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Impacto da diabetes mellitus na peri-implantite: revisão sistemática
| Name: | Description: | Size: | Format: | |
|---|---|---|---|---|
| Projeto de pós-graduação_39536 | 458.74 KB | Adobe PDF |
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Abstract(s)
Introdução: Esta revisão sistemática explora o impacto do Diabetes Mellitus (DM) na peri-implantite, focando-se na relação entre o controlo glicémico e a saúde peri-implantar. O Diabetes Mellitus é conhecido por comprometer vários aspetos da homeostase, incluindo a resposta imunológica e a composição da microflora oral, o que pode aumentar o risco de complicações peri-implantares.
Objetivo: O objetivo desta revisão foi sintetizar o conhecimento atual sobre como o DM influencia as condições peri-implantares, incluindo profundidade de sondagem (PD), sangramento à sondagem (BOP) e perda óssea marginal (MBL).
Metodologia: A revisão incluiu 15 estudos publicados entre 2014 e 2024. Esses estudos avaliaram desfechos clínicos e radiográficos em pacientes diabéticos e não diabéticos com implantes dentários. Variáveis-chave como PD, BOP, MBL e níveis de HbA1c foram analisadas para determinar a correlação entre o controlo glicémico e a saúde peri-implantar.
Resultados: Os achados indicam que pacientes com diabetes mal controlado (altos níveis de HbA1c) exibem marcadores de saúde peri-implantar significativamente piores em comparação com pacientes não diabéticos. Níveis elevados de HbA1c correlacionam-se com aumento da MBL, maior PD e BOP elevado. Estudos destacam a exacerbação da inflamação peri-implantar devido aos níveis elevados de glicemia. Por outro lado, outros estudos sugerem que o controlo glicémico eficaz pode mitigar esses resultados adversos, normalizando os parâmetros de saúde peri-implantar.
Conclusão: Esta revisão sublinha a necessidade de uma gestão rigorosa da glicemia e enfatiza o papel das terapias adjuvantes, como a terapia fotodinâmica, na melhoria dos resultados peri-implantares para pacientes diabéticos. Pesquisas futuras devem focar em estratégias preventivas e terapias inovadoras para melhorar os resultados clínicos e a qualidade de vida dos pacientes com diabetes submetidos à terapia com implantes dentários.
Introduction: This systematic review explores the impact of Diabetes Mellitus (DM) on peri-implantitis, focusing on the relationship between glycemic control and peri-implant health. Diabetes Mellitus is known to compromise various aspects of homeostasis, including the immune response and the composition of oral microflora, which can increase the risk of peri-implant complications. Objective: The objective of this review was to synthesize current knowledge on how DM influences peri-implant conditions, including probing depth (PD), bleeding on probing (BOP), and marginal bone loss (MBL). Methodology: The review included 15 studies published between 2014 and 2024. These studies evaluated clinical and radiographic outcomes in diabetic and non-diabetic patients with dental implants. Key variables such as PD, BOP, MBL, and HbA1c levels were analyzed to determine the correlation between glycemic control and peri-implant health. Results: The findings indicate that patients with poorly controlled diabetes (high HbA1c levels) exhibit significantly worse peri-implant health markers compared to non-diabetic patients. High HbA1c levels correlate with increased MBL, greater PD, and elevated BOP. Studies highlight the exacerbation of peri-implant inflammation due to elevated glycemic levels. Conversely, other studies suggest that effective glycemic control can mitigate these adverse outcomes, normalizing peri-implant health parameters. Conclusion: This review underscores the necessity of rigorous glycemic management and emphasizes the role of adjunctive therapies such as photodynamic therapy in improving peri-implant outcomes for diabetic patients. Future research should focus on preventive strategies and innovative therapies to enhance clinical outcomes and quality of life for patients with diabetes undergoing dental implant therapy.
Introduction: This systematic review explores the impact of Diabetes Mellitus (DM) on peri-implantitis, focusing on the relationship between glycemic control and peri-implant health. Diabetes Mellitus is known to compromise various aspects of homeostasis, including the immune response and the composition of oral microflora, which can increase the risk of peri-implant complications. Objective: The objective of this review was to synthesize current knowledge on how DM influences peri-implant conditions, including probing depth (PD), bleeding on probing (BOP), and marginal bone loss (MBL). Methodology: The review included 15 studies published between 2014 and 2024. These studies evaluated clinical and radiographic outcomes in diabetic and non-diabetic patients with dental implants. Key variables such as PD, BOP, MBL, and HbA1c levels were analyzed to determine the correlation between glycemic control and peri-implant health. Results: The findings indicate that patients with poorly controlled diabetes (high HbA1c levels) exhibit significantly worse peri-implant health markers compared to non-diabetic patients. High HbA1c levels correlate with increased MBL, greater PD, and elevated BOP. Studies highlight the exacerbation of peri-implant inflammation due to elevated glycemic levels. Conversely, other studies suggest that effective glycemic control can mitigate these adverse outcomes, normalizing peri-implant health parameters. Conclusion: This review underscores the necessity of rigorous glycemic management and emphasizes the role of adjunctive therapies such as photodynamic therapy in improving peri-implant outcomes for diabetic patients. Future research should focus on preventive strategies and innovative therapies to enhance clinical outcomes and quality of life for patients with diabetes undergoing dental implant therapy.
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Keywords
Diabetes Mellitus Peri-implantite Controlo glicémico Implantes dentários Fototerapia Saúde peri-implanta Peri-implantitis Glycemic control Dental implants Phototherapy Peri-implant health