Gong P
Department of Dental Implantology, West China Hospital of Stomatology, Sichuan University & State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases, Chengdu 610041, China.
Zhonghua Kou Qiang Yi Xue Za Zhi. 2018 Dec 9;53(12):800-804. doi: 10.3760/cma.j.issn.1002-0098.2018.12.002.
Peri-implantitis, restoration loosening and fracture, implant structural damage are common post-restorative complications in implant rehabilitation. With an increasing incidence, they may occur in implant-supported single or splinted crowns, bridges, overdenture or fixed denture. Possible causes involve not only the design of implant components structure and characteristics of restorative materials, but also the design of restoration and the occlusal function and structure of patients. Despite the hard texture of teeth, occlusal force may cause abrasion to occlusal and proximal aspects, as well as mesial migration of tooth, leading to continuous change of occlusal structure and function through the whole life. It should be considered in implant placement surgery, design and maintenance of restorations. From considerations of occlusal function and structure, the present article reviews and elaborates the effect, potential hazard, management and prophylaxis of post-implant-restorative complications.
种植体周围炎、修复体松动与折断、种植体结构损坏是种植修复后常见的修复后并发症。随着发病率的增加，它们可能发生在种植体支持的单冠或联冠、桥体、覆盖义齿或固定义齿中。可能的原因不仅涉及种植体部件结构的设计和修复材料的特性，还包括修复体的设计以及患者的咬合功能和结构。尽管牙齿质地坚硬，但咬合力可能会导致牙齿的咬合面和邻面磨损，以及牙齿的近中移位，从而在整个生命周期中导致咬合结构和功能的持续变化。在种植体植入手术、修复体的设计和维护中都应予以考虑。从咬合功能和结构的角度出发，本文对种植修复后并发症的影响、潜在危害、处理和预防进行了综述和阐述。
