J Periodontol:代谢综合征患者的种植体周围疾病患病率——横断面研究

2019-07-28 sunshine 译 MedSci原创

多年来,只有少数研究人员探究了全身状况与种植体周围炎的关系。本研究旨在探究代谢综合征(MetS)患者中种植体周围病的发病率和严重程度。在该横断面研究中,筛选具有至少一颗功能负荷> 5年的牙科植入物的患者以评估代谢,牙周和种植体周围状态。MetS诊断是根据NCEP ATP III标准建立的,而2017年世界研讨会的病例定义则用于种植体周围疾病。对于每颗种植体,记录探诊深度,粘膜发红,探查出血,

多年来,只有少数研究人员探究了全身状况与种植体周围炎的关系。本研究旨在探究代谢综合征(MetS)患者中种植体周围病的发病率和严重程度。

在该横断面研究中,筛选具有至少一颗功能负荷> 5年的牙科植入物的患者以评估代谢,牙周和种植体周围状态。MetS诊断是根据NCEP ATP III标准建立的,而2017年世界研讨会的病例定义则用于种植体周围疾病。对于每颗种植体,记录探诊深度,粘膜发红,探查出血,化脓,菌斑指数和边缘骨丧失。多项Logistic回归分析了性别,代谢综合征诊断,牙周炎的存在,吸烟,种植体的类型和植入的位置以及种植体周围粘膜炎和种植体周围炎之间的关系。

研究共招募了183名患者:在MetS受试者中,种植体周围炎占36.9%(n = 31),粘膜炎占60.7%(n = 51),无MetS的受试者中,种植体周围炎占26.3%,粘膜炎为55.5%,粘膜炎的OR为10.01(p = 0.005),种植体周围炎的OR为15.26(p = 0.001)。未发现吸烟,植入位置,性别和植体类型存在差异。牙周炎患者与种植体周围粘膜炎(OR = 4.33)和种植体周围炎(OR = 9.00)有较高的相关性。

总之,该研究结果表明,受MetS影响的患者种植体周围疾病的患病率更高,进一步的研究需要确认这种新的可能风险指标的可能性。

原始出处:

Papi P, Murro BD, et al., Prevalence of peri-implant diseases among an Italian population of patients with metabolic syndrome: a cross-sectional study. J Periodontol. 2019 Jul 21. doi: 10.1002/JPER.19-0077. 

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    2020-06-13 feather89
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    2019-09-25 huangdf
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    2019-07-30 xinmeili
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