Holt Robert L, Rosenberg Marvin M, Zinser Phillip J, Ganeles Jeffrey
Nova Southeastern University, College of Dental Medicine, Fort Lauderdale, Florida, USA.
Int J Periodontics Restorative Dent. 2002 Oct;22(5):473-81.
It has become widely accepted that modern titanium dental implants are successful and predictable. However, there is bone loss in relation to any interface (microgap) that occurs between the implant parts when the microgap is in proximity or apical to the osseous crest. The principle of biologic width may be responsible for such bone remodeling in an apical manner. A new, biologically derived implant design that conceptually may minimize bone remodeling and promote better bone and overlying gingival contours and stability is suggested. The parabolic occlusal platform of this design is in harmony with the biologic width of the soft tissue around the circumference of the implant when the proximal bone is occlusal to the facial and lingual bone. Preservation of proximal bone for an isolated implant, and between implants, will help support and maintain physiologic and cosmetic gingival contours and papillae. This is of particular importance in esthetic areas, where interproximal bone loss between implants or between an implant and an adjacent tooth may cause a reduction in gingival papilla height.
现代钛牙种植体已被广泛认为是成功且可预测的。然而,当种植体部件之间的微间隙靠近骨嵴或在骨嵴根尖方向时,在任何界面(微间隙)处都会发生骨吸收。生物学宽度原理可能以根尖方式导致这种骨重塑。有人提出了一种新的、源自生物的种植体设计,从概念上讲,这种设计可以最大限度地减少骨重塑,并促进更好的骨及覆盖牙龈的轮廓和稳定性。当近端骨位于种植体周围软组织的生物学宽度的咬合面时,这种设计的抛物线形咬合平台与种植体周围软组织的生物学宽度相协调。保留单个种植体之间以及种植体之间的近端骨,将有助于支持和维持生理性和美观性的牙龈轮廓及龈乳头。这在美学区域尤为重要,因为种植体之间或种植体与相邻牙齿之间的邻间骨吸收可能会导致牙龈乳头高度降低。