Department of Periodontics and Oral Medicine, School of Dentistry, University of Michigan, Ann Arbor, MI 48109-1078, USA.
Clin Implant Dent Relat Res. 2012 May;14 Suppl 1:e109-18. doi: 10.1111/j.1708-8208.2011.00387.x. Epub 2011 Oct 10.
With the improved macro- and micro-designs, dental implants enjoy a high survival rate. However, peri-implant bone loss has recently emerged to be the focus of implant therapy. As such, researchers and clinicians are in need of finding predictable techniques to treat peri-implant bone loss and stop its progression.
Literature search on the currently available treatment modalities was performed and a brief description of each modality was provided.
Numerous techniques have been proposed and none has been shown to be superior and effective in managing peri-implant bone loss. This may be because of the complex of etiological factors acting on the implant-supported prosthesis hence the treatment approach has to be individually tailored.
Due to the lack of high-level clinical evidence on the management of peri-implant bone loss, the authors, through a literature review, attempt to suggest a decision tree or guideline, based on sound periodontal surgical principles, to aid clinicians in managing peri-implantitis associated bone loss.
随着宏观和微观设计的改进，种植牙的存活率很高。然而，最近出现的种植体周围骨丧失成为种植体治疗的焦点。因此，研究人员和临床医生需要寻找可预测的技术来治疗种植体周围骨丧失并阻止其进展。
对目前可用的治疗方法进行了文献检索，并对每种方法进行了简要描述。
已经提出了许多技术，但没有一种技术被证明在管理种植体周围骨丧失方面具有优越性和有效性。这可能是因为作用于种植体支持修复体的病因因素复杂，因此治疗方法必须个体化。
由于缺乏关于种植体周围骨丧失管理的高水平临床证据，作者通过文献回顾，试图根据合理的牙周手术原则，提出一个决策树或指南，以帮助临床医生管理与种植体周围炎相关的骨丧失。
