2型糖尿病血糖控制患者与健康患者生物植入成功参数的评价:一项荟萃分析。

Q1 Medicine

Journal of Investigative and Clinical Dentistry Pub Date : 2019-10-22 DOI:10.1111/jicd.12478

Victor L Lagunov, Jing Sun, R. George

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引用次数: 20

摘要

目的:本系统文献综述的目的是评估2型糖尿病(T2DM)对照患者的探查(BOP)、口袋深度(PD)和边缘骨质流失(MBL)出血情况。方法通过PubMed、Web of Science、Cochrane、Embase和ScienceDirect进行电子文献检索。这项研究包括前瞻性的人类临床研究，分析了2型糖尿病对照患者种植牙的成功率。纳入的研究应至少有1年的随访，并应评估以下参数:MBL、BOP和PD。在荟萃分析之前，对所有研究的质量、偏倚和异质性进行了评估。结果偏倚风险分析显示，所有研究质量均为中等。在全文评估后，只有7项研究符合本荟萃分析的纳入标准，总共443名患者和530名牙种植体。meta分析显示，血糖控制组与健康组植入物在MBL (P < 0.001)、BOP (P < 0.01)和PD (P < 0.001)方面的参数差异有统计学意义。结论本研究结果表明，尽管血糖得到控制，T2DM患者仍有较高的种植体周围疾病风险。

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Evaluation of biologic implant success parameters in type 2 diabetic glycemic control patients versus health patients: A meta-analysis.

AIM The aim of the present systematic literature review was to evaluate bleeding on probing (BOP), pocket depth (PD), and marginal bone loss (MBL) in type 2 diabetes mellitus (T2DM) control patients. METHODS An electronic literature search was conducted through PubMed, Web of Science, Cochrane, Embase, and ScienceDirect. The search included prospective human clinical studies that analyzed the success of dental implants in T2DM control patients. For inclusion, studies should have had a minimum of 1-year follow up and should have assessed the following parameters: MBL, BOP and PD. Prior to meta-analysis, all of the studies were assessed for quality, bias, and heterogeneity. RESULTS Risk of bias analysis indicated that all studies were of moderate quality. After a full-text evaluation, only seven studies met the inclusion criteria for this meta-analysis, with a combined total of 443 patients and 530 dental implants. The meta-analysis indicated a statistically significant difference between parameters of implants placed in the glycemic-controlled group and healthy group in MBL (P < .001), BOP (P < .04), and PD (P < .001). CONCLUSION The results of the present study indicated that, despite being glycemic controlled, patients with T2DM were associated with a higher risk of peri-implant disease.

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来源期刊

Journal of Investigative and Clinical Dentistry DENTISTRY, ORAL SURGERY & MEDICINE-

CiteScore

3.90

自引率

0.00%

发文量

期刊介绍： Journal of Investigative and Clinical Dentistry (JICD) aims to publish quality, peer reviewed original research and topical reviews on all aspects of investigative and clinical dentistry and craniofacial research, including molecular studies related to oral health and disease. Although international in outlook, the Editor especially encourages papers from the Asia Pacific. The journal also aims to provide clinicians, scientists and students of dentistry with a knowledge transfer platform for rapid publication of reports through an international journal, which will be available free online until 2012. Its scope, therefore, is broad, inclusive and international, but with a particular focus on Asia Pacific. The Editor welcomes manuscripts in the following key thematic areas in oral and maxillofacial sciences: Community Dentistry and Oral Epidemiology, Conservative Dentistry, Dental Biomaterials, Dental Pedagogy, Endodontics and Traumatology, Implant Dentistry, Oral Biosciences, Oral and Maxillofacial Surgery, Oral Medicine, Oral Pathology and Oral Microbiology, Orthodontics, Oral Radiology, Oral Rehabilitation, Paedodontics, Periodontology and Periodontal Medicine.