A critical review of diabetes, glycemic control, and dental implant therapy.

A critical review of diabetes, glycemic control, and dental implant therapy.
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DOI:
10.1111/j.1600-0501.2011.02374.x
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发表时间:
2013-02
影响因子:
4.3
通讯作者:
Feine J
Feine J
中科院分区:
工程技术2区
文献类型:
--
作者:
Oates TW;Huynh-Ba G;Vargas A;Alexander P;Feine J

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系统地检查糖尿病患者使用植入物治疗与血糖控制相关的指导证据,并考虑植入物治疗支持糖尿病管理和高血糖影响植入物整合的可能性。采用系统方法识别和审查直接评估糖尿病患者植入物存活或失败的临床研究。MEDLINE(PubMED)数据库检索使用检索策略识别了潜在的纳入文献:(牙科植入物或口腔植入物)和(糖尿病或糖尿病)。纳入本综述需要进行纵向评估,包括至少10例患者,并对纳入的文章进行患者血糖状态记录评估。初步检索识别出129篇出版物,减少至16篇纳入。糖尿病患者报告的植入物失效率范围为0- 14.3%。在16项研究中,有13项研究的血糖控制识别和报告不足或缺乏,其中11项研究仅招募了被认为血糖控制可接受的患者,限制了对血糖控制相关结果的解释。16项研究中有3项研究提供了关于血糖控制的可解释信息,但未能证明血糖控制与植入失败之间存在显著关系,失败率范围为0- 2.9%。缺乏血糖控制与植入物失效相关的临床证据,同时支持糖尿病患者的植入物治疗,并根据血糖控制对植入物整合延迟进行适当调整。种植体在糖尿病管理中改善口腔功能的作用以及高血糖对种植体整合的影响仍有待确定。
To systematically examine the evidence guiding the use of implant therapy relative to glycemic control for patients with diabetes and to consider the potential for both implant therapy to support diabetes management and hyperglycemia to compromise implant integration. A systematic approach was used to identify and review clinical investigations directly assessing implant survival or failure for patients with diabetes. A MEDLINE (PubMED) database search identified potential articles for inclusion using the search strategy: (dental implants OR oral implants) AND (diabetes OR diabetic). Inclusion in this review required longitudinal assessments including at least 10 patients, with included articles assessed relative to documentation of glycemic status for patients. The initial search identified 129 publications, reduced to 16 for inclusion. Reported implant failures rates for diabetic patients ranged from 0–14.3%. The identification and reporting of glycemic control was insufficient or lacking in 13 of the 16 studies with 11 of these enrolling only patients deemed as having acceptable glycemic control, limiting interpretation of findings relative to glycemic control. Three of the 16 studies having interpretable information on glycemic control failed to demonstrate a significant relationship between glycemic control and implant failure, with failure rates ranging from 0–2.9%. Clinical evidence is lacking for the association of glycemic control with implant failure while support is emerging for implant therapy in diabetes patients with appropriate accommodations for delays in implant integration based on glycemic control. The role for implants to improve oral function in diabetes management and the effects of hyperglycemia on implant integration remains to be determined.
糖尿病的医疗标准 - 2010年。
DOI: 10.2337/dc10-s011
发表时间: 2010-01
期刊: Diabetes care
影响因子: 16.2
作者:
American Diabetes Association
通讯作者: American Diabetes Association
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发表时间: 2002-08-01
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DOI: 10.1097/00008505-199904000-00005
发表时间: 1999-01-01
期刊: Implant dentistry
影响因子: --
作者:
Balshi, T J;Wolfinger, G J
通讯作者: Wolfinger, G J