DIABETES MELLITUS AND DENTAL IMPLANTS: IMPACT OF METABOLIC CONTROL ON IMPLANT STABILITY AND SURVIVAL

Abstract

The increasing prevalence of diabetes mellitus worldwide has amplified the challenges related to oral rehabilitation with dental implants, especially due to the potential effects of hyperglycemia on the osseointegration process. In this context, understanding the influence of glycemic control on the success of implant therapy has become fundamental to dental clinical practice. This study aimed to analyze, through a literature review, the relationship between diabetes mellitus, glycemic control, and osseointegration of dental implants. A narrative review was conducted based on scientific articles published between 2016 and 2026, selected from the PubMed/MEDLINE database. The results demonstrated that diabetic patients with adequate glycemic control can present survival and implant stability rates similar to those observed in non-diabetic individuals. On the other hand, persistent hyperglycemia is associated with delayed bone healing, a higher risk of peri-implant bone loss, and increased susceptibility to peri-implant diseases. Furthermore, recent evidence suggests that new antidiabetic therapies may contribute positively to bone and peri-implant health. It is concluded that adequate glycemic control is a determining factor for the predictability and success of dental implant therapy in diabetic patients.