ETEP (Etiology and Therapy of Periodontal and Peri-Implant Diseases) Research Group, University Complutense, Madrid, Spain.
Department of Periodontology, School of Dental Medicine, University of Bern, Bern, Switzerland.
Periodontol 2000. 2023 Feb;91(1):199-216. doi: 10.1111/prd.12460. Epub 2022 Jul 28.
Peri-implantitis is a plaque-associated pathologic condition occurring in tissues around dental implants, clinically characterized by increased peri-implant probing pocket depth and progressive loss of supporting bone. Consequently, to arrest further disease progression and to increase the chance to obtain re-osseointegration, surgical reconstructive procedures have been adopted. In particular, following a paradigm gathered from periodontal therapy, recent protocols have underlined the importance of a minimally invasive approach to optimize the outcomes of therapy while minimizing the risks of postoperative complications. The present review summarizes the level of evidence on the surgical reconstructive protocols focusing on the new approaches aiming to minimize surgical trauma and patients' postoperative discomfort, underlining the pros and cons of each treatment modality.
种植体周围炎是一种与菌斑相关的疾病，发生在种植体周围组织中，临床上表现为种植体周探诊袋深度增加和支持骨的进行性丧失。因此，为了阻止疾病进一步发展，并增加获得再骨整合的机会，已经采用了手术重建程序。特别是，根据牙周治疗的范例，最近的方案强调了微创方法的重要性，以优化治疗结果，同时将术后并发症的风险降到最低。本综述总结了手术重建方案的证据水平，重点介绍了旨在最小化手术创伤和患者术后不适的新方法，强调了每种治疗方式的优缺点。
