糖尿病如何影响牙科植入物的预后?
Gabriele Baniulyte1, Kamran Ali2
1Oral and Maxillofacial Department, Royal Devon and Exeter Hospital, Barrack Road, Exeter, EX2 5DW, UK.
Evidence-based dentistry
|August 10, 2023
概括
糖尿病患者和吸烟者患上牙周植入炎的风险增加,这是一种严重的牙植入症并发症. 这一发现突出了围部植入炎发展的关键风险因素.
科学领域:
- 牙科植入物学 牙科植入物学
- 牙周病学 牙周病学
- 公共卫生 公共卫生
背景情况:
- 牙周植入物炎是植入牙植入物放置后的一个重大并发症.
- 识别风险因素对于预防和管理策略至关重要.
研究的目的:
- 系统地审查和对围植入炎风险因素的观察性研究进行元分析.
- 确定特定患者因素与围植入炎发病率之间的关联.
主要方法:
- 在主要数据库 (Web of Science,Embase,PubMed,Cochrane Library) 进行全面的文献搜索,截至2021年8月.
- 包括具有定义标准的观察性研究 (队列,病例控制,横截面).
- 对包括21项研究的数据进行了元分析.
主要成果:
- 对21项观察性研究的元分析显示,糖尿病患者和吸烟者的周植入炎风险显著增加.
- 周植入炎和不良的斑块控制或牙周病史之间没有发现显著的关联.
- 包括的研究设计包括队列,病例控制和横截面方法.
结论:
- 糖尿病被确定为与更高的围部植入炎发病率相关的重要危险因素.
- 吸烟者也表现出患上围植入体炎的风险较高.
- 进一步的研究可能将重点放在高风险患者群体的有针对性的预防措施上.
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