Alveolar Bone Characteristics of Well-Controlled Versus Poorly-Controlled Diabetic Patients

Abstract

Type II DM is known to be associated with increased bone marrow adiposity and bone microvascular changes. We aimed to compare the alveolar bone marrow adiposity and microvascular changes between well controlled and poorly controlled Type II DM patients. 8 Type II DM patients received a 4.1x10 mm Straumann Roxolid implant in a posterior mandible site. Conclusions: Within the first 6 months, all implants yielded similar early implant stability, survival and success rates in poorly and well controlled Type II DM individuals according to the criteria of Karoussis et al.The well controlled diabetic group (5.8%<HbA1c≥7%) presented with a mean of 11.867 blood vessels per mm² as compared with 8.229 per mm² in the poorly controlled diabetic group. When comparing the mean bone marrow surface area it was found that the poorly controlled diabetic group (7.5% <HbA1c>10%) presented with 1.06 mm² compared to 0.70 mm² in the well controlled diabetic group (5.8%<HbA1c≥7%).