School of Health and Society, Department of Oral Health Sciences, Kristianstad University, Kristianstad, Sweden.
School of Dental Science, Trinity College, Dublin, Ireland.
J Clin Periodontol. 2018 Jun;45 Suppl 20:S278-S285. doi: 10.1111/jcpe.12956.
The objective of this review is to identify case definitions and clinical criteria of peri-implant healthy tissues, peri-implant mucositis, and peri-implantitis. The case definitions were constructed based on a review of the evidence applicable for diagnostic considerations. In summary, the diagnostic definition of peri-implant health is based on the following criteria: 1) absence of peri-implant signs of soft tissue inflammation (redness, swelling, profuse bleeding on probing), and 2) the absence of further additional bone loss following initial healing. The diagnostic definition of peri-implant mucositis is based on following criteria: 1) presence of peri-implant signs of inflammation (redness, swelling, line or drop of bleeding within 30 seconds following probing), combined with 2) no additional bone loss following initial healing. The clinical definition of peri-implantitis is based on following criteria: 1) presence of peri-implant signs of inflammation, 2) radiographic evidence of bone loss following initial healing, and 3) increasing probing depth as compared to probing depth values collected after placement of the prosthetic reconstruction. In the absence of previous radiographs, radiographic bone level ≥3 mm in combination with BOP and probing depths ≥6 mm is indicative of peri-implantitis.
本次综述的目的是确定种植体周围健康组织、种植体周围黏膜炎和种植体周围炎的病例定义和临床标准。病例定义是基于对适用于诊断考虑的证据进行回顾而构建的。总的来说，种植体周围健康的诊断定义基于以下标准：1）无软组织炎症的种植体周围迹象（红肿、肿胀、探诊后大量出血），2）初始愈合后无进一步的额外骨丧失。种植体周围黏膜炎的诊断定义基于以下标准：1）存在种植体周围炎症迹象（红肿、肿胀、探诊后 30 秒内有线条或点状出血），结合 2）初始愈合后无额外的骨丧失。种植体周围炎的临床定义基于以下标准：1）存在种植体周围炎症迹象，2）初始愈合后的放射学证据显示骨丧失，3）与放置修复重建后的探诊深度值相比，探诊深度增加。在没有先前的射线照片的情况下，放射学骨水平≥3 毫米结合 BOP 和探诊深度≥6 毫米提示种植体周围炎。
