Newman M G, Flemmig T F
UCLA School of Dentistry, Section of Periodontics 90024.
J Dent Educ. 1988 Dec;52(12):737-44.
The scientific and clinical acceptance of the success of osseointegrated dental implants has been firmly established, but the relationships between clinical observation and periimplant pathogenesis is not well understood. Data and concepts regarding the diagnostic value of traditional periodontal evaluation parameters, such as pocket probing depth, bleeding on probing, attachment loss, gingival and plaque indices, and the amount of attached gingiva are discussed. The microbiologic characterization of plaque associated with various implant systems reveals many similarities and some differences compared to natural teeth. An hypothesis for the "periodontal" etiology of implant failure is proposed. The maintenance of edentulous and partially edentulous patients with implants is discussed.
骨结合牙种植体成功应用于临床已得到科学和临床的广泛认可，但其临床观察与种植体周围发病机制之间的关系仍未完全明确。本文讨论了传统牙周评估参数（如牙周袋探诊深度、探诊出血、附着丧失、牙龈指数和菌斑指数以及附着龈量）的诊断价值相关数据和概念。与天然牙相比，不同种植系统相关菌斑的微生物学特征显示出许多相似之处和一些差异。本文提出了种植体失败的“牙周”病因假说。还讨论了无牙和部分无牙患者种植体的维护问题。
