中国口腔种植学杂志 ›› 2024, Vol. 29 ›› Issue (4): 347-351.DOI: 10.12337/zgkqzzxzz.2024.08.009

• “全身系统性疾病与牙种植”重点栏目 • 上一篇    下一篇

糖尿病影响种植体周软组织封闭的研究进展

王倩1, 袁泉1,2   

  1. 1口腔疾病防治全国重点实验室 国家口腔医学中心 国家口腔疾病临床医学研究中心 四川大学华西口腔医院·医学院,成都 610041;
    2四川大学华西口腔医院种植科,成都 610041
  • 收稿日期:2024-05-28 出版日期:2024-08-30 发布日期:2024-08-16
  • 通讯作者: 袁泉,Email:yuanquan@scu.edu.cn,电话:028-85503579
  • 作者简介:王倩 博士研究生,研究方向:种植体周病、牙周疾病与糖尿病相关的临床和基础研究; 袁泉, 主任医师、教授、博士研究生导师,研究方向:口腔种植与口腔修复
  • 基金资助:
    国家自然科学基金(82125006)

The impact of diabetes on the soft tissue seal surrounding dental implants

Wang Qian1, Yuan Quan1,2   

  1. 1State Key Laboratory of Oral Diseases & National Center for Stomatology & National Clinical Research Center for Oral Diseases, West China Hospital and School of Stomatology, Sichuan University, Chengdu 610041, Sichuan, China;
    2Department of Implantology, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, Sichuan, China
  • Received:2024-05-28 Online:2024-08-30 Published:2024-08-16
  • Contact: Yuan Quan, Email: yuanquan@scu.edu.cn, Tel: 0086-28-85503579
  • Supported by:
    National Natural Science Foundation of China (82125006)

摘要: 种植体周软组织封闭被认为是抵御外界刺激的主要黏膜屏障,也是保持种植体稳定性的关键因素。糖尿病是种植体周炎的风险因素之一。持续的高血糖易造成种植体周软组织的屏障功能障碍,从而诱发种植体周疾病。同时,糖尿病状态下致病菌感染增加、致炎细胞因子过度活跃和伤口愈合受损等可能导致种植体周软组织封闭不良。本文综述了种植体周软组织封闭的结构、糖尿病削弱种植体周软组织封闭的可能因素,并总结了改善糖尿病患者种植体周黏膜屏障的方法,以指导糖尿病患者种植治疗策略的制定。

关键词: 黏膜屏障, 软组织封闭, 糖尿病, 种植体, 种植体周黏膜炎

Abstract: The soft tissue seal around the dental implants is recognized as a primary mucosal barrier against external stimuli and is critical for maintaining implant stability. Diabetes mellitus (DM) is a known risk factor for peri-implantitis. Persistent hyperglycemia can impair the barrier function of peri-implant soft tissues, leading to peri-implant diseases. Moreover, increased pathogenic bacterial infections, excessive inflammatory cytokine activity, and impaired wound healing in diabetic conditions may result in poor soft tissue sealing around implants. This review outlines the structure of peri-implant soft tissue sealing, explores the factors contributing to impaired soft tissue sealing in diabetes, and summarizes methods to improve the mucosal barrier in diabetic patients, providing guidance for implant treatment strategies in diabetic patients.

Key words: Mucosal barrier, Soft tissue seal, Diabetes mellitus, Dental implant, Peri-implant mucositis