Department of Oral Implantology and Prosthodontics, Academic Centre for Dentistry Amsterdam, Research Institute MOVE, University of Amsterdam, Amsterdam, The Netherlands.
Int J Oral Maxillofac Implants. 2012 Sep-Oct;27(5):1043-54.
To review the literature on decontamination of titanium implant surfaces following peri-implantitis and the effect of various cleaning methods on re-osseointegration.
An electronic search of the literature at PubMed was conducted on the studies published between 1966 and October 2010. In vitro, animal, and clinical studies were included.
Of 597 studies retrieved, 74 manuscripts were selected for the review. Various implant surface decontamination methods using various chemical and mechanical agents have been suggested for treatment and re-osseointegration following periimplantitis. It has been shown that re-osseointegration of contaminated implant surfaces is possible; this largely depends upon the surface of the implant and the types of decontamination techniques and bone regenerative materials used. Complete re-osseointegration cannot be achieved by surface decontamination alone. Titanium implants with titanium plasma-sprayed or sandblasted and acid-etched surfaces may be effectively decontaminated by applying chlorhexidine and saline-soaked gauze or by repeated rinsing with these solutions.
Both mechanical and chemical decontamination techniques should be applied alongside regenerative surgical procedures to obtain optimum re-osseointegration and successfully treat peri-implantitis. In recent years, lasers and photodynamic therapy have shown minor beneficial results, which need to be confirmed by long-term clinical studies with comparable groups.
回顾有关种植体周围炎后钛种植体表面去污及各种清洁方法对再骨整合影响的文献。
在 PubMed 上对 1966 年至 2010 年 10 月间发表的研究进行电子检索。纳入了体外、动物和临床研究。
在检索到的 597 项研究中，有 74 篇文章被选入综述。已经提出了各种使用各种化学和机械试剂的种植体表面去污方法，用于治疗和再骨整合种植体周围炎。已经表明，污染种植体表面的再骨整合是可能的；这在很大程度上取决于种植体的表面以及所使用的去污技术和骨再生材料的类型。单独的表面去污不能实现完全的再骨整合。通过应用洗必泰及盐水浸湿的纱布或反复冲洗这些溶液，可有效去污钛等离子喷涂或喷砂酸蚀表面的钛种植体。
机械和化学去污技术应与再生手术程序联合应用，以获得最佳的再骨整合并成功治疗种植体周围炎。近年来，激光和光动力疗法显示出较小的有益效果，但需要通过具有可比组的长期临床研究加以证实。
