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平台转换技术与牙种植体周围的牙槽骨吸收:一项系统评价。

Platform switching technique and crestal bone loss around the dental implants: A systematic review.

作者信息

Gupta Shivangi, Sabharwal Robin, Nazeer Jazib, Taneja Lavina, Choudhury Basanta Kumar, Sahu Sudipta

机构信息

Department of Periodontology and Implantology, MMCDSR, Mullana, Ambala, Haryana, India.

Department of Oral Pathology and Microbiology, MMCDSR, Mullana, Ambala, Haryana, India.

出版信息

Ann Afr Med. 2019 Jan-Mar;18(1):1-6. doi: 10.4103/aam.aam_15_18.

DOI:10.4103/aam.aam_15_18
PMID:30729925
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6380118/
Abstract

BACKGROUND

The overall success of dental implants depends on the crestal bone support around the implants. During the initial years of dental implant placement, the bone loss around the implants determines the success rate of treatment. Platform switching (PLS) concept preserves the crestal bone loss, and this approach should be applied clinically for the overall success of dental implants.

PURPOSE

The purpose of this study is to discuss the literature dealing with the concept of PLS concept and preservation of marginal bone, the mechanism by which it contributes to maintenance of marginal bone, its clinical applications, advantages, and disadvantages, to assess its survival rates.

MATERIALS AND METHODS

PubMed and Google Scholar search was done to find out the studies involving PLS concept from 2005 to 2017. Data were analyzed using SPSS statistical software.

RESULTS

Literature search revealed studies involving concepts of PLS, comparison of platform-switched and nonplatform-switched implants, case reports on PLS, and studies with histological and finite element analyses regarding PLS.

CONCLUSION

PLS helps preserve crestal bone around the implants, and this concept should be followed when clinical situations in implant placement permit.

摘要

背景

牙种植体的总体成功取决于种植体周围的嵴骨支持。在牙种植体植入的最初几年,种植体周围的骨吸收决定了治疗的成功率。平台转换(PLS)概念可减少嵴骨吸收,临床上应采用这种方法以确保牙种植体的总体成功。

目的

本研究旨在探讨有关PLS概念和边缘骨保存的文献,其促进边缘骨维持的机制、临床应用、优缺点,并评估其生存率。

材料与方法

通过PubMed和谷歌学术搜索2005年至2017年涉及PLS概念的研究。使用SPSS统计软件分析数据。

结果

文献检索发现了涉及PLS概念的研究、平台转换种植体与非平台转换种植体的比较、PLS的病例报告以及有关PLS的组织学和有限元分析研究。

结论

PLS有助于保留种植体周围的嵴骨,在种植体植入的临床情况允许时应遵循这一概念。

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2
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Int J Prosthodont. 2009 May-Jun;22(3):277-82.
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Effect of platform switching on implant crest bone stress: a finite element analysis.平台转换对种植体嵴顶骨应力的影响:有限元分析
Implant Dent. 2009 Jun;18(3):260-9. doi: 10.1097/ID.0b013e31819e8c1d.
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Biomechanical aspects of bone-level diameter shifting at implant-abutment interface.种植体-基台界面处骨水平直径变化的生物力学方面
Implant Dent. 2009 Jun;18(3):239-48. doi: 10.1097/ID.0b013e318198ffd1.
5
The relevance of Choukroun's platelet-rich fibrin and metronidazole during complex maxillary rehabilitations using bone allograft. Part II: implant surgery, prosthodontics, and survival.在使用同种异体骨进行复杂上颌骨修复过程中Choukroun富血小板纤维蛋白与甲硝唑的相关性。第二部分:种植手术、口腔修复学及种植体存留率
Implant Dent. 2009 Jun;18(3):220-9. doi: 10.1097/ID.0b013e31819b5e3f.
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A randomized prospective multicenter trial evaluating the platform-switching technique for the prevention of postrestorative crestal bone loss.一项评估平台转换技术预防修复后牙槽嵴骨吸收的随机前瞻性多中心试验。
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The effect of interimplant distance on the height of the interimplant bone crest when using platform-switched implants.使用平台转换种植体时种植体间距离对种植体间牙槽嵴高度的影响。
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