CAJ | 학술논문

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。
목적：：평개당뇨병결아환자골결손정도여비당뇨병환자적구별。방법：선취이경학진적、혈당득도량호공제적2형당뇨병화혈당정상적결아환자각37례,2조환자결실아위、년령、성별、발아후복진시간、발아원인、장기거주지、흡연、전신건강상황、합골정황일치혹상근；기록배대적37조환자발아위점아조척고도여관도,발아와내골면최저점여이상골평면고도차,식골술상관신식。병진행통계학분석,평개당뇨병결아환자골결손정도여비당뇨병환자적구별。결과：발아후3~24개월,당뇨병조발아위점처골결손정도교비당뇨병조엄중,식골솔화식골량균고우비당뇨병조(P<0.05)。결론：당뇨병결아환자발아위점처골결손정도교비당뇨병환자엄중,재자연유합정황하경경향우진행식골수술。
AIM:To compare the recovery of the alveolar bone at the tooth extraction site between the diabe-tes patients and non-diabetic patients. METHODS:37 patients with type 2 diabetes and 37 age, residence, general health, subsequent visit time, teeth extraction, GBR ( Guided Bone Regeneration) treatment matched patients without diabetes were included. All the patients did not smoke or quit smoking after the first visit. 6 months after surgery the sockets ridge width and height were measured on CT images. The data were compared between groups. RESULTS:The bone defect at the extraction site of diabetic group was larger, the rate of GBR surgery and the mass of bone graft were more than those of the non-diabetic group (P<0. 05). CONCLUSION: Diabetic patients has poor alveolar bone recovery than non-diabetic patients after teeth extraction;they tend to accept GBR surgery.