Associate Professor, Division Head of Periodontics, Postgraduate Program Director of Periodontics, Department of Dental Diagnostic and Surgical Sciences, College of Dentistry, University of Manitoba, Winnipeg, MB, Canada.
Dentistry Librarian, MLIS: Master of Library and Information Studies, Neil John Maclean Health Sciences Library, University of Manitoba, Winnipeg, MB, Canada.
Implant Dent. 2019 Apr;28(2):161-172. doi: 10.1097/ID.0000000000000837.
Patient-administered and professionally administered periimplant maintenance have been recommended to ensure long-term periimplant tissue health. In this narrative review, the effectiveness of patient and professionally administered interventions and the current level of evidence that periimplant maintenance therapy is effective in preventing the occurrence of periimplant disease were examined.
A systematic literature search was performed in Ovid MEDLINE, EMBASE, Cochrane Library, and Web of Science, for evidence-based articles in support of the above topics.
Twenty-six clinical trials were included and stratified into categories based on topics.
The following conclusions were reached: (a) mechanical plaque removal is the foundation of successful periimplant therapy; (b) patient- and professionally administered plaque control has been shown to reduce periimplant inflammation, although complete resolution of inflammation is not always evident; (c) the use of adjunctive chemical agents in maintaining periimplant health still remains to be determined; and (d) regular periimplant maintenance plays a significant role in maintaining periimplant soft and hard tissue health.
为了确保长期的种植体周围组织健康，推荐了患者自行管理和专业人员管理的种植体周围维护。在本叙述性综述中，检查了患者和专业人员管理干预措施的有效性，以及当前证据水平表明种植体周围维护治疗在预防种植体周围疾病方面的有效性。
在 Ovid MEDLINE、EMBASE、Cochrane 图书馆和 Web of Science 中进行了系统的文献检索，以获取支持上述主题的循证文章。
共纳入 26 项临床试验，并根据主题进行分类。
得出以下结论：（a）机械菌斑清除是成功种植体治疗的基础；（b）患者和专业人员管理的菌斑控制已被证明可以减少种植体周围炎症，尽管炎症的完全缓解并不总是明显；（c）在维护种植体健康方面使用辅助化学剂仍有待确定；（d）定期进行种植体周围维护对于维持种植体周围软硬组织健康起着重要作用。
