Evaluation of Hard and Soft Tissue Parameters around Dental Implants among Smokers and Non-Smokers With and Without Type 2 Diabetes Mellitus
Journal Title: Journal of Advanced Medical and Dental Sciences Research - Year 2018, Vol 6, Issue 8
Abstract
Background: To assess the hard and soft tissue parameters around dental implants among smokers and non-smokers with and without type 2 diabetes mellitus. Materials and Methods: The present study was conducted among 150 patients who received dental implants in the past. In all subjects, crestal bone loss was evaluated using radiographs. Bleeding on probing, peri implant plaque index and peri implant probing depth were measured clinically. Results: The mean age in group I was 47±3 years, in group II was 45± 4 years and in group III was 43±4years. The mean duration of T2DM among smokers and non smokers was 9.4 ± 2.4 and 7.9 ± 1.3 years in group 1 and 8.3±5 and 9.4±3 years in group II respectively. Mean peri implant PI (p= 0.001), BOP (p= 0.02) and PD (p = 0.003) were found to be significantly higher in the patients suffering from uncontrolled type 2 diabetes mellitus than the well controlled diabetics or the healthy controls. No statistically significant differences were observed in periodontal probing depth (p=0.43), PI (p=0.567) and crestal bone loss (p= 0.13) between smokers and non smokers in the poorly controlled diabetic individuals. In the healthy control group statistically significant differences were seen in periodontal probing depth (p= 0.003), plaque index (p= 0.002) and crestal bone loss (p =0.001). BOP however did not show statistically significant differences between smokers and non smokers (p = 0.23) in patients without type 2 diabetes mellitus as well as in patients with well controlled blood glycemic levels. Conclusion: Peri implant soft tissue inflammatory parameters and crestal bone loss was more significant in poorly controlled type 2 diabetes mellitus subjects irrespective of smoking. In healthy subjects smokers had more inflammation and bone loss as compared to non smokers.
Authors and Affiliations
Sambit Subhas, Utkarsh Kumar, Vivek Kumar
PROSPECTIVE STUDY COMPARING SINGLE-AGENT VERSUS DOUBLET-AGENT CONCURRENT CHEMORADIOTHERAPY IN LOCALLY ADVANCED ORAL CAVITY AND OROPHARYNGEAL SQUAMOUS CELL CARCINOMA
Introduction: Concurrent chemoradiotherapy is the standard treatment for locoregionally advanced oropharyngeal and unresectable oral-cavity cancers. This study aims to make a comparative analysis of the efficacy and toxi...
IMPACT OF TOBACCO, ALCOHOL, AND SMOKING PROPENSITIES IN ORAL PRECANCER WITH HISTOLOGICAL DEMONSTRATED EPITHELIAL DYSPLASIA
Background: Oral epithelial dysplasia (OED) is a histopathological diagnosis that is associated with an increased risk of oral cancer. The main aim of this study is to identify the impact of tobacco, alcohol, and smoking...
CORRELATION BETWEEN PCT LEVELS AND STAGE OF SEPSIS AMONGST PATIENTS PRESENTING IN A TERTIARY CARE HOSPITAL- A PROSPECTIVE STUDY
Background: Sepsis is a common and serious disease with substantial morbidity and mortality despite recent advances in supportive care and disease-specific treatments. There is no specific diagnostic test for the septic...
ULTRASONOGRAPHY AS AN IMAGING TECHNIQUE FOR THE DIAGNOSIS OF GALL BLADDER DISORDERS: A CLINICAL STUDY
Background: Pain in abdominal may be due to abnormalities in gall bladder, kidneys, pancreas, stomach, duodenum, spleen etc. Cholecystitis and cholelithiasis are common disorder and is usually asymptomatic. Ultrasound is...
Guided Bone Regeneration Using a Platelet-Rich Fibrin Membrane and Sticky Bone Graft along with Implant placement in Maxillary Anterior region: A Case Report
The maxillary anterior region is considered to be the esthetic zone of human dentition. Missing teeth in this area leads to severely compromised aesthetics and function. Endosseous implants are a viable option for tre...