Wang Yulan, Zhang Yufeng, Miron Richard J
The State Key Laboratory Breeding Base of Basic Science of Stomatology (Hubei-MOST), Key Laboratory of Oral Biomedicine Ministry of Education, School & Hospital of Stomatology, Wuhan University, Wuhan, China.
Clin Implant Dent Relat Res. 2016 Jun;18(3):618-34. doi: 10.1111/cid.12343. Epub 2015 Apr 15.
The health of peri-implant soft tissues is one of the most important aspects of osseointegration necessary for the long-term survival of dental implants.
To review the process of soft tissue healing around osseointegrated implants and discuss the maintenance requirements as well as the possible short-comings of peri-implant soft tissue integration.
Literature search on the process involved in osseointegration, soft tissue healing and currently available treatment modalities was performed and a brief description of each process was provided.
The peri-implant interface has been shown to be less effective than natural teeth in resisting bacterial invasion because gingival fiber alignment and reduced vascular supply make it more vulnerable to subsequent peri-implant disease and future bone loss around implants. And we summarized common procedures which have been shown to be effective in preventing peri-implantitis disease progression as well as clinical techniques utilized to regenerate soft tissues with bone loss in advanced cases of peri-implantitis.
Due to the difference between peri-implant interface and natural teeth, clinicians and patients should pay more attention in the maintenance and recovery of soft tissues around implants.
种植体周围软组织的健康是牙种植体长期存活所需骨结合的最重要方面之一。
回顾骨结合种植体周围软组织的愈合过程，讨论种植体周围软组织结合的维护要求以及可能存在的不足。
对骨结合、软组织愈合及当前可用治疗方式所涉及的过程进行文献检索，并对每个过程进行简要描述。
种植体周围界面在抵抗细菌入侵方面比天然牙效果差，因为牙龈纤维排列和血管供应减少使其更容易发生种植体周围疾病及种植体周围未来的骨质流失。我们总结了已被证明对预防种植体周围炎疾病进展有效的常见程序，以及在晚期种植体周围炎伴有骨质流失病例中用于再生软组织的临床技术。
由于种植体周围界面与天然牙之间存在差异，临床医生和患者应更加关注种植体周围软组织的维护和恢复。
