Question

A 60 year-old controlled diabetic patient visits your office for implant supported prosthesesWhat should be the most important governing factor determining the success of the treatment?

• A. Duration of diabetes
• B. Medication history
• C. Dietary habits
• D. Density of bone

Hint:

Implant success → Primary stability → Bone quality and density are most critical.

Answer 1

The Correct Option is D

Step 1: Understanding Implant Success.
The success of dental implants primarily depends on osseointegration, which is the direct structural and functional connection between living bone and the implant surfaceAdequate bone quality and quantity are essential for long-term implant stability
Step 2: Role of Diabetes.
In a controlled diabetic patient, healing capacity is generally acceptable when blood glucose levels are well managedAlthough duration of diabetes and medication history are important medical considerations, they are secondary if the diabetes is controlled
Step 3: Importance of Bone Density.
Bone density is a critical determinant of primary stability and long-term success of implantsHigher bone density provides better mechanical retention and improved osseointegrationPoor bone quality significantly increases the risk of implant failure
Step 4: Conclusion.
Therefore, even in a controlled diabetic patient, the most important governing factor for implant success is Density of bone