Alani A, Bishop K
Department of Restorative Dentistry, Kings College Hospital, Denmark Hill, London, SE5 9RS.
Department of Restorative Dentistry, Maxillofacial Unit, Morriston Hospital, Swansea, SA6 6NL.
Br Dent J. 2014 Sep;217(6):289-97. doi: 10.1038/sj.bdj.2014.809.
The prevention of any disease process should be the cornerstone of any healthcare provision. This ethos is well established in dentistry with plaque associated disease such as periodontitis and caries but is at the current time less developed for peri-implantitis. The current review identities potential modifiable and non-modifiable risk factors for per-implantitis development and details strategies for the prevention of the disease. These include poor oral hygiene, previous history of periodontitis, smoking, genetic factors, occlusal overload and foreign body reactions. Local factors include soft tissue and bone quality, implant positioning, restoration design and the implant-abutment interface. An implant maintenance protocol is proposed and a schematic for maintenance visits is also detailed.
任何疾病进程的预防都应是任何医疗保健服务的基石。这种理念在牙科领域对于诸如牙周炎和龋齿等与牙菌斑相关的疾病已得到充分确立，但目前在种植体周围炎方面的发展尚显不足。当前的综述确定了种植体周围炎发生的潜在可改变和不可改变的风险因素，并详细阐述了预防该疾病的策略。这些因素包括口腔卫生不良、牙周炎既往史、吸烟、遗传因素、咬合负荷过重和异物反应。局部因素包括软组织和骨质量、种植体位置、修复设计以及种植体 - 基台界面。本文提出了一种种植体维护方案，并详细说明了维护就诊的示意图。
