种植牙与糖尿病：成功的条件。
Dental implants and diabetes: conditions for success.
机构信息
Service deNutrition, Maladies Métaboliques et Endocrinologie, CHU de la Timone, 264, rue Saint-Pierre, 13385 Marseille, France.
出版信息
Diabetes Metab. 2012 Feb;38(1):14-9. doi: 10.1016/j.diabet.2011.10.002. Epub 2012 Jan 27.
AIMS
To assess the success of dental-implant treatment in patients with diabetes.
BACKGROUND
Dental-implant treatment is an efficient means of replacing lost teeth. However, diabetes can be considered a relative contraindication for this type of treatment because of the slightly higher failure rate compared with populations without diabetes.
RECOMMENDATIONS
Prerequisite selection of suitable diabetic patients, eradication of co-morbidities (poor oral hygiene, cigarette-smoking, periodontitis), stabilization of glycaemic control (HbA(1c) at around 7%) and preventative measures against infection can increase the success of dental implantation in diabetic patients to a satisfactory rate of 85-95%.
CONCLUSION
Implant surgery is never a matter of urgency; thus, diabetes patients with the best chances of success should be conjointly selected and prepared by both dental and diabetes clinicians.
目的
评估糖尿病患者的牙种植治疗的成功率。
背景
牙种植治疗是一种有效的修复缺失牙的方法。然而，糖尿病可被视为这种治疗类型的相对禁忌症，因为与非糖尿病患者相比，其失败率略高。
建议
选择合适的糖尿病患者作为前提条件，消除合并症（口腔卫生差、吸烟、牙周炎），稳定血糖控制（HbA1c 约为 7%）和预防感染措施，可以将糖尿病患者的牙种植成功率提高到令人满意的 85-95%。
结论
种植手术绝不应操之过急；因此，糖尿病患者应与牙科和糖尿病临床医生共同选择和准备，以提高成功率。
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