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专家对黏膜炎和种植体周围炎的管理决策和态度。

Specialists' management decisions and attitudes towards mucositis and peri-implantitis.

机构信息

School of Dentistry and Oral Health, Griffith University, 16-30 High Street, QLD 4215, Gold Coast, Australia.

出版信息

Br Dent J. 2012 Jan 13;212(1):E1. doi: 10.1038/sj.bdj.2012.1.

DOI:10.1038/sj.bdj.2012.1
PMID:22240713
Abstract

BACKGROUND

Pathology of the peri-implant tissues, namely peri-implant mucositis and peri-implantitis are conditions that are often encountered and can threaten the long term survival of the implants.

AIM

This study aimed to compare the attitudes of registered specialists in periodontology in Australia and the UK towards aetiology, prevalence, diagnosis and management of mucositis and peri-implantitis.

METHODS

A validated questionnaire was used and the sample consisted of UK and Australian specialists.

RESULTS

There were differences in the demographics of specialists in the two countries, with the Australian specialists being significantly younger. Most specialists in both countries identified the prevalence of peri-implant pathology between 0-25%. Although there was agreement as to the role of plaque in the aetiopathogenesis of the diseases, UK specialists were more likely to include adverse loading and smoking as etiological factors. There were significant differences in the management of the disease between the groups, including the use of mouth rinses, local and systemic antibiotics. Australians were more likely to use systemic antibiotics than in the UK.

CONCLUSIONS

The results suggested that differences in professional demographics, educational resources and market factors, and the absence of consensus treatment standards can significantly affect the treatment modalities patients finally receive.

摘要

背景

种植体周围组织的病理学,即种植体周围黏膜炎和种植体周围炎,是经常遇到的情况,可能会威胁种植体的长期生存。

目的

本研究旨在比较澳大利亚和英国注册牙周病专家对黏膜炎和种植体周围炎的病因、流行率、诊断和治疗的态度。

方法

使用了经过验证的问卷,样本由英国和澳大利亚的专家组成。

结果

两国专家的人口统计学特征存在差异,澳大利亚专家明显更年轻。两国的大多数专家都认为种植体周围病理的流行率在 0-25%之间。尽管两国专家都认同菌斑在疾病的病因发病机制中的作用,但英国专家更倾向于将不良负荷和吸烟作为病因因素。两组在疾病的治疗管理方面存在显著差异,包括使用漱口液、局部和全身抗生素。澳大利亚人比英国人更倾向于使用全身抗生素。

结论

结果表明,专业人口统计学、教育资源和市场因素的差异,以及缺乏共识的治疗标准,可能会显著影响患者最终接受的治疗方式。

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