目的:报告植入物的存活率,临床,在T2DM患者中,4个保留下颌覆盖义齿(OVD)的椎间孔间植入物的功能超过5年后的影像学状况。
方法:选择78名患有2型糖尿病(T2DM)的完全无牙参与者,他们佩戴了4个椎间孔间植入物保留的下颌骨OVD,以维持长期功能寿命。根据植入前的糖化血红蛋白A1c(HbA1c)水平将参与者分为2组:I组,HbA1c值>6.5%(T2DM控制不充分),和II组HbA1c值≤6.5%(控制良好的T2DM)。未得到充分控制的T2DM进一步细分为2组:IA组HbA1c值>6.5%和≤8%(中度控制),和IB组的HbA1c值>8%(控制不佳)。种植成活率,菌斑指数(PI),探查出血(BOP),探测深度(PD),并测量植入物周围的X线照相牙弓骨水平(CBL)。
结果:在312个植入物中,6失败,4在控制良好的糖尿病患者中,和2在控制不充分的糖尿病患者中。总生存率为98.07%。I组的平均PI为36.4(IA组=37.76,IB组=34.27),并且在组II中是19。组I的平均BOP为45.5(组IA=47.84,组IB=41.76),并且在组II中为22。组I中的平均PD为4.1(组IA=4.3,组IB=3.85),并且组II中的平均PD为2.2。组I的平均X线CBL为3.4(组IA=3.7,组IB=2.9),并且在组II中为1.5。IA组表现出明显更高的PI水平,防喷器,PD,和CBL与IB组和II组相比(P1=0.017,P2=0.001)。
结论:T2DM患者可从4个椎间孔植入物保留的下颌骨OVD中获益,和他们无法保持适当的血糖控制可能不排除植入成功。
结论:本研究是提高对接受植入治疗的T2DM完全无牙人群的治疗方案和预期结局的认识的重要一步。
To report the implant survival rates, clinical, and radiographic status after a period of more than 5 years in the function of 4 inter-foraminal implants retaining mandibular overdentures (OVDs) in individuals with T2DM.
78 completely edentulous participants with type 2 diabetic mellitus (T2DM) who had worn mandibular OVDs retained by 4 inter-foraminal implants for long-term functional life were selected for this study. The participants were divided into 2 groups according to glycosylated haemoglobin A1c (HbA1c) levels before implant placement: group I with an HbA1c value > 6.5 % (inadequately controlled T2DM), and group II with an HbA1c value ≤6.5 % (well-controlled T2DM). The inadequately controlled T2DM was further subdivided into 2 groups: Group IA with an HbA1c value > 6.5 % and ≤8 % (moderately controlled), and Group IB has an HbA1c value > 8 % (poorly controlled). Implant survival rate, plaque index (PI), bleeding on probing (BOP), probing depth (PD), and radiographic crestal bone level (CBL) around implants were measured.
Among 312 implants, 6 failed, 4 in well-controlled diabetics, and 2 in inadequately controlled diabetics. The overall survival rate was 98.07 %. The mean PI in group Ι was 36.4 (group IA =37.76, group IB = 34.27), and in group ΙΙ it was 19. The mean BOP in group Ι was 45.5 (group IA =47.84, group IB = 41.76), and in group ΙΙ it was 22. The mean PD in group Ι was 4.1 (group IA =4.3, group IB = 3.85) and in group ΙΙ was 2.2. The mean radiographic CBL in group Ι was 3.4 (group IA =3.7, group IB = 2.9), and in group ΙΙ was 1.5. Group IA exhibited a significantly greater level of PI, BOP, PD, and CBL compared to group IB and group IΙ (P1=0.017, P2=0.001).
Individuals with T2DM can benefit from 4 inter-foraminal implants retained mandibular OVDs, and their inability to maintain proper glucose control may not exclude implant success.
This study is a significant step toward improving knowledge of options available for treatment and anticipated outcomes for T2DM completely edentulous populations undergoing implant therapy.