种植牙修复糖尿病患者牙列缺损效果的临床探讨

Clinical Effect Observation of Dental Implant Restoration Dentition Defects in Diabetic Patients

目的观察种植牙修复糖尿病牙列缺损患者的效果。方法以2013年6月以来的40例糖尿病牙列缺损患者为研究对象,在围术期控制血糖在正常范围条件下,采用该诊所所用种植机和减速手机,选用两段式柱状或根形螺纹种植体和相应种植系统进行牙列缺损修复。结果该组患者围术期均控制血糖在正常范围。55枚人工种植牙临床术后进行为期6个月~2年的随访,平均1.5年。至末次随访时,患者无不适感,咀嚼良好,无牙龈出血,有1枚种植体脱落,成功种植54枚,成功率为98.18%。其余种植体均无松动,X线牙片结果骨吸收均在0.5 mm以下,种植体周围无透视区,与骨结合均较好。结论在围术期控制血糖在正常范围条件下,种植牙是修复糖尿病牙列缺损有效的方法,值得临床推广应用。

Objective To investigate the dental implant restoration effects in diabetic patients with dentition defects. Methods40 cases of diabetes patients with dentition defects for the study, perioperative glucose control in the normal range of conditions, the use of the clinic and gear used in planting the phone, use a two-stage cylindrical or root-shaped screw implants and corresponding cropping systems conduct dentition defect. Results This group of patients are controlled perioperative blood sugar in the normal range. 55 dental implants after a period of 6 months to 2 years of follow-up, an average of 1.5 years. To the last follow-up, patients with no discomfort, chew well, no bleeding gums, implants have a loss, successful planting 54, the success rate was 98.18%. The rest had no implant loosening, X-ray radiograph results resorption were 0.5mm or less, no perspective area around the implant, osseointegration are good. Conclusion Perioperative control of blood glucose in the normal range of conditions, the implant is to repair the defect dentition diabetes effective way, worthy of clinical application.