Implantation can solve the problems of tooth restoration, both in terms of aesthetics and functionally.

But its use is limited to a large number of contraindications. Among these restrictions is the presence of diabetes in the patient.

Dental implants for diabetes for a long time was absolutely impossible. Some authors have classified diabetes as a relative contraindication.

Implantation for diabetes requires special knowledge and training from the surgeon.

At the preparatory stage of implantation, a thorough examination and diagnosis of each patient is carried out, which give the most complete picture of his health status.

Patients with diabetes mellitus quickly get tired, have a high threshold of pain sensitivity and reduced immunity.

Why implantation is contraindicated

Implantation for diabetes is not recommended due to the fact that the disease is characterized by a violation of metabolic processes in the body and changes in hormonal levels, and this can cause the following complications:

• Rejection of the implant after its installation.
• The impossibility of implant engraftment in insulin-dependent diabetes, because bone formation is impaired.

When is implantation possible?

Implantation is possible under the following conditions:

• The presence of type II diabetes mellitus in the compensation stage, in the absence of metabolic disorders of bone tissue.
• The patient should be under the supervision of an endocrinologist throughout the treatment period.
• If the blood glucose level does not exceed 7 - mol / L before surgery. It is necessary that these indicators are not exceeded both in the postoperative period and throughout the entire period of implant engraftment.
• Hygienic oral care should be reasonably satisfactory.
• The patient does not have bad habits, such as smoking.
• The absence of other absolute diseases in the patient (diseases of the thyroid gland, diseases of the blood and blood-forming organs, lymphogranulomatosis, severe diseases of the nervous system, etc.).

It should be remembered that implantation in diabetes must be carried out with great care and only in a reputable clinic by a qualified specialist who knows all the nuances of the operation in this category of patients.

Conditions

• It is necessary to monitor the level of glucose in the blood. It should not exceed 7 - 9 mmol / l.
• Conducting antibiotic therapy in the postoperative period lasting up to 10 days.
• Lengthening the osseointegration period: on the upper jaw - up to 6 - 8 months, on the lower jaw - up to 4 - 5.
• More frequent visits to the dentist after surgery and in the period until the implant is completely engrafted.

Denture Requirements

• Dentures for people with diabetes must meet the requirements for proper load balancing.
• Dental constructions should be made of cobalt - chromium or nickel - chromium alloys. Other common materials can affect the quality and quantity of saliva and cause an allergic reaction.

Crowns made of ceramics, which are ideal for patients with diabetes, are very popular at present. Such prostheses are quite durable and highly aesthetic.

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