Braz Oral Res:糖尿病/高糖与种植体周围炎的高发病风险相关

2019-10-14 不详 网络

本次系统性评论旨在总结关于糖尿病(DM)与牙种植体周围并发症之间关系的证据。从1990年到2018年5月(含),使用MeSH术语和其他关键字对MEDLINE,EMBASE,JBI系统评价和实施报告数据库,Cochrane系统评价数据库和PROSPERO电子数据库进行了搜索。系统回顾和荟萃分析调查了糖尿病与植入物并发症(失败,生存,骨丧失,植入物周围疾病和手术后感染)之间的关系。使用多重系统评价工具

本次系统性评论旨在总结关于糖尿病(DM)与牙种植体周围并发症之间关系的证据。

从1990年到2018年5月(含),使用MeSH术语和其他关键字对MEDLINE,EMBASE,JBI系统评价和实施报告数据库,Cochrane系统评价数据库和PROSPERO电子数据库进行了搜索。系统回顾和荟萃分析调查了糖尿病与植入物并发症(失败,生存,骨丧失,植入物周围疾病和手术后感染)之间的关系。使用多重系统评价工具2(AMSTAR 2)评估所纳入评价的质量。

研究共纳入十二项系统评价。DM患者的植入物存活率从83.5%到100%不等,而植入物失败率从0%到14.3%不等。对事件“植入失败”进行的三项荟萃分析显示,糖尿病和非糖尿病受试者之间无明显统计学差异。据报道,DM患者的种植体周围炎风险明显增加。根据AMSTAR 2分类,有50%的评论被归为“严重低”,有25%的评论为“低”,有25%的评论为“中”。有证据表明,DM患者植入的植入物具有较高的存活率和较低的失败率。然而,在大多数研究中,糖尿病是整体评估的,高血糖症对植入物存活/失败的实际影响仍不确定。

总之,本次系统评价表明DM/高血糖症似乎与种植体周围炎的高风险有关。但是,该结论基于有限的系统评价。

原始出处:

Meza Maurício J, Miranda TS, et al., An umbrella review on the effects of diabetes on implant failure and peri-implant diseases. Braz Oral Res. 2019 Sep 30;33(suppl 1):e070. doi: 10.1590/1807-3107bor-2019.vol33.0070. eCollection 2019.

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    2020-05-20 huangdf
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    2020-07-29 小几洁
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    2019-10-14 misszhang

    谢谢MedSci提供最新的资讯

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