دراسة أثر درجة ضبط السكر و كثافة العظم في الثبات الأولي للزرعات السنية عند مرضى السكري من النمط الثاني

Abstract EN

Aim of the study: I was to clarify the relationship between bone density, HBA1c Ratio and primary stability of dental implants in Type-2-Diabetic Patients .

Methods and Materials: The study was conducted at the "Department of Oral & Maxillofacial Surgery - Faculty of Dentistry-Damascus University.

40 implants of Xenon system were implanted in 20 patients, who had HBA1c between 4-8% and were accepted in this study.

CBCT was used to determine the bone density; Osstell was used to determine the ISQ values; and implants ware distributed by bone type as follows: D2: 12 , D3: 18 , and D4: 10.

Results: Statistically, a relation was established between primary ISQ and type D2 with P = 0.0001, which means the high density leads to high stability.

However a clear link was not established between primary ISQ and types D3 and D4 with P = 0.289.

High stability was noticed in the posterior area more than the anterior in the upper jaw; this is evidence of intervention of other factors in primary stability as a surgical technique, and implant characteristics.

Also, an increasing in ISQ values was found to be Related to normal HBA1c ratios.

Recommendations: In type-2-Diabetic patients: dental implantation should be applied at high density regions with good HBA1c values as possible as can be.

Suggestions: A study's suggested about the impact of surgical technique and implants properties on primary stability of dental implants in type-2-diabetic patients .