Department of Periodontology and Oral Medicine, University of Michigan, Ann Arbor, Michigan, USA.
Department of Periodontology, Universitat Internacional de Catalunya, Barcelona, Spain.
Periodontol 2000. 2024 Feb;94(1):192-212. doi: 10.1111/prd.12523. Epub 2023 Sep 20.
Peri-implantitis is a pathogenic inflammatory condition characterized by progressive bone loss and clinical inflammation that may compromise the stability of dental implants. Therapeutic modalities have been advocated to arrest the disorder and to establish peri-implant health. Reconstructive therapy is indicated for bone defects exhibiting contained/angular components. This therapeutic modality is based upon the application of the biological and technical principles of periodontal regeneration. Nonetheless, the comparative efficacy of reconstructive therapy and nonreconstructive modalities remains unclear. Therefore, the aim of this narrative review is to address major clinical concerns regarding the efficacy, effectiveness, and feasibility of using biomaterials in peri-implantitis therapy. In particular, the use of bone grafting materials, barrier membranes, and biologics is comprehensively explored.
种植体周围炎是一种以进行性骨丧失和临床炎症为特征的致病性炎症性疾病，可能会影响种植牙的稳定性。已经提倡采用多种治疗方法来阻止这种疾病的发展并建立种植体周围健康。对于表现出包含/成角成分的骨缺损，需要进行重建治疗。这种治疗方法基于牙周再生的生物学和技术原则。然而，重建治疗与非重建方法的比较疗效尚不清楚。因此，本叙述性综述的目的是解决关于在种植体周围炎治疗中使用生物材料的疗效、有效性和可行性的主要临床关注点。特别地，全面探讨了骨移植材料、屏障膜和生物制剂的使用。
