Implants in Diabetic Patients

Diabetes mellitus has become a public health problem because of its increased prevalence all over the world. Diabetes is associated with altered glucose homeostasis. Diabetics have impaired wound healing and impaired bone metabolism. Safely managing the patient with diabetes requires effective communication among multiple health care providers. Although implants are increasingly used in healthy patients, their appropriateness in diabetic patients is less equivocal. Perhaps surprisingly, the evidence of their efficacy in these groups of patients is quite sparse. It is known to impair healing which increases the risk of tissue necrosis and infection. Improvement in glycemia levels in previous studies are well suited to dental implant surgery with acceptable degree of predictability. This article review the implications of diabetes and glycemic control for the prognosis and evolution of dental implants.