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目的:评价糖尿病缺牙患者骨缺损程度与非糖尿病患者的区别。方法:选取已经确诊的、血糖得到良好控制的2型糖尿病和血糖正常的缺牙患者各37例,2组患者缺失牙位、年龄、性别、拔牙后复诊时间、拔牙原因、长期居住地、吸烟、全身健康状况、颌骨情况一致或相近;记录配对的37组患者拔牙位点牙槽嵴高度与宽度,拔牙窝内骨面最低点与理想骨平面高度差,植骨术相关信息。并进行统计学分析,评价糖尿病缺牙患者骨缺损程度与非糖尿病患者的区别。结果:拔牙后3~24个月,糖尿病组拔牙位点处骨缺损程度较非糖尿病组严重,植骨率和植骨量均高于非糖尿病组(P<0.05)。结论:糖尿病缺牙患者拔牙位点处骨缺损程度较非糖尿病患者严重,在自然愈合情况下更倾向于进行植骨手术。
OBJECTIVE: To evaluate the difference between non-diabetic and non-diabetic patients with bone defect. Methods: Forty-seven patients with confirmed type 2 diabetes mellitus and well-controlled blood glucose were selected and 37 patients with normal blood loss were selected. The patients were divided into two groups: missing position, age, sex, time after tooth extraction, reason of tooth extraction, long-term residence, smoking The health status of the body and the jaw were the same or similar. The height and width of the alveolar ridge at the tooth extraction site, the difference between the lowest point of the bone surface in the extraction socket and the ideal bone height, and bone grafting information were recorded. And statistical analysis was performed to evaluate the difference between patients with non-diabetic and non-diabetic patients with bone defect. Results: At 3 to 24 months after tooth extraction, the degree of bone defect at the tooth extraction site was significantly higher in diabetic group than in non-diabetic group, and the bone graft rate and bone mass were significantly higher than those in non-diabetic group (P <0.05). Conclusion: The degree of bone defect at the tooth extraction site of patients with diabetes is more serious than that of non-diabetic patients. In the case of natural healing, bone grafting is more likely.