Clinical performance of titanium-zirconium implants with a hydrophilic surface in patients with controlled type 2 diabetes mellitus: 2-year results from a prospective case-control clinical study

  • José J. Cabrera-Domínguez
  • Lizett Castellanos-Cosano
  • Daniel Torres-Lagares
  • Manuel Pérez-Fierro
  • Guillermo Machuca-PortilloEmail author
Original Article



Analyze the 2-year clinical performance of single-unit titanium-zirconium (TiZr) alloy narrow-diameter (3.3 mm) dental implants with a hydrophilic surface (Straumann® Roxolid®, SLActive®) in patients with controlled type 2 diabetes mellitus (T2DM), measured using the glycated hemoglobin A (HbA1c) concentration test, compared with results in individuals without T2DM.

Material and methods

The studied sample consisted of 28 patients, 14 with T2DM (study group) and 14 without (control group). The plaque index, bleeding on probing, probing depth, clinical attachment level, gingival biotype, and marginal bone loss (MBL) at the site of the implants were assessed. HbA1c levels were assessed in all patients during each checkup.


Two years after implant placement and prosthetic restoration no implant failures were reported in either group, resulting in 100% survival and success rates in both groups. No statistically significant differences in MBL were found between the control and study groups (p > 0.05).


Within the limitations of this study, it can be concluded that reduced-diameter TiZr alloy implants with a hydrophilic surface represent a safe and predictable treatment option for patients with well-controlled T2DM. The clinical performance was comparable with that observed in individuals without T2DM in the medium term.

Clinical relevance

The narrow implants placed in patients with T2DM with well-controlled glycemia (HbA1c) showed a marginal bone loss and success and survival rates similar to those of the control group without DM2, in the medium term.


Dental implants TiZr alloy Hydrophilicity Type 2 diabetes mellitus Glycated hemoglobin a 


Funding information

This study was funded by Institut Straumann AG Peter Merian-Weg 12, CH-4002 Basel (Switzerland) (research grant number IIS 18/10).

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

All procedures performed involving human participants were in accordance with the ethical standards of the institutional research committee and the 1964 Helsinki Declaration and its later amendments or comparable ethical standards. The research protocol was approved by the Ethics Committee of the Faculty of Dentistry of the University of Seville (Spain).

Informed consent

Written informed consent was obtained from all individual participants included in the study.


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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Master’s Program for Special Care in Dentistry, School of DentistryUniversity of SevilleSevilleSpain
  2. 2.Oral Surgery, School of DentistryUniversity of SevilleSevilleSpain
  3. 3.Special Care in Dentistry, School of DentistryUniversity of SevilleSevilleSpain

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