| Peer-Reviewed

Research Progress on the Mechanism and Preventive Measures of Diabetes Induced Peri-implantitis

Received: 28 April 2021    Accepted: 17 May 2021    Published: 27 May 2021
Views:       Downloads:
Abstract

Background: Diabetes mellitus has been shown to be an associated risk factor for peri-implantitis. Peri-implantitis has become the leading cause of implant failure. Objective: To ensure the postoperative efficacy of diabetic patients and avoid the occurrence of peri-implantitis, research progress on the mechanism and preventive measures of diabetes induced peri-implantitis were elaborated. Methods: With "diabetes mellitus or diabetes or DM, peri-implantitis, implant, osseointegration" as the search terms, related articles published during 2013-2021 in PubMed, CNKI, ScienceDirect and other databases were searched. Results: The changes in the type and proportion of bacteria around implants in diabetic patients break the balance between bacteria and host defense system. Diabetic patients with insulin resistance and persistent hyperglycemia inhibit osteoblast differentiation, induce osteoclast activation and make adverse effects on osseointegration. The immune inflammatory state and local microvascular lesions of the body slow down postoperative tissue healing and induce peri-implantitis. According to the relevant mechanisms, many experiments have achieved good results in reducing the incidence of peri-implantitis in patients with diabetes through plaque control, blood glucose management and implant interface improvement. Conclusion: Diabetic patients have a higher risk of peri-implantitis, so implant patients with diabetes mellitus should undertake related prevention and treatment to reduce the risk of peri-implantitis.

Published in International Journal of Dental Medicine (Volume 7, Issue 1)
DOI 10.11648/j.ijdm.20210701.12
Page(s) 10-14
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2021. Published by Science Publishing Group

