<?xml version="1.0" encoding="UTF-8"?>
<!DOCTYPE article PUBLIC "-//NLM//DTD JATS (Z39.96) Journal Publishing DTD v1.2 20190208//EN" "https://jats.nlm.nih.gov/publishing/1.2/JATS-journalpublishing1.dtd">
<article xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:mml="http://www.w3.org/1998/Math/MathML" article-type="research-article" dtd-version="1.2" xml:lang="en">
<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">IJMABHR</journal-id>
<journal-title-group><journal-title>International Journal of Medical and All Body Health Research</journal-title><abbrev-journal-title>IJMABHR</abbrev-journal-title></journal-title-group>
<issn pub-type="epub">2582-8940</issn>
<publisher><publisher-name>Anfo Publication House</publisher-name></publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="publisher-id">422</article-id>
<article-id pub-id-type="doi">10.54660/IJMBHR.2026.7.1.44-47</article-id>
<title-group><article-title>Hypoglycemia Associated with Dental Implant Surgery in Patients with Diabetes: A Case Series</article-title></title-group>
<contrib-group>
<contrib contrib-type="author"><name><surname>Roozegar</surname><given-names>Mohamad Ali</given-names></name><xref ref-type="aff" rid="aff1"/></contrib>
<aff id="aff1"><label>1</label>Oral and Dental health Research Center, Ilam University of Medical sciences, Ilam, Iran</aff>
</contrib-group>
<pub-date publication-format="electronic" date-type="pub"><day>01</day><month>01</month><year>2026</year></pub-date>
<volume>7</volume>
<issue>1</issue>
<fpage>44</fpage>
<lpage>47</lpage>
<history>
<date date-type="received"><day>01</day><month>11</month><year>2025</year></date>
<date date-type="accepted"><day>02</day><month>12</month><year>2025</year></date>
</history>
<permissions><license license-type="open-access" xlink:href="https://creativecommons.org/licenses/by-nc-sa/4.0/?utm"><license-p>CC BY-NC-SA 4.0</license-p></license></permissions>
<self-uri xlink:href="https://www.allmedicaljournal.com/article/422/hypoglycemia-associated-with-dental-implant-surgery-in-patients-with-diabetes-a-case-series"/>
<self-uri content-type="pdf" xlink:href="https://www.allmedicaljournal.com/article/422/download"/>
<abstract><p>Poor control of diabetes, improper diet, and lack of oral and dental hygiene may be effective in causing changes in the oral cavity. Oral and dental complications of diabetes include gingival enlargement, periodontitis, dental caries, dry mouth, and halitosis. Given the above, this study was conducted with the aim of reporting the clinical characteristics and signs of 9 patients who exhibited hypoglycemic symptoms during implant placement. In this study, the clinical characteristics of 9 patients who presented for dental services, including implant placement, were reported. It was observed that all 9 patients had a history of diabetes, and during the provision of dental services, they experienced a drop-in blood sugar ranging from mild to severe degrees, and the necessary treatment measures were performed for all of them. Performing dental services, especially the surgical and stressful stages of implantation, affects the glycemic control status in diabetic patients and severely increases the risk of hypoglycemia.</p></abstract>
<kwd-group kwd-group-type="author"><kwd>Implant Placement</kwd><kwd>Diabetes</kwd><kwd>Case Report</kwd></kwd-group>
</article-meta>
</front>
<back><ref-list><title>References</title>
<ref id="R1"><label>1</label><mixed-citation>Blenkinsopp A, Duerden M, Blenkinsopp J. Symptoms in the Pharmacy: A Guide to the Management of Common Illnesses and Disease Prevention. John Wiley &amp; Sons; 2025.</mixed-citation></ref>
