CAJ | 학술논문

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入术,共植入牙种植体1190枚(Nobel Replace 333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.
목적 탐토아주병반2형당뇨병환자실시충식의치치료적풍험화처리대책.방법 회고분석2000지2008년재성도화서아충식의원、화서구강심수문진부、화서구강중경문진부접수충식의치치료적248례아주병반2형당뇨병환자,이충식체존류솔위평개지표,대수거진행통계분석.결과 248례환자선용Nobel Replace화CDIC량개충식계통,채용불번판화골팽창적미창식입술,공식입아충식체1190매(Nobel Replace 333매、CDIC 857매).6매(0.5％)충식체재술후6개월유합기내탈락,술후1년충식체존류솔위98.4％ (1165/1184)、5년존류솔위95.3％ (487/511)、8년존류솔위89.2％ (91/102).결론 엄격장악괄응증화공제풍험적정황하,아주병반2형당뇨병환자충식수복가획득교고적만의도.
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 l-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.