Keywords

Diabetes Mellitus, Implant, Peri-Implantitis, Osseointegration

References
[1] Ogurtsova K, da Rocha Fernandes JD, Huang Y, et al. IDF Diabetes Atlas: global estimates for the prevalence of diabetes for 2015 and 2040 [J]. Diabetes Res Clin Pract, 2017, 128: 40-50.
[2] Berglundh T, Armitage G, Araujo MG, et al. Peri-implant diseases and conditions: Consensus report of workgroup 4 of the 2017 World Workshop on the Classification of Periodontal and Peri-Implant Disease and condition [J]. Clin Periodontol, 2018, 45 (S20): S286-S291.
[3] Mario Romandini, Cristina Lima, Ignacio Pedrinaci, et al. Prevalence and risk/protective indicators of peri-implant diseases: A university-representative cross-sectional study [J]. 2020.
[4] Monje Alberto, Vera Maria, MuñozSanz Agustín, et al. Suppuration as diagnostic criterium of peri-implantitis [J]. Journal of Periodontology, 2020, 92 (2): 216-224.
[5] Daubert DM, Weinstein BF, Bordin S, et al. Prevalence and predictive factors for peri-implant disease and implant failure: a cross-sectional analysis [J]. Periodontol, 2015, 86 (3): 337–347.
[6] Kissa Jamila, Kholti Wafa El, Chemlali Sihame, et al. Prevalence and risk indicators of peri-implant diseases in a group of Moroccan patients [J]. Journal of Periodontology, 2020. Doi: 10.1002/JPER.20-0549.
[7] Jiang Xue, Zhu Yanlin, Liu Zhaoying, et al. Association between diabetes and dental implant complications: a systematic review and meta-analysis [J]. Acta Odontologica Scandinavica, 2021, 79 (1): 9-18.
[8] Alqahtani F, Alqhtani N, Alkhtani F, et al. Clinicoradiographic markers of peri-implantitis in cigarette-smokers and never-smokers with type 2 diabetes mellitus at 7-years follow-up [J]. Journal of Periodontology, 2020, 91 (6).
[9] Naujokat H, Kunzendorf B, Wiltfang J. Dental implants and diabetes mellitus-a systematic review [J]. International Journal of Implant Dentistry, 2016, 2 (5). Doi: https://doi.org/10.1186/s40729-016-0038-2.
[10] Moran G. An in vivo comparison of bacterial microleakage in two dental implant systems: identification of a pathogenic reservoir in dental implants [J]. Acta Odontologica Scandinavica, 2015, 73 (3): 188-194.
[11] Tenenbaum H, Bogen O, Séverac F, et al. Long-term prospective cohort study on dental implants: clinical and microbiological parameters [J]. ClinO ral Implants Res, 2017, 28 (1): 86-94.
[12] Flanagan D. Enterococcus faecalis and Dental Implants [J]. J Oral Implantol, 2017, 43 (1): 8-11.
[13] Robitaille N, Reed DN, Walters JD, et al. Periodontal and Peri-implant Diseases: Identical or Fraternal Infections? [J]. Mol Oral Microbiol, 2016, 31 (4): 285-301.
[14] Miranda Tamires, Feres Magda, Retamal-Valdés Belén, et al. Influence of glycemic control on the levels of subgingival periodontal pathogens in patients with generalized chronic periodontitis and type 2 diabetes [J]. Journal of Applied Oral Science, 2017, 25 (1): 82-89.
[15] Oliveira Paula, Coelho Paulo, Bergamo Edmara, et al. Histological and Nanomechanical Properties of a New Nanometric Hydroxiapatite Implant Surface. An In Vivo Study in Diabetic Rats [J]. Materials, 2020, 13 (24): 5693.
[16] Monje A, Catena A, Borgnakke W. Association between Diabetes Mellitus/Hyperglycemia and Peri-Implant Diseases: Systematic Review and Meta-Analysis [J]. Journary Clinical peridontonology, 2017, 44 (6): 636-648.
[17] Saeed AZ, Abdulaziz A. Stability and bone loss around submerged and non-submerged implants in diabetic and non-diabetic patients: a 7-year follow-up [J]. Brazilian oral research, 2018, 32: e57.
[18] Ghiraldini, Bruna, Conte, et al. Influence of Glycemic Control on Peri-Implant Bone Healing: 12-Month Outcomes of Local Release of Bone-Related Factors and Implant Stabilization in Type 2 Diabetics [J]. Clinical Implant Dentistry & Related Research, 2016, 18 (4): 801-809.
[19] GAO Hai, CHEN Xiao, GUAN Donghua, et al. Effects of high glucose on osteogenic differentiation of hBMSC [J]. Prevention and control of oral diseases, 2017, 25 (1): 26-30.
[20] Yu Tianliang, Acharya Aneesha, Mattheos Nikos, et al. Molecular mechanisms linking peri-implantitis and type 2 diabetes mellitus revealed by transcriptomic analysis [J]. PeerJ, 2019, (7): e7124.
