Mishler Oksana P, Shiau Harlan J
Department of Periodontics, University of Maryland Dental School, Baltimore, MD 21201, USA.
Department of Periodontics, University of Maryland Dental School, Baltimore, MD 21201, USA.
J Evid Based Dent Pract. 2014 Jun;14 Suppl:53-9. doi: 10.1016/j.jebdp.2014.04.010. Epub 2014 Apr 5.
While the clinical science of managing peri-implant diseases is progressing, careful monitoring and preventive care of peri-implant tissue health during maintenance is paramount.
Implants have become a routine treatment option for missing dentition. The biological complications of restored dental implants and associated supra-structures share similarities with the biofilm infections of natural dentition. Our existing paradigms of periodontal disease treatment can partially be applied to management of peri-implant disease.
A critical analysis of the peri-implant disease literature was conducted, anchored by a search on the MEDLINE database (2005 to present) by way of Ovid Medline(®). Search terms peri-implantitis, peri-implant mucositis and peri-implant diseases were utilized. Select references within bibliographies of review articles were sought.
The dental team must play a critical role in educating patients to control plaque-biofilm associated with peri-implant tissues and associated restorations. Routine assessments at maintenance appointments allow early treatment intervention to prevent escalation of peri-implant disease. Given the infancy of clinical science surrounding peri-implantitis treatment, further, high-quality evidence based studies are expected.
虽然种植体周围疾病的临床科学正在发展，但在维护期间对种植体周围组织健康进行仔细监测和预防性护理至关重要。
种植体已成为牙列缺失的常规治疗选择。修复后的牙种植体及相关上部结构的生物并发症与天然牙列的生物膜感染有相似之处。我们现有的牙周疾病治疗模式可部分应用于种植体周围疾病的管理。
通过Ovid Medline®在MEDLINE数据库（2005年至今）中进行检索，对种植体周围疾病的文献进行批判性分析。使用了种植体周围炎、种植体周围黏膜炎和种植体周围疾病等检索词。还在综述文章的参考文献中查找了相关文献。
牙科团队在教育患者控制与种植体周围组织及相关修复体相关的菌斑生物膜方面必须发挥关键作用。在维护预约时进行常规评估可实现早期治疗干预，以防止种植体周围疾病的恶化。鉴于种植体周围炎治疗临床科学尚处于起步阶段，预计还会有更多高质量的循证研究。
