Dental Implants and Diabetes: input?

Great question for discussion. I personally defer to the patient's MD for management and consultation I am used to interfacing with the physician. However my personal philosophy based on the imput received is that a well controlled, well informed ie consented diabetic patient can have implants. The blood sugar effects the ability of the white cells to fight infection and the peripheral circulation is poor in short poor wound healing. Don't know the effects on osteointegration. I tend to be pragmatic start conservatively and see hie the patient heals. I always hearing other viewpoints.

I totally agree with CRS. I have had good success with diabetics as long as they are very well controlled and follow directions. These implants I always bury. Smokers are worse than controlled diabetics. If they are a chain smoker I will not do the implant until they have totally stopped for awhile. Then I bury the implant and let it sit for closer to 8mos to a year.

Almost 10% of the adult population is diabetic...if you are over 65 and in the US its 25%.Like any of these classic chronic diseases it is down to levels of control. Not really dissimilar to bad perio ..if its controlled its fine..then its routine case...if not then we are going to have problems. Interesting what ssargent says about burying implants for 8 moths to 1 year? Not really sure what this will achieve?...I am totally unfamiliar with the data to back this up?

DrSSG, the reason I bury them that long on smokers is because nicotine inhibits bone growth and repair. Inhibited bone growth is not likely to osseointegrate at the same speed as ideal conditions. I prefer to err on the conservative side since I have not seen how much time is really needed.