不同种植体对糖尿病患者种植体周围炎及牙槽骨影响的研究  

Research on the impacts of different implants on peri-implant inflammation and alveolar bone in diabetic patients

作　　者：肖斌[1] 李燕茹 钟纯兰 范海珍 董刚[1] 李爱平[1] XIAO Bin;LI Yanru;ZHONG Chunlan;FAN Haizhen;DONG Gang;LI Aiping(Department of Stomatology,Yue Bei People’s Hospital of Shaoguan City in Guangdong Province,Guangdong,Shaoguan 512026,China;Department of Stomatology,Affiliated Hospital of Medical College of Shaoguan University,Guangdong,Shaoguan 512026,China)

机构地区：[1]广东省韶关市粤北人民医院口腔科,广东韶关512026 [2]韶关学院医学院附属医院口腔科,广东韶关512026

出　　处：《中国医药科学》2022年第10期157-160,168,共5页China Medicine And Pharmacy

基　　金：广东省韶关市科技计划项目(200812224534252);广东省韶关市卫生健康科研计划项目(Y20175)。

摘　　要：目的探讨不同种植体对糖尿病患者种植体周围炎及压槽骨的影响。方法选择2018年1月至2019年10月粤北人民医院口腔科收治的110例行口腔种植体修复的糖尿病患者作为病例组,同期选择粤北人民医院口腔科收治的110例行口腔种植体修复的非糖尿病患者作为对照组,两组修复后均随访24个月,比较两组的种植体周围炎发病情况以及龈沟出血指数(SBI),探诊深度(PD),菌斑指数(PLI),牙槽骨丧失(BL)百分比;同时按照是否发生种植体周围炎将病例组患者分为周围炎组和非周围炎组,并采用单因素及多因素logistic回归分析探讨引发糖尿病患者种植体周围炎的独立危险因素。结果病例组修复后种植体周围炎发病率为20.91%,高于对照组的8.18%(P<0.05)。病例组修复后的SBI、PD、PLI、BL值均高于对照组(P<0.05)。周围炎组和非周围炎组在血糖控制情况、种植体材料、种植体涂层材料等方面比较,差异有统计学意义(P<0.05)。多因素logistic回归分析结果显示,血糖控制情况、牙周炎史、定期清洁牙齿、种植体材料及种植体涂层材料是影响糖尿病患者种植体周围炎的独立危险因素(P<0.05)。结论糖尿病患者行口腔种植体修复后SBI、PD、PLI等远高于非糖尿病行口腔种植体修复患者,且更易发生种植体周围炎。血糖控制情况,种植体材料及种植体涂层材料等是影响糖尿病患者种植体周围炎的独立危险因素。Objective To investigate the impacts of different implants on peri-implant inflammation and alveolar bone in diabetic patients.Methods Diabetic patients who underwent dental implant restoration admitted to and treated in the department of stomatology in Yue Bei People’s Hospital from January 2018 to October 2019 were selected and divided into the cas e group(n=110),while non-diabetic patients who underwent dental implant restoration admitted to and treated in the department of stomatology in Yue Bei People’s Hospital in the same period were selected and divided into the control group(n=110).Both groups were followed up for 24 months.The incidence of peri-implant inflammation,gingival sulcus bleeding index(SBI),probing depth(PD),plaque index(PLI)and the percentage of alveolar bone loss(BL)were compared between the two groups.At the same time,the patients in the case group were divided into the peri-implant inflammation group and the non-peri-implant inflammation group according to whether peri-implant inflammation occurred or not.Univariate and multivariate logistic regression analysis was used to investigate the independent risk factors for peri-implant inflammation in diabetic patients.Results After restoration,the incidence of peri-implant inflammation in the case group was 20.91%,higher than 8.18%in the control group(P<0.05).After restoration,the SBI,PD,PLI and BL values in the case group were all higher than those in the control group(P<0.05).There were differences in glycemic control,implant materials and implant coating materials between the peri-implant inflammation group and the non-peri-implant inflammation group(P<0.05).Multivariate logistic regression analysis showed that glycemic control,periodontitis history,regular dental cleaning,implant materials and implant coating materials were independent risk factors for peri-implant inflammation in diabetic patients(P<0.05).Conclusion SBI,PD,PLI,etc.of patients with diabetes after dental implant restoration are much higher than those of patients without

关 键 词：种植体 糖尿病 种植体周围炎 牙槽骨 

分 类 号：R783.6[医药卫生—口腔医学]