牙周病伴2型糖尿病248例种植义齿治疗总结  

Dental implant restoration in 248 patients with periodontal disease and type 2 diabetes

作　　者：吴大怡[1] 李刚 张青 滕立钊[1] 卢焕友 

机构地区：[1]华西牙种植医院种植科,成都610041 [2]华西口腔深圳门诊部 [3]华西口腔重庆门诊部

出　　处：《中华口腔医学杂志》2011年第11期650-654,共5页Chinese Journal of Stomatology

摘　　要：目的探讨牙周病伴2型糖尿病患者实施种植义齿治疗的风险和处理对策。方法回顾分析2000至2008年在成都华西牙种植医院、华西口腔深圳门诊部、华西口腔重庆门诊部接受种植义齿治疗的248例牙周病伴2型糖尿病患者，以种植体存留率为评价指标，对数据进行统计分析。结果248例患者选用Nobel Replace和CDIC两个种植系统，采用不翻瓣和骨膨胀的微创植人术，共植入牙种植体1190枚（Nobel Replace333枚、CDIC 857枚）。6枚（0．5％）种植体在术后6个月愈合期内脱落，术后1年种植体存留率为98．4％（1165／1184）、5年存留率为95．3％（487／511）、8年存留率为89．2％（91／102）。结论严格掌握适应证和控制风险的情况下，牙周病伴2型糖尿病患者种植修复可获得较高的满意度。Objective To discuss the risk and strategy of dental implantation in patients with periodontal disease and type 2 diabetes. Methods Retrospective analysis was performed of dental implantation results in 248 patients with periodontal disease and type 2 diabetes from 2000 to 2008. The survival rate was evaluated and the data statistically analyzed. Results The Nobel implant system and CDIC implant system were used. The operation applied flapless and bone expanding techniques. A total of 1190 implants were inserted （333 Nobel Replace implants and 857 CDIC implants）. 0. 5% （6 implants） lost during the first 6 months healing stage. The 1-year, 5-year and 8-year survival rate were 98.4% （1165/ 1184） ,95.3% （487/511）and 89.2% （91/102） respectively. Conclusions The patients with periodontal disease and type 2 diabetes are suitable for implant treatment with satisfactory results under the conditions that the indication and risk factors are evaluated and controlled strictly.

关 键 词：牙周炎 糖尿病 2型 牙种植 

分 类 号：R783.6[医药卫生—口腔医学]