糖化血红蛋白对种植体周围组织影响的临床观察

摘要

目的:分析糖化血红蛋白(HbA1c)对种植义齿周围组织的影响.方法:采取病例对照研究,选取84例种植病例,根据HbA1e值分为A组(HbA1 c≤6.0),B组(6＜ HbA1c≤8.0),C组(8.0＜ HbA1c＜10.0),分别测量种植体植入时、种植义齿修复后1年种植体周围组织的变化情况.结果:种植后1年,C组的边缘骨水平(MBL)和改良龈沟出血指数(PD)与A、B组相比均有显著性差异(P＜0.05),其余各项指标均无统计学差异(P＞0.05).结论:高血糖是导致种植体周围炎和失败的危险因素,建议种植患者应该将HbA1c控制在合理的范围内.%AIM:To investigate the effect of HbA1 c in blood on the hard and soft tissues around the dental implant.METHODS:A case-control study was conducted.84 patients with implant dentures were included.,The patients were divided into 3 groups based on HbA1c level,in group A HbA1c ≤6.0,in group B 6.0 ＜ HbA1c ≤8.0 and in group C 8.0 ＜ HbA1c ＜ 10.0.Modified sulcus bleeding index (msBI) and marginal bone level (MBL) were measured at baseline and 1 year after dental implant insertion.RESULTS:One year after implant insertion,the rate of peri-implantitis in group C was higher than in group A (P ＜ 0.05).The msBI and MBI in group C was higher than that in group A and group B (P ＜0.05).NO significant difference was observed between group B and C.CONCLUSION:High blood glucose is a risk factor for peri-implantitis.