Int J Oral Implantol (Berl). 2021 Nov 2;14(4):385-399.
Peri-implant diseases at implant sites represent the most considerable concern for many dental clinicians nowadays due to their detrimental effect on implant longevity. Preventive measures include patient education and motivation, supportive peri-implant therapy and routine assessment of the hard and soft tissues. Nevertheless, the reliability of clinical parameters to monitor peri-implant conditions is subject to debate. As such, the primary purpose of the present review was to gain further insight into the diagnostic accuracy of probing as a clinical tool to monitor dental implants and assist clinicians in preventing peri-implant diseases. Studies have recommended periodic probing to monitor the condition of the peri-implant tissues. Increased probing pocket depth, profuse bleeding on probing and suppuration at implants are clinical signs that have been associated with peri-implantitis; thus, if these clinical parameters are present, radiographic assessment is encouraged to make a definitive diagnosis considering potential inaccuracies related to local and/or systemic factors identified in the present review.
种植体周围疾病是当今许多牙科临床医生最关心的问题，因为它们会对种植体的使用寿命产生不利影响。预防措施包括患者教育和激励、支持性种植体周围治疗以及对硬组织和软组织的常规评估。然而，临床参数监测种植体周围状况的可靠性仍存在争议。因此，本综述的主要目的是进一步了解探测作为监测牙种植体的临床工具的诊断准确性，并帮助临床医生预防种植体周围疾病。研究建议定期探测以监测种植体周围组织的状况。探测时的牙周袋深度增加、探诊时大量出血和种植体溢脓是与种植体周围炎相关的临床征象；因此，如果存在这些临床参数，建议进行影像学评估，以做出明确诊断，同时考虑到本综述中确定的与局部和/或全身因素相关的潜在不准确性。
