糖尿病前期、2型糖尿病和非糖尿病个体中种植体周围软组织及种植体嵴顶骨状态的比较：一项回顾性队列研究
Comparison of peri-implant soft tissue and crestal bone status of dental implants placed in prediabetic, type 2 diabetic, and non-diabetic individuals: a retrospective cohort study.
作者信息
Alshahrani Abdullah, Al Deeb Modhi, Alresayes Saad, Mokeem Sameer A, Al-Hamoudi Nawwaf, Alghamdi Osama, Vohra Fahim, Abduljabbar Tariq
机构信息
Department of Prosthetic Dental Science, College Of Dentistry, King Saud University, Riyadh, Saudi Arabia.
Department of Periodontics and Community Dentistry, King Saud University, Riyadh, Saudi Arabia.
出版信息
Int J Implant Dent. 2020 Oct 5;6(1):56. doi: 10.1186/s40729-020-00255-1.
BACKGROUND
Clinicoradiographic status of narrow-diameter implants (NDIs) among patients with prediabetes and type 2 diabetes mellitus (DM) is scarce. The aim was to address the clinicoradiographic status of NDIs placed prediabetic, type 2 diabetic, and non-diabetic individuals. In this retrospective cohort study, patients having undergone oral rehabilitation with NDI were included. The participants were divided into the following: (a) patients with prediabetes; (b) patients with poorly controlled type 2 DM; (c) patients with well-controlled type 2 DM; and (d) normoglycemic individuals. Demographic data was collected. In all groups, peri-implant plaque index (PI), gingival index (GI), probing depth (PD), and mesiodistal CBL were measured in all groups. Information related to implant dimensions, surface characteristics, insertion torque, implant geometry, duration of NDI in function, and jaw location of NDI was also recorded. Data normality was assessed and group comparisons were performed. A probability value under 0.01 was considered statistically significant.
RESULTS
Eighty-three patients (20 patients had prediabetes, 22 with poorly controlled type 2 DM, 20 with well-controlled type 2 DM, and 20 self-reported non-diabetic individuals) were included. The mean HbA1c levels were significantly higher among patients with prediabetes (P < 0.01) and poorly controlled type 2 DM (P < 0.01) than patients with well-controlled type 2 DM and non-diabetic controls. Peri-implant PI, GI, PD, and mesiodistal CBL levels were significantly higher among patients with pre-diabetes (P < 0.01) and poorly controlled type 2 DM (P < 0.01) than patients with well-controlled type 2 DM and non-diabetic controls. Peri-implant PI, GI, PD, and mesiodistal CBL levels were significantly higher among patients with poorly controlled type 2 DM (P < 0.01) than patients with prediabetes.
CONCLUSION
Chronic hyperglycemia increases the risk of peri-implant diseases around NDIs.
背景
关于糖尿病前期和2型糖尿病（DM）患者中窄直径种植体（NDI）的临床影像学状况的研究较少。本研究旨在探讨糖尿病前期、2型糖尿病和非糖尿病个体植入NDI后的临床影像学状况。在这项回顾性队列研究中，纳入了接受NDI口腔修复治疗的患者。参与者被分为以下几组：（a）糖尿病前期患者；（b）2型糖尿病控制不佳的患者；（c）2型糖尿病控制良好的患者；（d）血糖正常个体。收集了人口统计学数据。在所有组中，测量了种植体周围菌斑指数（PI）、牙龈指数（GI）、探诊深度（PD）和近远中种植体边缘骨水平（CBL）。还记录了与种植体尺寸、表面特征、植入扭矩、种植体几何形状、NDI使用时间以及NDI在颌骨中的位置相关的信息。评估了数据的正态性并进行了组间比较。概率值小于0.01被认为具有统计学意义。
结果
共纳入83例患者（20例糖尿病前期患者、22例2型糖尿病控制不佳患者、20例2型糖尿病控制良好患者和20例自我报告的非糖尿病个体）。糖尿病前期患者（P < 0.01）和2型糖尿病控制不佳患者（P < 0.01）的平均糖化血红蛋白（HbA1c）水平显著高于2型糖尿病控制良好患者和非糖尿病对照组。糖尿病前期患者（P < 0.01）和2型糖尿病控制不佳患者的种植体周围PI、GI、PD和近远中CBL水平显著高于2型糖尿病控制良好患者和非糖尿病对照组。2型糖尿病控制不佳患者的种植体周围PI、GI、PD和近远中CBL水平显著高于糖尿病前期患者（P < 0.01）。
结论
慢性高血糖会增加NDI周围种植体周围疾病的风险。
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