Salvi Giovanni E, Lang Niklaus P
Department of Periodontology and Fixed Prosthodontics, University of Berne, School of Dental Medicine, Berne, Switzerland.
Int J Oral Maxillofac Implants. 2004;19 Suppl:116-27.
To review the literature on clinical, radiographic, and biochemical parameters used for monitoring peri-implant conditions.
A MEDLINE search was conducted that included articles published in English until the end of August 2003. Results from human and experimental animal studies are presented.
The parameters that may be used to assess the presence of peri-implant health and the severity of peri-implant disease include plaque assessment, mucosal conditions, peri-implant probing depth, width of the peri-implant keratinized mucosa, periimplant sulcus fluid analysis, suppuration, implant mobility and discomfort, resonance frequency analysis, and radiographic evaluation.
Based on the analysis of the available evidence, it appears reasonable to use a number of clinical and radiographic parameters to discriminate between peri-implant health and disease.
Systematic and continuous monitoring of peri-implant tissues during maintenance care is recommended for the early diagnosis of peri-implant disease.
回顾用于监测种植体周围状况的临床、影像学和生化参数的相关文献。
进行了一项MEDLINE检索，纳入截至2003年8月底以英文发表的文章。呈现了来自人类和实验动物研究的结果。
可用于评估种植体周围健康状况及种植体周围疾病严重程度的参数包括菌斑评估、黏膜状况、种植体周围探诊深度、种植体周围角化黏膜宽度、种植体周围龈沟液分析、化脓情况、种植体松动度及不适感、共振频率分析和影像学评估。
基于对现有证据的分析，使用多种临床和影像学参数来区分种植体周围健康与疾病似乎是合理的。
建议在维护期对种植体周围组织进行系统且持续的监测，以便早期诊断种植体周围疾病。
