Laborvizsgálat jelentősége implantációs betegeknél

Luca Nagy-Csoma, Dóra Iványi, Péter Kivovics, Orsolya Németh
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Abstract

Nowadays, dental implantation is increasingly common intervention in dentistry. With the spread of implantations, implantrelatedcomplications are coming into view. Biological complications include peri-implant mucositis and peri-implantitis.General risk factors for peri-implant inflammation include diseases, such as diabetes mellitus and hyperlipidemia. Theaim of this study is to examine the efficiency of blood tests before implantation, as a preventive screening method ofimplantation and its application in the prevention of peri-implant inflammations. 33 patients’ dental statuses and bloodtests were collected. We analysed our data by Microsoft Excel program (Remond, Washington, USA). The patients’ averageage was 62,8 (±11). 81,8% of the patients were partial edentulous and 66,7% of partial edentulous patients hadperiodontal involvement. 21,2% of the observed patients had high blood sugar level, 51,5% of them had elevated bloodlipid level. We further examined the association between the prevalence of blood tests’ deviation and the prevalence ofperiodontal involvement. High blood sugar level and periodontal involvement simultaneously occurred in 6,1% and periodontalinvolvement with increased inflammatory factors were noticed in 21,2% of the patients. Untreated or not properlytreated diabetes mellitus is a risk factor of peri-implant inflammation. Hyperlipidemia has negative effects on the local immuneresponse of peri-implant tissues and osseointegration, which influence the long-term success of the implantation.All of the general risk factors with periodontal involvement increased the risk for peri-implant diseases and therefore wehave to make risk analysis and regular controls. The blood-test, according to the Department of Community Dentistry, isa suitable and sufficient method to detect general risk factors before implantation.
植入患者实验室检测的重要性
如今,牙科植入术越来越普遍。随着植入式手术的普及,与植入式手术相关的并发症也逐渐出现。生物并发症包括种植体周围粘膜炎和种植体周围炎。种植体周围炎症的一般风险因素包括糖尿病和高脂血症等疾病。本研究的目的是检查植入前血液检查的有效性,作为植入的预防性筛查方法及其在预防植入周围炎症中的应用。收集33例患者的牙齿状况和血液测试。我们使用Microsoft Excel程序(Remond,Washington,USA)分析了我们的数据。患者平均年龄62,8(±11)。81,8%的患者为部分无牙颌,66,7%的患者有牙周受累。观察到的患者中有21.2%的患者血糖水平较高,51.5%的患者血脂水平升高。我们进一步研究了血液测试偏差的患病率和妊娠期受累的患病率之间的关系。6,1%的患者同时出现高血糖水平和牙周病变,21.2%的患者出现牙周病变并伴有炎症因子增加。未经治疗或治疗不当的糖尿病是种植体周围炎症的危险因素。高脂血症对种植体周围组织的局部免疫反应和骨整合有负面影响,影响种植体的长期成功。所有涉及牙周的一般风险因素都会增加种植体周围疾病的风险,因此我们必须进行风险分析和定期控制。根据社区牙科部的说法,血液测试是在植入前检测一般风险因素的合适且充分的方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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