糖尿病患者发生种植体周围炎的风险

Yousuf Ansari, Muhammad Salman Khan, Sufyan Ahmed, Misbah Shafique, Syed Sajid Ali Shah, Muhammad Haris Zia
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摘要

种植牙的长期存活率为97%;目前还没有预测种植体寿命的可靠模型。尽管随着时间的推移,通过大量的研究,各种患者和专业因素可能导致种植体周围炎变得越来越明显,有令人信服的理论,如不正确的三维(3D)种植体放置,不良的假体设计干扰了正确的口腔卫生习惯,以及过量的luting水泥,但没有普遍接受的诊断标准,因此患病率仍然存在争议。目的:本研究旨在识别糖尿病对种植体脱落和种植体周围疾病的影响。它还旨在测量种植体植入后5年种植体周围疾病的患病率。该研究旨在通过整合患者问卷调查来确定植入物问题是否会改变患者对植入物的看法。方法:在获得机构批准后,将2015 - 2020年间在口腔颌面外科行口腔种植的糖尿病患者加入患者名单。纳入标准如下:同意时年龄大于18岁的糖尿病患者,并在第一次重塑后拍摄相应的x线片。排除无先决条件结果:共检查165份记录,以确保原始x线片得到验证,植入日期和患者的联系信息。41例患者符合纳入要求。41例已联系并计划随访检查的患者中有36例(男性20例,女性16例,年龄34 - 63岁;平均SD年龄:47.6 - 10.6岁)。在基线时,在36例患者中放置了105个植入物。结论:由于两种疾病具有相似的宿主特征或微生物群,糖尿病和牙周炎可能是种植周炎的危险因素。关键词:种植体,种植体周围炎,糖尿病
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Risk of Peri Implantitis in Patients with Diabetes Mellitus
Dental implants have a 97% long-term survival rate; there is no reliable model for predicting implant longevity. Even though it has become more apparent over time and through numerous studies that a variety of patient and professional factors may contribute to peri-implantitis, with compelling theories such as improper three-dimensional (3D) implant placement, poor prosthesis design that interferes with proper oral hygiene practices, and an excess of luting cement, there is no universally accepted diagnostic standard, so prevalence rates are still up for debate. Objectives: This study aims to recognize diabetes for implant loss & peri-implant diseases. It is also intended to measure the prevalence of peri-implant disease 5 years following implant implantation. The study aims to ascertain if implant issues may alter patients' perceptions of their implants by integrating a patient questionnaire. Methodology: After obtaining the approval of the study from the institution, diabetic patients who had oral implants at the Department of Oral and Maxillofacial Surgery between 2015 and 2020 were added to a list of patients. Following were the criteria for inclusion: Diabetic patients who were older than 18 at the time of consent and comparable radiographs are taken following the first remodeling. There were no prerequisites for the exclusion Results: A total of 165 records were checked to make sure the original radiographs were verified, the implant insertion date, and patient’s contact information. 41 patients met the requirements for inclusion. 36 of the 41 patients who had been contacted and scheduled for a follow-up check showed up (20 male and 16 female, age 34 to 63 yrs; mean – SD age: 47.6 – 10.6 yrs). At baseline, 105 implants were placed in the 36 patients. Conclusion: Because the two disease entities share similar host characteristics or microbiota, diabetes and periodontitis may serve as risk factors for peri-implantitis. Keywords: Dental Implant, Peri-implantitis, Diabetes Mellitus
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