<ref id="R2"><label>2</label><mixed-citation>Kazeminezhad B, Taghinejad H, Borji M, Tarjoman A. The effect of self-care on glycated hemoglobin and fasting blood sugar levels on adolescents with diabetes. Journal of Comprehensive Pediatrics. 2018;9(2):e62661.</mixed-citation></ref>
<ref id="R3"><label>3</label><mixed-citation>Nguyen ML, Wong D, Barson E, Staunton E, Fisher CA. Psychological factors in diabetes-related foot complications: A cohort study. Journal of Health Psychology. 2025;30(10):2577-2597.</mixed-citation></ref>
<ref id="R4"><label>4</label><mixed-citation>Aksoy AN, Abayomi J, Relph N, Butler T. Physiological and psychological determinants of long-term diet-induced type 2 diabetes (T2DM) remission: A narrative review. Obesity Reviews. 2024;25(6):e13733.</mixed-citation></ref>
<ref id="R5"><label>5</label><mixed-citation>Bombaci B, Torre A, Longo A, Pecoraro M, Papa M, Sorrenti L, et al. Psychological and clinical challenges in the management of type 1 diabetes during adolescence: a narrative review. Children (Basel). 2024;11(9):1085.</mixed-citation></ref>
<ref id="R6"><label>6</label><mixed-citation>Ikeoka T, Sako A, Kuriya G, Yamashita H, Yasuhi I, Horie I, et al. Type 1 diabetes mellitus diagnosed during follow-up of gestational diabetes mellitus in the early postpartum period. Intern Med. 2018;57(23):3413-3418.</mixed-citation></ref>
<ref id="R7"><label>7</label><mixed-citation>Ghorbani R, Mosleh B, Shafieian M, Heydari S, Taheri S. The effect of training intervention based on health belief model on physical activity of pregnant women at risk of gestational diabetes mellitus: A triple-blind randomized controlled trial. Shiraz E-Med J. 2021;22(3):e101225.</mixed-citation></ref>
<ref id="R8"><label>8</label><mixed-citation>Latifi A, Ban M, Zahedi A, Kamyari N, Mobarak S, Hazbenejad A, et al. Investigating renal and coagulation laboratory diagnostic markers in type II and gestational diabetes. Journal of Diabetes Nursing. 2023;11(2):2118-2131.</mixed-citation></ref>
<ref id="R9"><label>9</label><mixed-citation>Fotă A, Petca A. Gestational diabetes mellitus: the dual risk of small and large for gestational age: a narrative review. Medical Sciences. 2025;13(3):144.</mixed-citation></ref>
<ref id="R10"><label>10</label><mixed-citation>Bilal A, Pratley R. Diabetes and cardiovascular disease in older adults. Annals of the New York Academy of Sciences. 2025;1543(1):42-67.</mixed-citation></ref>
<ref id="R11"><label>11</label><mixed-citation>Zhang N, Wang Y, Li W, Wang Y, Zhang H, Xu D, et al. Association between serum vitamin D level and cardiovascular disease in Chinese patients with type 2 diabetes mellitus: a cross-sectional study. Scientific Reports. 2025;15(1):6454.</mixed-citation></ref>
<ref id="R12"><label>12</label><mixed-citation>Rafatjou R, Razavi Z, Khalili M, Farhadian M. Oral health status in 5-18 years old children and adolescent with type 1 diabetes compared with healthy group in Hamadan, Iran 2013-2014. Journal of Dental Medicine. 2016;29(2):109-115.</mixed-citation></ref>
<ref id="R13"><label>13</label><mixed-citation>Duarte MG, Dos Santos PGST, da Silva MCD, de Oliveira Antonino MAD, Cunha RSC, de Queiroz Marques Filho E, et al. Oral manifestations and complications resulting from diabetes: An interdisciplinary analysis in health. Brazilian Journal of Implantology and Health Sciences. 2025;7(2):2172-2183.</mixed-citation></ref>
