Part-time Lecturer, Division of Advanced Prosthetic Dentistry, Tohoku University Graduate School of Dentistry, Sendai, Miyagi, Japan.
Professor, Department of Oral Health Sciences, Faculty of Health, Kristianstad University, Kristianstad, Sweden Honorary Professor, School of Dental Science, Trinity College, Dublin, Ireland.
Implant Dent. 2019 Apr;28(2):144-149. doi: 10.1097/ID.0000000000000868.
The aim of this review is to describe the current guidelines for the differential diagnosis of periimplant diseases.
Synopsis reviews were conducted to define the differential diagnosis of periimplant disease through an electronic literature search in MEDLINE up to February 2018.
Periimplant mucositis is defined by the presence of bleeding and/or suppuration on gentle probing with or without an increased probing depth compared with previous examinations and by the absence of bone loss beyond crestal bone-level changes resulting from initial bone remodeling. Periimplantitis is defined by the presence of bleeding and/or suppuration on gentle probing with an increased probing depth compared with previous examinations and by the presence of bone loss beyond crestal bone-level changes resulting from initial bone remodeling. Thus, a combination of clinical registrations (probing pocket depth, bleeding on probing, and presence of pus) combined with radiographic signs of possible bone loss is needed for differential diagnosis.
An accurate baseline registration at the time of placement of the prosthesis (probing pocket depth and bone level) with ongoing yearly monitoring is essential for diagnosis and appropriate disease management.
本综述旨在描述种植体周围疾病的鉴别诊断的现行指南。
通过对 MEDLINE 数据库进行电子文献检索，对截至 2018 年 2 月的文献进行综述，以明确种植体周围疾病的鉴别诊断。
种植体周围黏膜炎的定义是探诊时出现出血和/或溢脓，与以前的检查相比，探诊深度增加，且在初始骨改建引起的牙槽骨嵴水平变化之外无骨丧失。种植体周围炎的定义是探诊时出现出血和/或溢脓，与以前的检查相比，探诊深度增加，且在初始骨改建引起的牙槽骨嵴水平变化之外有骨丧失。因此，需要结合临床记录（探诊袋深度、探诊出血和脓液存在）和影像学上可能存在骨丧失的迹象进行鉴别诊断。
在修复体放置时（探诊袋深度和骨水平）进行准确的基线登记，并持续每年监测，对诊断和适当的疾病管理至关重要。
