糖尿病患者种植义齿临床预后评估体系的建立及相关护理

发布时间：2018-04-03 04:16

本文选题：糖尿病　切入点：种植义齿　出处：《国际口腔医学杂志》2017年05期

【摘要】：目的比较糖尿病患者与无糖尿病患者的种植体周围牙周临床指标、种植体周围动度及骨吸收指标在种植手术不同时期的变化规律,为建立糖尿病种植患者的临床预后评估及术后护理提供参考依据。方法上颌后牙区牙缺失患者共30名,分为糖尿病组和正常组(各15名),选择种植术前以及种植术后1周、3个月,记录菌斑指数(PLI)和龈沟出血指数(SBI)的检测值;选择种植手术后即刻、种植术后1周和3个月,检测种植体稳固值和骨吸收情况。结果与正常组相比,糖尿病组的PLI和SBI的检测值、种植体稳固值和骨吸收情况的差异均有统计学意义(P0.01)。结论糖尿病患者种植体周围PLI、SBI在种植手术不同时期均高于无糖尿病患者,种植体周围动度及骨吸收指标高于无糖尿病患者,可作为建立糖尿病种植义齿患者的临床预后评估体系的依据,对种植体的临床预后具有前瞻性的评估。
[Abstract]:Objective to compare the changes of periodontal clinical indexes, peri-implant motility and bone resorption between diabetic patients and non-diabetic patients in different stages of implant surgery.To establish the clinical prognostic evaluation and postoperative nursing care of diabetic implant patients.Methods Thirty patients with maxillary posterior tooth loss were divided into two groups: diabetic group (n = 15) and normal group (n = 15). The plaque index (PLI) and gingival sulcus bleeding index (SBI) were measured before implantation and 1 week and 3 months after implantation.The implant stability and bone resorption were measured 1 week and 3 months after implantation.Results there were significant differences in PLI and SBI, implant stability and bone resorption between the diabetic group and the normal group (P 0.01).Conclusion PLII-SBI in patients with diabetes mellitus is higher than that in patients without diabetes mellitus at different stages, and the peri-implant motility and bone resorption index are higher than those in patients without diabetes mellitus.It can be used as the basis for establishing the clinical prognosis evaluation system of the patients with implant-denture of diabetes mellitus and has a prospective evaluation of the clinical prognosis of the implants.
【作者单位】：四川大学华西口腔医院种植科口腔疾病研究国家重点实验室国家口腔疾病临床研究中心;
【分类号】：R473.78

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