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2型糖尿病种植牙术后口腔维护与稳定性的关系
陈一,谢永林,邓礼辉,王娇
0
(南充市中心医院口腔科)
摘要:
目的 探讨规律口腔维护对2型糖尿病患者种植牙稳定性的影响。方法 从2013年~2018年在我院行种植牙手术的患者中,选取3年坚持回访的2型糖尿病患者158例为糖尿病组,组内再按照3年内接受口腔维护次数的多少分为3个等级,并选取同期非糖尿病且接受种植牙手术患者140例为对照组,同样方法分为3个等级。分析术后3年间,接受不同口腔维护次数的患者在第3年时龈沟出血指数(SBI)、探诊深度(PD)、骨丧失深度(DSB)、种植体稳定系数(ISQ)和糖化血红蛋白(HbA1C)的差异。结果 对照组和糖尿病组组间比较,3年间维护5~6次的患者SBI比较,差异有统计学意义(P<0.05);维护3~4次和≤2次的患者SBI、PD、DSB、ISQ及HbA1C比较,差异均有统计学意义(P<0.05)。组内比较,对照组维护≤2次患者PD、DSB与其他维护次数患者比较,差异有统计学意义(P<0.05);糖尿病组不同维护次数患者的SBI、PD、DSB、ISQ比较,差异有统计学意义(P<0.05),维护≤2次患者HbA1C与维护3~4次和5~6次者比较,差异有统计学意义(P<0.05)。结论 2型糖尿病患者种植牙术后进行每半年一次的规律口腔维护能显著提升种植体牙周状况,降低糖化血红蛋白值,有利于保持种植体稳定性。
关键词:  种植牙  口腔维护  糖尿病  稳定性
DOI:
基金项目:南充市应用技术研究与开发项目(16YFZJ0027)
The relationship between regular oral hygienemaintenance and the stability of implant after dental implant surgery in type 2 diabetes
CHEN Yi,XIE Yonglin,DENG Lihui,WANG Jiao
(Department of Stomatology, Nanchong Central Hospital)
Abstract:
Objective To investigate the effect of regular oral hygiene maintenance on the stability of dental implant in type 2 diabetic patients. Methods 158 patients with type 2 diabetes persisted in the return visit for 3 years collected from the patients undergoing dental implant surgery in our hospital were defined as diabetic group after 2013. The diabetic group was divided into three grades according to the number of times to receive oral hygiene maintenance in the three years. The same method was divided into three grades in 140 patients who were not diabetic at the same time and received dental implant surgery. The differences of sulcus bleeding index (SBI), probing depth (PD), the distance from the shoulder of the implant to the bottom of the bony defect (DSB), implant stability quotient (ISQ) and hemoglobin A1C (HbA1C) were analyzed in the third year after implant surgery. Results Comparing the control group and the diabetic group, there was a statistically significant difference in the SBI between the 56 times grade during the three years (P<0.05). The SBI, PD, DSB, ISQ and HbA1C were significantly different in the 3-4 times grade and less than or equal to 2 times grade (P<0.05). Comparing intragroup, the PD and DSB were significantly different between less than or equal to 2 times grade and the other grades within the control group (P<0.05). The SBI, PD, DSB and ISQ were significantly different between each grade within the diabetic group (P<0.05). There was a statistically significant difference in HbA1C between the grade of less than or equal to 2 times and the grade of 3-4 times and 5-6 times (P<0.05).Conclusion Regular oral hygiene maintenance every six months after dental implant surgery in type 2 diabetic patients can significantly improve the periodontal status of implant and reduce the level of HbA1C, which is beneficial to maintain the stability of implant.
Key words:  Dental implant  Oral hygiene maintenance  Diabetes  Stability

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