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种植体周围炎:病因、诊断与治疗:最新进展

Peri-implantitis: etiology, diagnosis and treatment: an update.

作者信息

Elemek Eser, Almas Khalid

出版信息

N Y State Dent J. 2014 Jan;80(1):26-32.

PMID:24654366
Abstract

Peri-implant mucositis is described as the presence of inflammation in the mucosa around implants without any bone loss. By contrast, in peri-implantitis, besides the inflammation in the peri-implant mucosa, loss of supporting bone is also seen. The probing depth, the presence of bleeding on probing, suppuration and radiographs should be assessed regularly for the diagnosis of peri-implant diseases. Poor oral hygiene, smoking and previous history of periodontitis are known risk factors for the disease. The occlusion and longevity of fixed partial dentures around implants, whether connected to the natural teeth or not, is still an area of investigaton, but studies show that long-term results are acceptable for both. Various treatment modalities are discussed in relation to the management of periimplantitis. The predictable outcome of peri-implantitis management is not yet known.

摘要

种植体周围黏膜炎被描述为种植体周围黏膜存在炎症但无任何骨质流失。相比之下,在种植体周围炎中,除了种植体周围黏膜炎症外,还可见支持骨丧失。应定期评估探诊深度、探诊出血、化脓情况及影像学检查结果,以诊断种植体周围疾病。口腔卫生不良、吸烟和既往牙周炎病史是已知的该疾病危险因素。种植体周围固定局部义齿,无论是否与天然牙相连,其咬合情况和使用寿命仍是一个研究领域,但研究表明两者的长期效果均可接受。针对种植体周围炎的管理讨论了各种治疗方式。种植体周围炎管理的可预测结果尚不清楚。

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