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糖尿病缺牙患者种植区骨缺损情况研究 被引量:5

Clinical study on the alveolar bone defect after tooth extraction in the patients with diabetic
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摘要 目的:评价糖尿病缺牙患者骨缺损程度与非糖尿病患者的区别。方法:选取已经确诊的、血糖得到良好控制的2型糖尿病和血糖正常的缺牙患者各37例,2组患者缺失牙位、年龄、性别、拔牙后复诊时间、拔牙原因、长期居住地、吸烟、全身健康状况、颌骨情况一致或相近;记录配对的37组患者拔牙位点牙槽嵴高度与宽度,拔牙窝内骨面最低点与理想骨平面高度差,植骨术相关信息。并进行统计学分析,评价糖尿病缺牙患者骨缺损程度与非糖尿病患者的区别。结果:拔牙后3~24个月,糖尿病组拔牙位点处骨缺损程度较非糖尿病组严重,植骨率和植骨量均高于非糖尿病组(P〈0.05)。结论:糖尿病缺牙患者拔牙位点处骨缺损程度较非糖尿病患者严重,在自然愈合情况下更倾向于进行植骨手术。 AIM: To compare the recovery of the alveolar bone at the tooth extraction site between the diabetes patients and non-diabetic patients. METHODS: 37 patients with type 2 diabetes and 37 age,residence,general health,subsequent visit time,teeth extraction,GBR( Guided Bone Regeneration) treatment matched patients without diabetes were included. All the patients did not smoke or quit smoking after the first visit. 6 months after surgery the sockets ridge width and height were measured on CT images. The data were compared between groups. RESULTS:The bone defect at the extraction site of diabetic group was larger,the rate of GBR surgery and the mass of bone graft were more than those of the non- diabetic group( P〈0. 05). CONCLUSION: Diabetic patients has poor alveolar bone recovery than non-diabetic patients after teeth extraction; they tend to accept GBR surgery.
出处 《牙体牙髓牙周病学杂志》 CAS 2015年第10期606-609,614,共5页 Chinese Journal of Conservative Dentistry
基金 国家自然科学基金(81170984 81470775)
关键词 糖尿病 口腔种植 临床研究 牙槽骨缺损 diabetes oral implantology clinical study alveolar bone defect
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