[21] Al-Sowygh ZH, Ghani SMA, Sergis K, et al. Peri-implant conditions and levels of advanced glycation end products among patients with different glycemic control [J]. Clin Implant Dent Relat Res, 2018, 20 (3): 345-351.
[22] Passi D, Singh M, Dutta S R, et al. Newer proposed classification of periimplant defects: A critical update [J]. J O-ral Biol Craniofac Res, 2017, 7 (1): 58-61.
[23] Nguyen Quynh, Fang Minzhe, Zhang Mengyang, et al. Crataegus laevigata Suppresses LPS-Induced Oxidative Stress during Inflammatory Response in Human Keratinocytes by Regulating the MAPKs/AP-1, NFκB, and NFAT Signaling Pathways [J]. Molecules, 2021, 26 (4): 869-869.
[24] H-C, Chiu, et al. Effect of high glucose, Porphyromonas gingivalis lipopolysaccharide and advanced glycation end-products on production of interleukin-6/-8 by gingival fibroblasts [J]. Journal of Periodontal Research, 2017, 52 (2): 268-276.
[25] Nadeem A, Javaid K, Sami W, et al. Inverse relationship of serum IL-17 with type-II diabetes retinopathy [J]. Clinical Laboratory, 2013, 59: 1311–1317.
[26] Ko Kang, Coimbra Leila, Tian Chen, et al. Diabetes reduces mesenchymal stem cells in fracture healing through a TNFα-mediated mechanism [J]. Diabetologia, 2015, 58 (3): 633-642.
[27] Algate K, Haynes DR, Bartold PM, et al. The effects of tumour necrosis factor-αon bone cells involved in periodontal alveolar bone loss; osteoclasts, osteoblasts and osteocytes [J]. J Periodont Res, 2016, 51 (5): 549-566.
[28] Shanbhogue VV, Hansen S, Frost M, et al. Bone disease in diabetes: another manifestation of microvascular disease? [J]. Lancet Diabetes&Endocrinology, 2017, 5 (10): 827-838.
[29] Heo SunJin, Kim Hyun-Joo, Joo Ji-Young, et al. Simplified nonsurgical treatment of peri-implantitis using chlorhexidine and minocycline hydrochloride [J]. Journal of Periodontal & Implant Science, 2018, 48 (5): 326-333.
[30] Seigo Ohba, Mika Sato, Sawako Noda, et al. Assessment of safety and efficacy of antimicrobial photodynamic therapy for peri-implant disease [J]. Photodiagnosis and Photodynamic Therapy, 2020, 31.
[31] Aguilar-Salvatierra Antonio, Calvo-Guirado José Luis, González-Jaranay Maximino, et al. Peri-implant evaluation of immediately loaded implants placed in esthetic zone in patients with diabetes mellitus type 2: a two-year study [J]. Clinical Oral Implants Research, 2016, 27 (2): 156-161.
[32] Serrão Caroline Ribeiro, Bastos Marta Ferreira, Cruz Daniele Ferreira, et al. Role of Metformin in Reversing the Negative Impact of Hyperglycemia on Bone Healing Around Implants Inserted in Type 2 Diabetic Rats [J]. International Journal of Oral & Maxillofacial Implants, 2017, 32 (3): 547-554.
[33] Wu Yingying, Yu Tao, Yang Xiaoyong, et al. Vitamin D3 and insulin combined treatment promotes titanium implant osseointegration in diabetes mellitus rats [J]. Bone, 2013, 52 (1): 1-8.
[34] Wang L, Li X. Osseointegration Of Chitosan Coated Porous Titanium Alloy Implant By Reactive Oxygen Species-mediated Activation Of The Pi3k/akt Pathway Under Diabetic Conditions [J]. Tissue Engineering Part A, 2017, 23: S92-S92.
[35] Bevilacqua Lorenzo, Faccioni Francesco, Porrelli Davide, et al. Blood Wettability of Different Dental Implant Surfaces after Different Pre-Treatments: Ultrasonic Instrumentation, Platelet-Rich Fibrin Coating, and Acid Etching. An In Vitro Study [J]. Applied Sciences, 2021, 11 (4): 1433-1433.
[36] Saeed Al Zahrani, Abdullah A Al Mutairi. Crestal Bone Loss Around Submerged and Non-Submerged Dental Implants in Individuals with Type-2 Diabetes Mellitus: A 7-Year Prospective Clinical Study [J]. Medical Principles and Practice, 2019, 28 (1): 75-81.
[37] Cirano FR, Pimentel SP, Casati MZ, et al. Effect of curcumin on bone tissue in the diabetic rat: repair of peri-implant and critical-sized defects [J]. International Journal of Oral and Maxillofacial Surgery, 2018, 47 (11): 1495-1503.
[38] Paulo, Coelho, Benjamin, et al. Obesity/Metabolic Syndrome and Diabetes Mellitus on Peri-implantitis [J]. Trends in Endocrinology & Metabolism, 2020, 31 (8): 596-610.
Cite This Article
  • APA Style

