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基于生物学的理念设计围绕牙种植体的初期稳定性:优化软硬组织整合的手术和修复学考虑。

A Biologically Driven Concept to Design the Emergence Profile Around Dental Implants: Surgical and Prosthetic Considerations to Optimize Hard and Soft Tissue Integration.

出版信息

Int J Periodontics Restorative Dent. 2021 Nov-Dec;41(6):913-921. doi: 10.11607/prd.5063.

Abstract

The emergence profile is a crucial factor in facilitating favorable esthetic outcomes and maintaining peri-implant health and stability. It should be evaluated not simply in terms of morphology but as a clinical variable closely related to material properties and clinical approaches; in this way, this critical factor-which can significantly influence the integration, stability, and preservation of bone and soft tissues-can be comprehensively planned. Soft tissue integration and adherence to prosthetic components are paramount elements in the preservation and protection of bone from contamination and infection. The present narrative paper presents a prosthetic concept suggested as an operative strategy to preserve peri-implant hard and soft tissues and achieve predictable prosthetic outcomes, optimizing soft tissue integration. Achieving an ideal soft tissue seal around implants is paramount in achieving stable restorations and protecting the bone interface from possible contamination and infection.

摘要

种植体的初期稳定性是获得良好美学效果和维持种植体周围健康稳定的关键因素。评估初期稳定性时,不仅要考虑形态学因素,还要将其视为与材料特性和临床方法密切相关的临床变量;通过这种方式,可以全面规划这一关键因素,该因素可显著影响骨和软组织的整合、稳定性和保持。软组织整合和与修复体组件的附着是保护骨组织免受污染和感染的至关重要的因素。本文提出了一种修复体概念,作为一种保留种植体周围软硬组织和获得可预测修复效果的手术策略,该策略可优化软组织整合。在种植体周围获得理想的软组织封闭对于获得稳定的修复体和保护骨界面免受可能的污染和感染至关重要。

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