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The Influence of Diabetes Mellitus and Insulin Therapy on Biomechanical Retention Around Dental Implants: A Study in Rabbits

 

作者: Rogério Margonar,   Celso Sakakura,   Marinella Holzhausen,   Maria Pepato,   Rodolfo Cândia Alba,   Elcio Marcantonio,  

 

期刊: Implant Dentistry  (OVID Available online 2003)
卷期: Volume 12, issue 4  

页码: 333-339

 

ISSN:1056-6163

 

年代: 2003

 

出版商: OVID

 

关键词: titanium;osseointegration;reverse torque;diabetes mellitus/induced;insulin

 

数据来源: OVID

 

摘要:

The oral rehabilitation by dental implants in patients with diabetes remains a controversial issue. The aim of this study was to evaluate the influence of diabetes mellitus and insulin therapy on the bone healing around dental implants using torque removal. Twenty-seven rabbits were randomly divided into 3 groups with 9 animals each: control (C) group, induced diabetic (D) group, and insulin-treated diabetic (ITD) group (10 U/day). After 1 week, one implant was inserted at the tibial metaphysis of the animals. The glucose levels were periodically evaluated through the glucose–oxidase enzymatic method. The animals were killed at 4, 8, and 12 weeks after surgery and the biomechanical test was performed using a torque manometer. Statistically significant differences regarding the removal torque of the implant could not be found at 4 weeks (P= 0.2) among groups. Group C showed statistically higher values than groups D and ITD at the experimental periods of 8 (P= 0.0001 andP= 0.0002, respectively) and 12 weeks (P= 0.0053 andP= 0.001, respectively). There were no statistical differences between D and ITD groups in any of the experimental periods. Diabetes mellitus has negatively influenced the mechanical retention of implants placed at the tibial metaphysis of rabbits. Therapy with insulin did not induce any changes.

 

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