The effect of diabetes mellitus on osseous healing

被引:168
作者
Retzepi, M. [1 ]
Donos, N. [1 ]
机构
[1] UCL Eastman Dent Inst, Div Clin Res, Periodontol Unit, London WC1X 8LD, England
关键词
bone healing; diabetes mellitus; hyperglycaemia; insulin; ossification; BONE-MINERAL DENSITY; GLYCATION END-PRODUCTS; ALKALINE-PHOSPHATASE ACTIVITY; METABOLIC-CONTROL; GROWTH-FACTOR; GLUCOSE-TRANSPORT; INSULIN INCREASES; TYPE-1; RAT; EXPRESSION;
D O I
10.1111/j.1600-0501.2010.01923.x
中图分类号
R78 [口腔科学];
学科分类号
1003 ;
摘要
Diabetes mellitus and, in particular, type 1 diabetes has been associated with impaired osseous wound healing properties. The scope of the present review is to discuss the clinical evidence supporting a higher rate of complications during fracture healing in diabetic patients and the histological evidence indicating impaired potential for intramembranous and endochondral ossification in the presence of uncontrolled experimental diabetes. The article further provides a synthesis of our current understanding of the plausible molecular mechanisms underlying the diabetic bone healing pathophysiology and of the role of insulin treatment in promoting osseous healing in the diabetic status. To cite this article:Retzepi M, Donos N. The effect of diabetes mellitus on osseous healing.Clin. Oral Impl. Res. 21, 2010; 673-681.doi: 10.1111/j.1600-0501.2010.01923.x.
引用
收藏
页码:673 / 681
页数:9
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