<ref id="R14"><label>14</label><mixed-citation>La Rosa GRM, Pedulla E, Chapple I, Kowalski J, Walicka M, Piro S, et al. A systematic review of oral health outcomes following smoking cessation in type 2 diabetes: clinical and research implications. Journal of Dentistry. 2025:105665.</mixed-citation></ref>
<ref id="R15"><label>15</label><mixed-citation>Farahat F, Daneshkazemi A, Amiri M, Ebrahimpoor Aghdari A. Evaluation of DMFT index in type II diabetic patients and its correlation with HbA1c in Yazd city in 2013. Tolooebehdasht. 2016;15(1):150-161.</mixed-citation></ref>
<ref id="R16"><label>16</label><mixed-citation>Mohebi S, Karasu B, Mehryar HR. Assessing incidence of associated oral complications among diabetic patients. Unika Sağlık Bilimleri Dergisi. 2024;4(3):928-937.</mixed-citation></ref>
<ref id="R17"><label>17</label><mixed-citation>Dagli N, Haque M, Kumar S. The interplay between diabetes and oral health: a comprehensive bibliometric analysis of clinical trials (1967-2024). Cureus. 2024;16(4).</mixed-citation></ref>
<ref id="R18"><label>18</label><mixed-citation>Ebersole JL, Kirakodu SS, Zhang X, Dawson D III, Miller CS. Salivary microbiome and biomarker characteristics of diabetics with periodontitis. Molecular Oral Microbiology. 2025;40(1):37-49.</mixed-citation></ref>
<ref id="R19"><label>19</label><mixed-citation>Nibali L, Gkranias N, Mainas G, Di Pino A. Periodontitis and implant complications in diabetes. Periodontology 2000. 2022;90(1):88-105.</mixed-citation></ref>
<ref id="R20"><label>20</label><mixed-citation>Emadi Majd Fs, Langari SF, Kashi Z, Maboudi A, Shiva A, Fazli F. Evaluation of community periodontal index of patients with type 2 diabetes referred to medical International Journal of Medical and All Body Health Research www.allmedicaljournal.com centers of Sari in 2018-2019. Journal of Mazandaran University of Medical Sciences. 2023;33(226):185-191.</mixed-citation></ref>
<ref id="R21"><label>21</label><mixed-citation>El Chaar E. Periodontal disease: A contributing factor to adverse outcome in diabetes. Journal of Diabetes. 2025;17(8):e70136.</mixed-citation></ref>
<ref id="R22"><label>22</label><mixed-citation>Dababneh R, Shawabkeh A, Gharaibeh S, Khouri ZA, Amayreh W, Bissada NF. Periodontal manifestation of type Ib glycogen storage disease: A rare case report. Clin Adv Periodontics. 2020;10(3):150-154.</mixed-citation></ref>
<ref id="R23"><label>23</label><mixed-citation>Tian Q, Yi ML, Wan JL, Yin H. Acute severe hypoglycemia immediately after induction of anesthesia in an elderly patient with type 2 diabetes mellitus: A case report. Medicine (Baltimore). 2023;102(51):e36683.</mixed-citation></ref>
<ref id="R24"><label>24</label><mixed-citation>Rad M, Hashemipour MS, Karimi MR. The relationship between oral manifestations in diabetes and duration of disease and glycemic control. Iranian Journal of Diabetes and Lipid Disorders. 2006;6(2):159-167.</mixed-citation></ref>
<ref id="R25"><label>25</label><mixed-citation>Rezvaninejad R, Ahmadi F, Jamali Z, Khalili P, Sardari F, Behzadifar H, et al. The relationship between diabetes mellitus and oral lesions: A cross-sectional study based on cohort data of adults in Southeastern Iran. Journal of Oral Health and Oral Epidemiology. 2025;14(1):1-10.</mixed-citation></ref>
<ref id="R26"><label>26</label><mixed-citation>Khoshbakhti T, Raeesi V, Sharifzadeh G, Alizadeh L. Evaluation of oral health status in patients with type 2 diabetes. Diabetes Epidemiology and Management. 2025;17:100250.</mixed-citation></ref>
</ref-list></back>
</article>