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种植体周围炎及失败种植体的治疗。

Treatment of peri-implantitis and the failing implant.

作者信息

Robertson Kevin, Shahbazian Timothy, MacLeod Stephen

机构信息

Division of Oral and Maxillofacial Surgery and Dental Medicine, Department of Surgery, Loyola University Medical center, 2160 S. First Ave., Maywood, Illinois 60153, USA.

Division of Oral and Maxillofacial Surgery and Dental Medicine, Department of Surgery, Loyola University Medical center, 2160 S. First Ave., Maywood, Illinois 60153, USA.

出版信息

Dent Clin North Am. 2015 Apr;59(2):329-43. doi: 10.1016/j.cden.2014.10.007. Epub 2015 Jan 16.

DOI:10.1016/j.cden.2014.10.007
PMID:25835797
Abstract

Appropriate treatment of implants is becoming increasingly important for the general dentist as the number of implants placed per year continues to increase. Early diagnosis of peri-implantitis is imperative; initiating the correct treatment protocol depends on a proper diagnosis. Several risk factors exist for the development of peri-implantitis, which can guide patient selection and treatment planning. Treatment of peri-implantitis should be tailored to the severity of the lesion (as outlined by the cumulative interceptive supportive treatment protocol), ranging from mechanical debridement to explantation. Several surgical and nonsurgical treatment alternatives exist. There is little consensus on superior treatment methods.

摘要

随着每年植入物植入数量的持续增加,对于普通牙医而言,植入物的恰当治疗变得愈发重要。种植体周围炎的早期诊断至关重要;启动正确的治疗方案取决于准确的诊断。种植体周围炎的发生存在多种风险因素,这些因素可指导患者选择和治疗计划。种植体周围炎的治疗应根据病变的严重程度进行调整(如累积性拦截支持治疗方案所述),范围从机械清创到取出种植体。存在多种手术和非手术治疗选择。对于哪种治疗方法更优,几乎没有共识。

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