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临床医生如何降低种植体周围炎的风险?

How Can Clinicians Limit the Risk of Peri-implantitis?

作者信息

Wadhwani Chandur P K

机构信息

Affiliate Assistant Professor, Restorative Department, University of Washington School of Dentistry, Seattle, Washington; Adjunct Assistant Professor, Advanced Education Program in Prosthodontics, Loma Linda University School of Dentistry, Loma Linda, California; Affiliate Associate Professor, Graduate Periodontics, Oregon Health and Science University School of Dentistry, Portland, Oregon; Private Practice, Bellevue, Washington.

出版信息

Compend Contin Educ Dent. 2020 Jul/Aug;41(7):387-391.

Abstract

When using dental implants as a treatment modality for tooth replacement, the integration of peri-implant soft tissue is an extremely important consideration. Numerous systemic risk factors for peri-implant disease are known to be associated with peri-implant soft tissues. The soft-tissue connection provides a barrier seal directly to the implant or implant abutment and plays a critical role in limiting peri-implant disease. Therefore, clinicicans must take great care in managing the soft tissue. This article discusses three key stages of soft-tissue connection that should be considered when providing dental implant therapy: the healing stage, where cellular adhesion and proliferation are attained; the restorative phase, during which protection is provided to the mature soft-tissue site; and maintenance, a phase where the soft tissue offers revealing information about the health of the implant.

摘要

当使用牙种植体作为牙齿替代的治疗方式时,种植体周围软组织的整合是一个极其重要的考量因素。已知许多种植体周围疾病的全身风险因素都与种植体周围软组织有关。软组织连接直接为种植体或种植体基台提供屏障密封,并在限制种植体周围疾病方面发挥关键作用。因此,临床医生在管理软组织时必须格外小心。本文讨论了在提供牙种植治疗时应考虑的软组织连接的三个关键阶段:愈合阶段,在此阶段实现细胞粘附和增殖;修复阶段,在此期间对成熟的软组织部位提供保护;以及维护阶段,在此阶段软组织提供有关种植体健康的重要信息。

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