摘要
目的:随访观察糖尿病患者行种植牙修复后5年的疗效,分析其与血糖控制的关系。方法:收集糖尿病患者种植牙104例,常规植入诺贝尔Replace系统种植体,上部结构采用全瓷冠修复。5年后随访,根据患者血糖控制情况,分为2组,组一为血糖控制良好组(种植体64例);组二为血糖控制欠佳组(种植体40例)。观察2组种植体是否存在种植体周围炎,颈部骨吸收等指标。结果:组一64例种植牙无一例出现种植体周围炎和颈部骨吸收;组二40例种植牙,其中5例出现不同程度的骨吸收,7例出现种植体周围炎,患病率分别为12.5%和17.5%。两组间对比差异有统计学意义(P<0.05)。结论:糖尿病患者行种植牙修复后,在严格控制血糖水平的情况下,可取得良好的远期效果。
Objective： To observe the 5-years effect of diabetic patients after dental implant restoration and analyze the relationship with glycemia control. Methods： One hundred and four dental implants were collected from diabetic patients.Nobel replace implant system was selected. The crown was made with German Cercon Zirconia system. During 5 years followup,the patients were divided into 2 groups according to the glycemia control. The glycemia of group1 patients were well controlled,including 64 dental implants. The glycemia of group 2 patients were not well controlled,including 40 dental implants.The dental implants were observed about peri-implantitis,bone resorption and so on. Results： In group 1,no bone resorption and peri-implantitis was found. In group 2,among 40 dental implants,5 cases existed bone resorption and 7 cases occured peri-implantitis,the prevalence rates 12. 5% and 17. 5%,respectively. There was significant difference between the two groups（ P〈0. 05）. Conclusion： Dental implantation in diabetic patients could show favourable long-term treatment effect if the patient with well controlled glycemia.
作者
解邦杰
刘成龙
路学文
丁玉梅
Xie Bang-jie LIU Cheng-long LU Xue-wen Ding Yu-mei(Department of Stomatology, Armed Police Corps Hospital of Henan, Henan Zhengzhou 450000, China Department of Stomatology, Union Hospital, Tongfi Medical Colloge, Huazhong University of Science and Technology, Hubei Wuhan 430022, China)
出处
《临床口腔医学杂志》
2017年第1期36-37,共2页
Journal of Clinical Stomatology
关键词
糖尿病
种植牙
骨吸收
种植体周围炎
Diabetes
Dental implant
Bone resorption
Peri-implantitis
