PERI-IMPLANT DISEASE IN DIABETIC PATIENT TYPE 2: CASE REPORT

Abstract

Treatment with osseointegrated dental implants has been widely used throughout the world. However, it reveals biological complications and has been associated with dental implants’ lost. These changes can be classified into peri-implant mucositis and peri-implantitis. There are multiple factors associated with peri-implant changes, among them, diabetes mellitus (DM). DM is a group of metabolic disorders characterized by chronic hyperglycemia resulting from defects in the secretion or action of insulin and may be DM type 1 or type 2 DM. It presents influence on peri-implant health since it is responsible for increased inflammation, stress oxidative and cell apoptosis with consequent delay in healing. The peri-implantitis is most responsible for the loss of dental implants, so we know the DM interface in the disease process is key to creating protocols for prevention, treatment and maintenance of peri-implant health. The objective of this study is to report the case of a patient with obesity and type 2 diabetes mellitus, rehabilitated with 4 dental implants in posterior and bilateral mandibular region in the years 2008/2009 that after five years, presented peri-implantitis in rehabilitated units with considerable bone loss.