ABSTRACT
Statement of the problem: Quite often, the diabetic patients suffer from unfavorable oral con-ditions. As these diabetic population increases, it will be necessary to learn how to achieve elective rehabilitation for these patients with dental implants
Purpose: Studying the prognosis of implant supported overdenture prosthesis in controlled diabetic versus non diabetics
Materials and methods: The study groups consisted of 15 patients [Spatients have type I controlled diabetes, Spatients have type II controlled diabetes, 5 patients were healthy individuals]. They received overdentures supported by two interforaminal implants. Clinical peri-implant tissues evaluation, periotest measurements, and loss of marginal bone height were investigated for one year.
Results: After loading of the implants with the prosthesis, neither clinical peri-implantitis nor implant instability was observed. Resorption of bone less than [1mm] was radiographically registered. These results denoted successful implantation in both types of diabetes.
Conclusion: The use of dental implants in controlled diabetes mellitus is satisfactory and encouraging. Further investigations and clinical trials over a longer period of time are needed to determine the long-term survival of implants in diabetic patients
ABSTRACT
Statement of the Problem: After conversion of unmodified Kennedy class II partially edentulous cases into Kennedy class III by single implant placed in the lower first molar area, does restoration by unilateral clasp retained side plate or precision attached one affect the masticatory performance of the patient or not?
Purpose: This study was done to investigate the alteration of the electromyographic [EMG] activity of the masseter muscles following the use of two different designs of implant-tooth borne unilateral partial denture
Materials and Methods: Within-subject comparison of unilateral attachment retained partial denture [ARPD] and clasp retained partial denture [CRPD] was done. The EMG activity was measured before denture insertion, two weeks [2w], two months [2m] and four months [4m] after insertion of the precision attached partial denture. Then the clasp retained side plate was inserted and the EMG activity was recorded at the same time intervals for masseter muscles of both intact and restored sides
Results: Patients expressed satisfaction after wearing their dentures and can comminute all types of food. The results revealed higher masseteric EMG activity with the use of precision attached partial denture than with the use of clasp retained side plate
Conclusion: The masticatory process with the two suggested prostheses was effective. While the precision attached partial denture gives higher masseteric EMG activity approached the intact side of the same patient after four months of denture use in comparison to the clasp retained side plate