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J Endod：II型糖尿病患者根尖周炎非手术治疗后的愈合情况评估

2017-08-15 MedSci MedSci原创

根尖周炎糖尿病根尖愈合根管治疗
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这篇前瞻性研究的目的是为了比较II型糖尿病和非糖尿病患者之间初次根管治疗的成功率，并评估根尖愈合对II型糖尿病合并根尖周炎患者糖化血红蛋白(HbA1c)的影响。

这篇前瞻性研究的目的是为了比较II型糖尿病和非糖尿病患者之间初次根管治疗的成功率，并评估根尖愈合对II型糖尿病合并根尖周炎患者糖化血红蛋白(HbA1c)的影响。研究选取60颗牙髓坏死伴随根尖X线透射(范围≥ 2 mm × 2 mm)的下颌磨牙作为实验对象。按照HbA1c水平，将患者分为2组：II型糖尿病(HbA1c ≥6.5%)和非糖尿病(HbA1c <6.5%)。46颗牙齿进行了为期12个月的随访调查。最初的疗效评估是通过根尖周骨密度指标的变化进行判定。结果显示，在牙髓治疗术后12个月，糖尿病和非糖尿病组的根尖周骨密度评分均明显下降(P < .05)。糖尿病组术后12个月的根尖愈合程度(43%)要明显低于非糖尿病组(80%)。糖尿病组的HbA1c水平在术后任何一次的随访中均有不同程度的上调。结论：就根尖周愈合情况来看，糖尿病可能对牙髓治疗效果存在负面影响。非手术牙髓治疗不能改善II型糖尿病患者的HbA1c水平。原始出处：Arya S， Duhan J， et al. Healing of Apical Periodontitis after Nonsurgical Tre

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    2017-08-17 lixiaol

    #手术治疗#

    0

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    2017-08-17 zhangbaojun

    #根尖周炎#

    0

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    2017-08-17 chentianping

    #非手术治疗#

    0

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    2017-08-17 lsj629

    #II型糖尿病#

    0

  5. 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replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo5nmIH5IQqCKjJgSCuicPWUWOUcdqt1ROPnEiaOYN4pSHibDv8la3OxNLalvuvUXn8clpJlrpuyTpckgt9OPkeSSdT/0, createdBy=8fd71930726, createdName=半夏微凉, createdTime=Wed Aug 16 06:50:06 CST 2017, time=2017-08-16, status=1, ipAttribution=)]
    2017-08-17 xue8604

    #糖尿病患者#

    0

  6. 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    2017-08-17 cherry bomb

    学习了谢谢分享

    0

  7. 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replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo5nmIH5IQqCKjJgSCuicPWUWOUcdqt1ROPnEiaOYN4pSHibDv8la3OxNLalvuvUXn8clpJlrpuyTpckgt9OPkeSSdT/0, createdBy=8fd71930726, createdName=半夏微凉, createdTime=Wed Aug 16 06:50:06 CST 2017, time=2017-08-16, status=1, ipAttribution=)]
    2017-08-16 明月清辉

    谢谢分享，学习了

    0

  8. 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beContent=null, objectType=article, channel=null, level=null, likeNumber=118, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=45101626056, createdName=忠诚向上, createdTime=Wed Aug 16 07:39:11 CST 2017, time=2017-08-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=233971, encodeId=01aa2339e12d, content=学习了谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=148, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2017/04/21/72142930668371951a41ef4ea4b233e6.jpg, createdBy=dcbc1715228, createdName=刘煜, createdTime=Wed Aug 16 07:08:04 CST 2017, time=2017-08-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=233959, encodeId=d9d223395940, content=学习了谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=132, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo5nmIH5IQqCKjJgSCuicPWUWOUcdqt1ROPnEiaOYN4pSHibDv8la3OxNLalvuvUXn8clpJlrpuyTpckgt9OPkeSSdT/0, createdBy=8fd71930726, createdName=半夏微凉, createdTime=Wed Aug 16 06:50:06 CST 2017, time=2017-08-16, status=1, ipAttribution=)]
    2017-08-16 忠诚向上

    好好学习看看

    0

  9. 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replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo5nmIH5IQqCKjJgSCuicPWUWOUcdqt1ROPnEiaOYN4pSHibDv8la3OxNLalvuvUXn8clpJlrpuyTpckgt9OPkeSSdT/0, createdBy=8fd71930726, createdName=半夏微凉, createdTime=Wed Aug 16 06:50:06 CST 2017, time=2017-08-16, status=1, ipAttribution=)]
    2017-08-16 刘煜

    学习了谢谢分享

    0

  10. 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replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo5nmIH5IQqCKjJgSCuicPWUWOUcdqt1ROPnEiaOYN4pSHibDv8la3OxNLalvuvUXn8clpJlrpuyTpckgt9OPkeSSdT/0, createdBy=8fd71930726, createdName=半夏微凉, createdTime=Wed Aug 16 06:50:06 CST 2017, time=2017-08-16, status=1, ipAttribution=)]
    2017-08-16 半夏微凉

    学习了谢谢分享

    0

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已知牙周病与全身性疾病的发生有关，但是根尖周炎与全身疾病之间的关联却并不清楚。因此，本研究旨在探究瑞典人群中根尖周炎与全身性疾病患病率之间的关系。研究人员从1676名参与者的流行病学样本中随机抽取150名受试者。最终120名受试者同意参与研究，其基本和临床检查数据可用于本次研究分析，其中牙科X线用于记录根管治疗和根尖周炎的影像。从X-线影像计算受试者的根尖指数和改良的牙科指数总分以分别对其根尖周炎

Int Dent J：边缘性骨丧失可导致根尖周炎的发生

近日有研究表明，患者根尖周炎的发生与边缘性牙周炎有关联。该研究与2015年4月在线发表于INTERNATIONAL DENTAL JOURNAL《国际牙科杂志》。本研究的目的是为了评估普通人群中已做过根管治疗牙齿的根尖周炎与边缘性骨丧失（MBL）之间的关系。本研究纳入1152名参与者，皆接受过临床和影像学研究。记录每位研究对象根管治疗及根尖周炎

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