摘要
背景:随着口腔种植技术迅速的发展进步,种植牙具有良好的固位与稳定,又兼具美观与功能的效果,特别是对邻牙无损伤的特点,使其越来越被患者接受。然而糖尿病不但有引发牙周病的可能,而且慢性高血糖对口腔黏膜与牙槽骨也会产生伤口愈合减慢、易发生感染等不利影响。目的:总结归纳糖尿病与种植体周围炎关系及糖尿病患者的种植牙的维护方法。方法:应用计算机检索1980年1月至2016年1月PubM ed数据库及中国知网数据库,检索词"diabetes;peri-implantitis;糖尿病;种植体周围炎"。结果与结论:糖尿病虽为种植修复的相对禁忌证,但是只要采用控制血糖、严禁过早负载及单区牙槽骨多种植体植入、抗感染、种植体特殊的表面改性等方法就可以确保种植达到稳定的骨结合,提升糖尿病患者种植治疗的成功率,为牙缺失的糖尿病患者带来福音。
BACKGROUND： With the development of the oral cavity planting technology, dental implants have beenstrongly retained and stabilized, characterized as both aesthetic appearance and functional achievements. Especially, they are accepted by more and more patients due to no damage to adjacent teeth. However, diabetes may not only lead to periodontal disease, but also result in delayed healing of the oral mucosa and alveolar bone as well as infection. OBJECTIVE： To summarize the relationship between diabetes and peri-implantitis, and focus on the maintenance of dental implants for diabetic patients. METHODS： A computer retrieval of Pub Med and CNKI databases was performed for relevant articles published from January 1980 to January 2016 using the keywords of ＂diabetes; peri-implantitis＂ in English and Chinese, respectively. RESULTS AND CONCLUSION： We confirm that diabetes is a relative contraindication to implant restoration, but the use of a series of methods that ensure the successful osseointegration, including blood glucose control, strictly prohibiting early loading or multi-implant restoration for single alveolar bone, anti-infection, implant surface modification, can make high success rate for diabetic patients. This brings the gospel to diabetic patients who hope to solve the problem of missing teeth by implant-supported prosthesis.
出处
《中国组织工程研究》
CAS
北大核心
2016年第38期5764-5769,共6页
Chinese Journal of Tissue Engineering Research
基金
天津市应用基础及前沿技术研究计划(自然科学基金一般项目)(12JCYBJ31300)~~
