在不受控制的糖尿病患者中,化学修饰,喷砂和大酸蚀刻植入物的成功:一个案例与对照研究
Khaled Mansour Fathallah1, Ahmed Abdallah Mohamed Attia2, Yasser Nabil ElHadidi3
1El Nahda University, New Bani Suef, Egypt.
Journal of maxillofacial and oral surgery
|August 4, 2025
概括
化学修饰的牙植入物在糖尿病患者中显示出显著的骨质损失,血糖水平不受控制. 虽然实现了初级稳定性,但不受控制的糖尿病会对植入物周围的骨水平产生负面影响.
科学领域:
- 牙科 牙科是指牙科的专业.
- 生物材料是一种生物材料.
- 内分泌学 在内分泌学.
背景情况:
- 糖尿病是一种系统性疾病,影响伤口愈合和骨质整合.
- 牙植入成功率可以受到血糖控制的影响.
- 通常使用的是化学修饰,喷砂和大酸蚀刻 (SLAA) 植入物.
研究的目的:
- 评估糖尿病患者中SLAA牙植入物的生存率和骨损失.
- 为了在不同的血糖控制水平上比较植入物结果.
主要方法:
- 一项涉及糖尿病患者接受植入体手术的病例对照研究.
- 根据血红蛋白A1c水平分组患者:<6.5% (A组),9-10.5% (B组) 和10.6-12% (C组).
- 通过X射线图评估了骨损失,8周后通过共振频率分析 (RFA) 评估了植入物稳定性.
主要成果:
- 在控制和不受控制的糖尿病组之间观察到骨损失的显著差异 (p=0.001).
- 平均骨损失为A组的0.08±0.08毫米,B组的0.2±0.09毫米,C组的0.3±0.07毫米.
- 植入物稳定性在8周后在各组之间没有统计学上显著的差异 (p=0.08).
结论:
- 即使在糖尿病患者中,SLAA牙植入物也能达到初级稳定性.
- 失控的糖尿病,由更高的血红蛋白A1c水平表明,导致在植入物周围显著的骨损失.
- 由于骨损失的不良结果,不建议在患有失控糖尿病的患者中使用SLAA植入物.
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