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3种降糖药物影响T2DM患者种植体边缘骨吸收的研究
引用本文:施少杰,丁锋,王蕾,张思佳,刘向东,王星星,赵国强,赵文爽,宋应亮. 3种降糖药物影响T2DM患者种植体边缘骨吸收的研究[J]. 实用口腔医学杂志, 2021, 0(2): 202-206
作者姓名:施少杰  丁锋  王蕾  张思佳  刘向东  王星星  赵国强  赵文爽  宋应亮
作者单位:军事口腔医学国家重点实验室
基金项目:国家自然科学基金(编号:81771107)。
摘    要:目的:比较3种降糖药物对T2 DM患者齿科种植体骨结合早期边缘骨吸收的影响.方法:收集T2 DM患者种植治疗的病历,采集信息,根据影像学资料计算种植术后6月种植体边缘骨吸收,方差分析比较组间差异.结果:纳入患者208例,种植体381枚.胰岛素和二甲双胍组的近中骨吸收大于GLP-1类药物(P<0.05),二甲双胍的远中骨...

关 键 词:T2DM  齿科种植体  边缘骨吸收  降糖药物  胰岛素  二甲双胍  胰高血糖素-1样肽

Influence of 3 hypoglycemic agents on marginal bone loss around dental implants in T2DM patients
SHI Shaojie,DING Feng,WANG Lei,ZHANG Sijia,LIU Xiangdong,WANG Xingxing,ZHAO Guoqiang,ZHAO Wenshuang,SONG Yingliang. Influence of 3 hypoglycemic agents on marginal bone loss around dental implants in T2DM patients[J]. Journal of Practical Stomatology, 2021, 0(2): 202-206
Authors:SHI Shaojie  DING Feng  WANG Lei  ZHANG Sijia  LIU Xiangdong  WANG Xingxing  ZHAO Guoqiang  ZHAO Wenshuang  SONG Yingliang
Affiliation:(State Key Laboratory of Military Stomatology&National Clinical Research Center for Oral Diseases&Shaanxi Engineering Research Center for Dental Materials and Advanced Manufacture,Department of Oral Implants,School of Stomatology,the Fourth Military Medical University,Shaanxi Province,Xi'an 710032 China)
Abstract:Objective:To compare the marginal bone loss at the early stage of osseointegration in T2DM patients treated with 3 types of hypoglycemic drugs.Methods:Patients with T2DM who received dental implantation were incluted and the information was gathered.According to the morphological data,the marginal bone loss 6 months after implantation was measured and analyzed.The comparison between groups was performed by variance analysis.Results:A total of 208 patients with 381 implants were included.The mesial marginal bone loss in insulin and metformin group was higher than that in GLP-1 group(P<0.05).The distal marginal bone resorption was higher in metformin than that in insulin group and GLP-1 group(P<0.05).Conclusion:GLP-1 drugs and insulin may have better protective effect on peri-implant bone than metformin.
Keywords:Type 2 diabetes mellitus  Dental implant  Marginal bone loss  Hypoglycemic drugs  Insulin  Metformin  Glucagon-like peptide-1
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