments were conducted by applying 100 N or 50 N of axial or oblique force to each model in order to assess the differences in stress/strain between the customized angled abutments (test) and the control in both the implants and surrounding bone.</p><p><strong>Results: </strong>Under axial loading, the stress values in the implant and surrounding bone were elevated due to the relatively higher angles of the customized angled abutments (21.9, 24.15, 20.22, and 33 degrees) compared to the control angled abutments. Under oblique loading, the control angled abutments exhibited higher stress values in both the implant and surrounding bone. For the in vitro experiment, there was no statistically significant difference in bone strain between the customized (21.9 degree) and the control angled abutments in axial loading. Nevertheless, the control angled abutment with oblique loading induced greater bone strains.</p><p><strong>Conclusions: </strong>Customized angled abutments offer lower stress/strain under oblique loads but higher stress/strain under axial loads compared to the control abutments. Therefore, in the design and application of angled abutments, careful consideration of the occlusal load direction is important for achieving the biomechanical success of an implant.</p>","PeriodicalId":94230,"journal":{"name":"The International journal of oral & maxillofacial implants","volume":"0 0","pages":"209-216"},"PeriodicalIF":0.0,"publicationDate":"2024-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140905211","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Zygoma Implant-Based Rehabilitation of Three Patients with Primary Failure of Eruption of Teeth and a 5-Year Follow-up: A Case Series.","authors":"Gunaseelan Rajan, Ashwini Obla Ramesh, Mariappan Saravanakumar, Anand Balachandran, Srinivasan Krishnamurthy, Gowri Natarajarathinam","doi":"10.11607/jomi.10417","DOIUrl":"10.11607/jomi.10417","url":null,"abstract":"<p><p>Primary failure of eruption (PFE) is a rare, nonsyndromic condition in which non-ankylosed teeth fail to erupt either fully or partially due to malfunction of the eruption mechanism. Three young patients are presented in this article with features consistent with a diagnosis of PFE. The features of this condition are described together with different modalities of treatment planning for such patients. The following is a discussion about zygoma implants as a new approach to treatment for patients with PFE requiring full-mouth rehabilitation.</p>","PeriodicalId":94230,"journal":{"name":"The International journal of oral & maxillofacial implants","volume":" ","pages":"829-836"},"PeriodicalIF":0.0,"publicationDate":"2024-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142020061","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
José Joaquim da Rocha Ferreira, Luís Filipe Meira Machado, Marco Paulo Lages Parente, João Carlos Tomás Ramos
{"title":"Reliability of the Implant Stability Measurement Performed at the Abutment Level. A Retrospective Clinical Trial and an In Vitro Research.","authors":"José Joaquim da Rocha Ferreira, Luís Filipe Meira Machado, Marco Paulo Lages Parente, João Carlos Tomás Ramos","doi":"10.11607/jomi.10977","DOIUrl":"https://doi.org/10.11607/jomi.10977","url":null,"abstract":"<p><p>Purpose - The use of the one abutment one time concept involves the indirect measurement of the implant stability without removing the previously placed abutment. This study aims to verify whether measuring the implant stability quotient at the abutment level is identical to the value obtained at the implant level. Material And Methods - A retrospective clinical study and an in vitro study were performed. For each study, the implant stability quotient measured at the implant level defined the control groups. The values obtained after the abutment seating composed the test groups, which were divided into three test sub-groups, corresponding to three different multi-unit abutments: straight (MUAS) and 17° angled (MUA17), both with 2.5 mm collar, and 30° angled (MUA30) with 3.5 mm collar. Data was compared by the Wilcoxon signed rank test and Kruskal-Wallis test. Results - Clinical results: the control group (59 implants; 79.14 [SD=3.39]) showed significantly higher measurements than the test group (73.22 [SD=8.54]); the sub-groups ClinicalMUA17 (16 abutments; 66.38 [SD=1.20]) and ClinicalMUA30 (16 abutments; 69.19 [SD=0.96]) measurements were lower than the control group. No differences were found for the ClinicalMUAS (27 abutments; 79.67 [SD=1.48]) sub-group when compared with the control group (correlation of 0.68). In vitro results: the control group measurements (36 implants; 68,02 [SD=1.81]) were significantly higher than the test group (62.57 [SD=2.87]). The control group measurements were also higher than each test sub-group (12 abutments each): MUAS (65.44 [SD=0.73]); MUA17 (60 [SD=0.43]); MUA30 (62.29 [SD = 0.35]). Conclusions: Based on the results of this study, determining the implant stability quotient at abutment level results in lower values than measurements at implant level, and may not accurately reflect the actual implant stability. Future research will need to explore whether, and under what circumstances a correlation exists between the implant stability quotient measured at the implant level and at the abutment level.