糖尿病患者口腔种植治疗研究进展

Research progress of dental implantation in diabetic patients

糖尿病患者的日益增长已经成为目前社会关注的一大问题。持续性高血糖会危害机体各个组织,最终导致糖尿病患者的死亡。口腔组织会受到高血糖所带来的直接负面影响。大多数临床研究表明,即便是在中度不受控的糖尿病患者中,牙种植失败率与非糖尿病患者的差异也并不显著。如果能够实施正确的治疗方案、术前及术后合理使用预防性药物并进行充分的术后维护,受控良好的糖尿病患者与非患病人群拥有同样高的牙种植成功率。该文通过回顾近期糖尿病患者口腔种植研究资料,对糖尿病患者的牙种植治疗做一综述,同时基于改善骨整合的理论及实验研究结果,对提高糖尿病患者牙种植治疗成功率的措施提出一定的建议。

Rising population of diabetic individuals across the world has become a big concern to the society. The persistent hyperglycemia may harm each tissue of human body and consequently results in morbidity and eventually mortality of diabetic patients. What＇s worse,it will have direct negative impacts on oral tissues. Most of clinical studies indicated statistically insignificant failure of dental implants even in moderately uncontrolled diabetic patients,compared with non-diabetic patients. Success of dental implant in well and fairly controlled diabetic patients with proper treatment planning,fair use of prophylactic remedies before and after operation and adequate postsurgical maintenance appears as often as that of normal individuals. This review caters actual scenario to practicing dentists regarding success and failure of dental implant treatment in diabetic individuals observed by various studies. The experience-based suggestions and experimental studies about increasing osteointegration and consequently improving success rate of dental implant treatment in diabetic patients have also been discussed.