Fracasos en implantes dentales asociado a la diabetes
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2022-04
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Universidad de Guayaquil. Facultad Piloto de Odontología
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Los fracasos de los implantes dentales siguen siendo una gran preocupación entre los clínicos e investigadores debido que estas fallas ocurren sin un mecanismo biológico conocido y no parece haber evidencia de que la infección primaria sea el principal factor causante de la reabsorción del hueso marginal. Objetivo: Evaluar cuales son los factores que conllevan a los fracasos de los implantes dentales asociados a la diabetes. Metodología: Se realizó una búsqueda literaria mediante la recolección de datos en buscadores y metabuscadores tales: Google académico, Scielo, Redalyc y metabuscadores como Web Of Science, PubMed y otros sitios web. Los métodos científicos utilizados fueron: deductivo e inductivo, análisis, síntesis, bibliográfico y documental. Resultados: Existe evidencia de que la diabetes tiene influencia negativa en la formación y remodelación ósea. Las complicaciones, incluida la enfermedad microvascular, la susceptibilidad a la infección y la cicatrización tardía de la herida causada por la hiperglucemia pueden afectar la osteointegración de los implantes. Por lo tanto, los estudios clínicos durante el pasar de los tiempos han considerado que la diabetes es una contraindicación relativa para los implantes dentales, dependiendo del nivel glucémico del paciente. Conclusión: La osteointegración se considera como uno de los principales factores para garantizar su éxito este dependerá de que se realice una conexión estructural y funcional entre el hueso y la superficie del implante en efecto de la acción de los osteoclastos para lograr un proceso adecuado de cicatrización.
Dental implant failures remain a major concern among clinicians and researchers because these failures occur without a known biological mechanism and there appears to be no evidence that primary infection is the main causative factor for marginal bone resorption. Objective: To evaluate which are the factors that lead to failures of dental implants associated with diabetes. Methodology: A literary search was carried out by collecting data in search engines and metasearch engines such as Google Scholar, Scielo, Redalyc, and metasearch engines such as Web Of Science, PubMed, and other websites. The scientific methods used were: deductive and inductive, analysis, synthesis, bibliographic, and documentary. Results: There is evidence that diabetes has a negative influence on bone formation and remodeling. Complications including microvascular disease, susceptibility to infection, and delayed wound healing caused by hyperglycemia can affect the osseointegration of implants. Therefore, clinical studies over time have considered diabetes to be a relative contraindication for dental implants, depending on the patient's glycemic level. Conclusion: Osseointegration is considered as one of the main factors to guarantee its success, this will depend on making a structural and functional connection between the bone and the implant surface in the effect of the action of osteoclasts to achieve an adequate healing process.
Dental implant failures remain a major concern among clinicians and researchers because these failures occur without a known biological mechanism and there appears to be no evidence that primary infection is the main causative factor for marginal bone resorption. Objective: To evaluate which are the factors that lead to failures of dental implants associated with diabetes. Methodology: A literary search was carried out by collecting data in search engines and metasearch engines such as Google Scholar, Scielo, Redalyc, and metasearch engines such as Web Of Science, PubMed, and other websites. The scientific methods used were: deductive and inductive, analysis, synthesis, bibliographic, and documentary. Results: There is evidence that diabetes has a negative influence on bone formation and remodeling. Complications including microvascular disease, susceptibility to infection, and delayed wound healing caused by hyperglycemia can affect the osseointegration of implants. Therefore, clinical studies over time have considered diabetes to be a relative contraindication for dental implants, depending on the patient's glycemic level. Conclusion: Osseointegration is considered as one of the main factors to guarantee its success, this will depend on making a structural and functional connection between the bone and the implant surface in the effect of the action of osteoclasts to achieve an adequate healing process.
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OSTEOCLASTOS, IMPLANTES DENTALES, OSTEOBLASTOS