Klinge Björn, Hultin Margareta, Berglundh Tord
Karolinska Institutet, Institute of Odontology, Department of Periodontology, P.O. Box 4064, SE-141 04 Huddinge, Sweden.
Dent Clin North Am. 2005 Jul;49(3):661-76, vii-viii. doi: 10.1016/j.cden.2005.03.007.
The risk of developing peri-implantitis seems to be more pronounced in patients with a history of periodontitis. Pretreatment to eliminate periodontal pathogens from the patient's oral cavity before dental implant treatment therefore is important to reduce the risk of peri-implantitis. Smoking has been shown to be a negative risk factor for treatment success. Several protocols have been used in the treatment of peri-implantitis. Mechanical infection control following surgical flap procedures, particularly in conjunction with antimicrobial therapy, is the most successful concept. There is no reliable evidence that suggests which intervention is the most effective for treating peri-implantitis. This article includes background information on the biology of tissue-destructive periodontitis and peri-implantitis to help clinicians interpret the clinical manifestation of the risk for peri-implantitis.
有牙周炎病史的患者发生种植体周围炎的风险似乎更为明显。因此，在种植牙治疗前对患者口腔进行预处理以清除牙周病原体，对于降低种植体周围炎的风险很重要。吸烟已被证明是影响治疗成功的负面风险因素。在种植体周围炎的治疗中已采用了多种方案。手术翻瓣术后进行机械性感染控制，特别是与抗菌治疗相结合，是最成功的理念。没有可靠的证据表明哪种干预措施对治疗种植体周围炎最有效。本文包括关于组织破坏性牙周炎和种植体周围炎生物学的背景信息，以帮助临床医生解读种植体周围炎风险的临床表现。