</p>","PeriodicalId":94230,"journal":{"name":"The International journal of oral & maxillofacial implants","volume":"0 0","pages":"1-30"},"PeriodicalIF":0.0,"publicationDate":"2024-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142787925","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Survival Rates and Risk Factors of Resorbable Blast Media Surface Dental Implants: A Retrospective Cohort Study with an Average 60-Month Follow-Up.","authors":"Sercan Küçükkurt","doi":"10.11607/jomi.11205","DOIUrl":"https://doi.org/10.11607/jomi.11205","url":null,"abstract":"<p><strong>Purpose: </strong>This retrospective cohort study aimed to evaluate the survival rates and risk factors associated with Resorbable Blast Media (RBM) surface dental implants. The study involved 1,130 implants placed in 260 patients, with a follow-up ranging from a minimum of 26 months to a maximum of 120 months, for an average of 60 months.</p><p><strong>Materials and methods: </strong>1,130 RBM surface implants with hybrid macro-geometry were placed in 260 patients. Implant survival and failure rates were analyzed over an average 60-month follow-up. Failure rates were examined based on implant length, patient gender, and sinus lift procedures. Additional factors, including patient age, implant placement timing (immediate vs. delayed), guided bone regeneration (GBR), implant diameter, and implant location, were assessed to determine their impact on long-term implant success.</p><p><strong>Results: </strong>The overall survival rate for the implants was 94.4%, with most failures occurring within the first 12 months postplacement. Male patients experienced significantly higher failure rates (7.36%) than female patients (4.0%). Short implants (8 mm) were particularly vulnerable to failure, with an 8.65% failure rate. Sinus augmentation procedures also presented an increased risk, with 10% failure for lateral sinus augmentation and 9.78% for crestal sinus elevation. In contrast, factors such as patient age, timing of implant placement, GBR, implant diameter, and implant location did not significantly influence failure rates. Notably, narrow-diameter implants (3.3 and 3.7 mm; n=97) in the molar region did not increase the risk of failure, with only 5 experiencing failure. Failures post-prosthetic loading were most common after about 3 years.</p><p><strong>Conclusions: </strong>This study confirms the long-term viability of RBM surface implants, with high survival rates when early failures are mitigated. Short implants and sinus lift procedures pose greater risks of failure, particularly in the early stages. However, simultaneous GBR and sinus procedures did not significantly impact long-term outcomes, affirming the safety and efficacy of these complex interventions.</p>","PeriodicalId":94230,"journal":{"name":"The International journal of oral & maxillofacial implants","volume":"0 0","pages":"1-22"},"PeriodicalIF":0.0,"publicationDate":"2024-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142788173","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Potential Risk: Evaluation of HgA1c Levels Prior to Dental Implant Surgery in Patients without a Diagnosis of Diabetes Mellitus.","authors":"Elif Çoban, Berkan Altay","doi":"10.11607/jomi.11087","DOIUrl":"https://doi.org/10.11607/jomi.11087","url":null,"abstract":"<p><strong>Introduction: </strong>Diabetes Mellitus (DM) poses a significant global health concern, with approximately one in two affected individuals remaining undiagnosed. The failure to diagnose or inadequately control DM can lead not only to systemic complications but also to decreased dental implant survival rates, increased marginal bone loss, and increased susceptibility to peri-implantitis. This study aims to evaluate glycated hemoglobin (HbA1c) levels in patients who have not been diagnosed with DM but exhibit oral DM symptoms prior to dental implant surgery.</p><p><strong>Materials and methods: </strong>This study was designed as a retrospective cohort. It was conducted on patients who previously presented to the Department of Oral and Maxillofacial Surgery for dental implant surgery and had not been diagnosed with DM. The inclusion criteria included the need for dental implants and augmentation, presence of oral DM symptoms, and having blood tests that included HbA1c. Patients with a prior diagnosis of DM were excluded from the study.</p><p><strong>Results: </strong>A retrospective analysis was conducted on data from 253 patients who applied for dental implant surgery. Among them, 72 patients underwent HbA1c levels assessment through blood tests. Patients with previously uncontrolled DM (n:21) and those whose blood tests were performed at different institutions (n:8) were excluded from the study. Consequently, the study encompassed a cohort of 43 patients. Among the participants, 55% were female and 45% were male. The HbA1c values of the patients ranged from 5.1 to 10.9, with an average value of 6.57±1.44. Of the patients, 41.8% were diagnosed with DM, 30.2% were prediabetic (preDM), and 27.9% did not receive any diagnosis. There was no statistically significant relationship between the combinations of xerostomia, delayed wound healing, oral infection, burning sensation in the mouth, periodontitis, and dental caries with HbA1c levels (p>0.05). In this study, patients presenting to the clinic for dental implant surgery were directed based on oral symptom findings, and the rates of diagnosed DM and preDM were determined to be 7.11% and 5.14%, respectively.</p><p><strong>Conclusion: </strong>Considering the negative effects and prevalence of uncontrolled DM, it may be recommended to assess the HbA1c levels in patients with oral symptoms before dental implant surgery.</p>","PeriodicalId":94230,"journal":{"name":"The International journal of oral & maxillofacial implants","volume":"0 0","pages":"1-16"},"PeriodicalIF":0.0,"publicationDate":"2024-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142635471","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}