Renvert Stefan, Polyzois Ioannis, Persson G Rutger
Am J Dent. 2013 Dec;26(6):313-8.
To review treatment modalities used for peri-implant mucositis and peri-implantitis.
A literature search was performed in PubMed for articles published until May 2013 using peri-implantitis and peri-implant mucositis and different modalities of treatment as search terms. The search was limited to the English literature. Titles and abstracts were searched in order to find studies eligible for the review.
The present review reported that treatment of peri-implant mucositis lesions using mechanical therapy is possible. The additional use of professionally delivered antimicrobials has commonly failed to show additional benefits as compared to mechanical debridement alone. The scientific evidence on the efficacy of non-surgical and surgical therapies in the treatment of peri-implantitis is limited. Complete resolution of peri-implantitis using mechanical, laser, or photodynamic therapy does not seem to result in a predictable outcome. Following surgical interventions around implants diagnosed with peri-implantitis, clinical improvements as judged by reductions of probing depths and bleeding on probing have been reported. Bone or bone substitutes have been used in attempts to regenerate bone loss around implants. When regenerative modalities have been employed, radiographic evidence of defect fill has been reported. Few long term follow up studies on the treatment of peri-implantitis are available. Positive treatment results can be maintained over a period of 3-5 years. Regardless of the treatment performed, adequate plaque control by the patient is fundamental to treatment success. If the patient cannot obtain an adequate level of oral hygiene, the infection around the implants will reoccur.
回顾用于种植体周围黏膜炎和种植体周围炎的治疗方式。
在PubMed中进行文献检索，以“种植体周围炎”“种植体周围黏膜炎”和不同治疗方式作为检索词，检索截至2013年5月发表的文章。检索限于英文文献。通过检索标题和摘要来查找符合综述要求的研究。
本综述报告称，使用机械治疗方法治疗种植体周围黏膜炎病变是可行的。与单纯机械清创相比，额外使用专业提供的抗菌剂通常未显示出额外的益处。关于非手术和手术治疗种植体周围炎疗效的科学证据有限。使用机械、激光或光动力疗法完全治愈种植体周围炎似乎无法产生可预测的结果。在对诊断为种植体周围炎的种植体进行手术干预后，有报告称通过探诊深度降低和探诊出血减少来判断，临床症状有所改善。已尝试使用骨或骨替代物来再生种植体周围的骨丢失。当采用再生方式时，有报告显示存在缺损填充的影像学证据。关于种植体周围炎治疗的长期随访研究很少。积极的治疗结果可维持3至5年。无论进行何种治疗，患者充分控制菌斑对于治疗成功至关重要。如果患者无法达到足够的口腔卫生水平，种植体周围的感染将会复发。