    Wanyun Lin, Chen Xie, Chunyi Cao, Shengping Cao, Xiaoting Li, et al. (2021). Research Progress on the Mechanism and Preventive Measures of Diabetes Induced Peri-implantitis. International Journal of Dental Medicine, 7(1), 10-14. https://doi.org/10.11648/j.ijdm.20210701.12

    Copy | Download

    ACS Style

    Wanyun Lin; Chen Xie; Chunyi Cao; Shengping Cao; Xiaoting Li, et al. Research Progress on the Mechanism and Preventive Measures of Diabetes Induced Peri-implantitis. Int. J. Dent. Med. 2021, 7(1), 10-14. doi: 10.11648/j.ijdm.20210701.12

    Copy | Download

    AMA Style

    Wanyun Lin, Chen Xie, Chunyi Cao, Shengping Cao, Xiaoting Li, et al. Research Progress on the Mechanism and Preventive Measures of Diabetes Induced Peri-implantitis. Int J Dent Med. 2021;7(1):10-14. doi: 10.11648/j.ijdm.20210701.12

    Copy | Download

  • @article{10.11648/j.ijdm.20210701.12,
      author = {Wanyun Lin and Chen Xie and Chunyi Cao and Shengping Cao and Xiaoting Li and Tingting Li and Yujia Zhai and Jingni Guo and Vannesa Bongani Muyeleka and Zhuling Guo},
      title = {Research Progress on the Mechanism and Preventive Measures of Diabetes Induced Peri-implantitis},
      journal = {International Journal of Dental Medicine},
      volume = {7},
      number = {1},
      pages = {10-14},
      doi = {10.11648/j.ijdm.20210701.12},
      url = {https://doi.org/10.11648/j.ijdm.20210701.12},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijdm.20210701.12},
      abstract = {Background: Diabetes mellitus has been shown to be an associated risk factor for peri-implantitis. Peri-implantitis has become the leading cause of implant failure. Objective: To ensure the postoperative efficacy of diabetic patients and avoid the occurrence of peri-implantitis, research progress on the mechanism and preventive measures of diabetes induced peri-implantitis were elaborated. Methods: With "diabetes mellitus or diabetes or DM, peri-implantitis, implant, osseointegration" as the search terms, related articles published during 2013-2021 in PubMed, CNKI, ScienceDirect and other databases were searched. Results: The changes in the type and proportion of bacteria around implants in diabetic patients break the balance between bacteria and host defense system. Diabetic patients with insulin resistance and persistent hyperglycemia inhibit osteoblast differentiation, induce osteoclast activation and make adverse effects on osseointegration. The immune inflammatory state and local microvascular lesions of the body slow down postoperative tissue healing and induce peri-implantitis. According to the relevant mechanisms, many experiments have achieved good results in reducing the incidence of peri-implantitis in patients with diabetes through plaque control, blood glucose management and implant interface improvement. Conclusion: Diabetic patients have a higher risk of peri-implantitis, so implant patients with diabetes mellitus should undertake related prevention and treatment to reduce the risk of peri-implantitis.},
     year = {2021}
    }
    

    Copy | Download

  • TY  - JOUR
    T1  - Research Progress on the Mechanism and Preventive Measures of Diabetes Induced Peri-implantitis
    AU  - Wanyun Lin
    AU  - Chen Xie
    AU  - Chunyi Cao
    AU  - Shengping Cao
    AU  - Xiaoting Li
    AU  - Tingting Li
    AU  - Yujia Zhai
    AU  - Jingni Guo
    AU  - Vannesa Bongani Muyeleka
    AU  - Zhuling Guo
    Y1  - 2021/05/27
    PY  - 2021
    N1  - https://doi.org/10.11648/j.ijdm.20210701.12
    DO  - 10.11648/j.ijdm.20210701.12
    T2  - International Journal of Dental Medicine
    JF  - International Journal of Dental Medicine
    JO  - International Journal of Dental Medicine
    SP  - 10
    EP  - 14
    PB  - Science Publishing Group
    SN  - 2472-1387
    UR  - https://doi.org/10.11648/j.ijdm.20210701.12
    AB  - Background: Diabetes mellitus has been shown to be an associated risk factor for peri-implantitis. Peri-implantitis has become the leading cause of implant failure. Objective: To ensure the postoperative efficacy of diabetic patients and avoid the occurrence of peri-implantitis, research progress on the mechanism and preventive measures of diabetes induced peri-implantitis were elaborated. Methods: With "diabetes mellitus or diabetes or DM, peri-implantitis, implant, osseointegration" as the search terms, related articles published during 2013-2021 in PubMed, CNKI, ScienceDirect and other databases were searched. Results: The changes in the type and proportion of bacteria around implants in diabetic patients break the balance between bacteria and host defense system. Diabetic patients with insulin resistance and persistent hyperglycemia inhibit osteoblast differentiation, induce osteoclast activation and make adverse effects on osseointegration. The immune inflammatory state and local microvascular lesions of the body slow down postoperative tissue healing and induce peri-implantitis. According to the relevant mechanisms, many experiments have achieved good results in reducing the incidence of peri-implantitis in patients with diabetes through plaque control, blood glucose management and implant interface improvement. Conclusion: Diabetic patients have a higher risk of peri-implantitis, so implant patients with diabetes mellitus should undertake related prevention and treatment to reduce the risk of peri-implantitis.
    VL  - 7
    IS  - 1
    ER  - 

    Copy | Download

Author Information
  • School of Dentistry, Hainan Medical University, Haikou, PR China

  • School of Dentistry, Hainan Medical University, Haikou, PR China

  • 2Hainan Eye Hospital and Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangzhou, PR China

  • School of Clinical Medicine, Hainan Medical University, Haikou, PR China

  • Department of Dentistry, the First Affiliated Hospital of Hainan Medical University, Haikou, PR China

  • School of Clinical Medicine, Hainan Medical University, Haikou, PR China

  • School of Clinical Medicine, Hainan Medical University, Haikou, PR China

  • School of Dentistry, Hainan Medical University, Haikou, PR China

  • School of Clinical Medicine, Hainan Medical University, Haikou, PR China

  • School of Dentistry, Hainan Medical University, Haikou, PR China

  • Sections