PMID- 32017116 OWN - NLM STAT- MEDLINE DCOM- 20210218 LR - 20210218 IS - 1943-3670 (Electronic) IS - 0022-3492 (Linking) VI - 91 IP - 9 DP - 2020 Sep TI - Clinicoradiographic markers of peri-implantitis in cigarette-smokers and never-smokers with type 2 diabetes mellitus at 7-years follow-up. PG - 1132-1138 LID - 10.1002/JPER.19-0501 [doi] AB - BACKGROUND: It is hypothesized that in the long-term, (a) peri-implant inflammatory variables (plaque index [PI], bleeding on probing [BOP], probing depth (PD) and crestal bone loss [CBL]) are worse in cigarette-smokers (CS) and patients with type-2 diabetes mellitus (T2DM) than never-smokers (NS) without T2DM. The aim of the present 7-year follow-up clinical observational study was to assess the survival of dental implant in CS and NS with T2DM. METHODS: Study participants were divided into four groups based on glycemic status and self-reported cigarette-smoking habit: a) CS with T2DM; b) CS without T2DM; c) NS with T2DM; and d) NS without T2DM. Demographic information was collected using a questionnaire and hemoglobin A1c (HbA1c) levels were measured. Peri-implant PI, BOP, PD, and CBL were measured. Sample-size was estimated was statistical analysis was done using analysis of variance. P <0.01 was considered significant. RESULTS: In total, 101 male patients were included. There was no significant contrast in age among the groups. Every partaker in the study groups had one dental implant placed in posterior maxilla or mandible. The mean HbA1c levels were significantly higher among CS (P <0.01) and NS (P <0.01) with T2DM than individuals without T2DM. Peri-implant PI (P <0.01), PD (P <0.01), and CBL (P <0.01) were significantly higher among CS and NS with T2DM and CS without T2DM than NS without T2DM. Peri-implant BOP was significantly higher among CS and NS with T2DM than CS and NS without T2DM (P <0.01). CONCLUSIONS: Peri-implant inflammatory variables were worse among CS and NS with T2DM than NS without T2DM. A state of chronic hyperglycemia seems to be a stronger mediator of inflammation than cigarette smoking in patients with T2DM. CI - (c) 2020 American Academy of Periodontology. FAU - Alqahtani, Fawaz AU - Alqahtani F AD - Department of Prosthodontics, College of Dentistry, Prince Sattam Bin Abdulaziz University, Al-Kharj, Saudi Arabia. FAU - Alqhtani, Nasser AU - Alqhtani N AD - Department of Oral and Maxillofacial Surgery and Diagnostic Sciences, College of Dentistry, Prince Sattam Bin Abdulaziz University, Al-Kharj, Saudi Arabia. FAU - Alkhtani, Fahad AU - Alkhtani F AD - Department of Prosthodontics, College of Dentistry, Prince Sattam Bin Abdulaziz University, Al-Kharj, Saudi Arabia. FAU - Devang Divakar, Darshan AU - Devang Divakar D AD - Dental Biomaterials Research Chair, Dental Health Department, College of Applied Medical Sciences, King Saud University, Riyadh, Saudi Arabia. FAU - Al-Kheraif, Abdulaziz A AU - Al-Kheraif AA AD - Dental Biomaterials Research Chair, Dental Health Department, College of Applied Medical Sciences, King Saud University, Riyadh, Saudi Arabia. FAU - Javed, Fawad AU - Javed F AD - Department of Periodontology, Laboratory for Periodontal-, Implant-, Phototherapy (LA-PIP), School of Dental Medicine, Stony Brook University, Stony Brook, NY, USA. AD - Division of Orthodontics and Dentofacial Orthopedics, Eastman Institute for Oral Health, University of Rochester, Rochester, NY, USA. LA - eng PT - Journal Article PT - Observational Study PT - Research Support, Non-U.S. Gov't DEP - 20200305 PL - United States TA - J Periodontol JT - Journal of periodontology JID - 8000345 RN - 0 (Dental Implants) SB - IM MH - *Dental Implants MH - Dental Plaque Index MH - *Diabetes Mellitus, Type 2/complications MH - Follow-Up Studies MH - Humans MH - Male MH - *Peri-Implantitis/diagnostic imaging/etiology MH - Smokers MH - *Tobacco Products OTO - NOTNLM OT - Type 2; hyperglycemia; periodontal index OT - alveolar bone loss; dental implants; diabetes mellitus EDAT- 2020/02/06 06:00 MHDA- 2021/02/20 06:00 CRDT- 2020/02/05 06:00 PHST- 2019/09/05 00:00 [received] PHST- 2020/01/04 00:00 [revised] PHST- 2020/01/14 00:00 [accepted] PHST- 2020/02/06 06:00 [pubmed] PHST- 2021/02/20 06:00 [medline] PHST- 2020/02/05 06:00 [entrez] AID - 10.1002/JPER.19-0501 [doi] PST - ppublish SO - J Periodontol. 2020 Sep;91(9):1132-1138. doi: 10.1002/JPER.19-0501. Epub 2020 Mar 5.