目前对种植体周围疾病的病因、诊断、治疗和管理的认识:韩国牙周病学会共识报告的叙述性回顾。

IF 2.2 4区 医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE
Yun-Jeong Kim, Young Woo Song, Shin-Young Park, Jae-Kook Cha, Hyo-Jung Lee, Seung-Min Yang, Jun-Beom Park, Ki-Tae Koo
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引用次数: 0

摘要

在过去的几十年里,种植牙已经成功地用于替代由于牙周病和其他疾病而失去的牙齿。然而,与天然牙齿类似,牙种植体容易受到种植体周围炎症性疾病的影响,这可能会损害它们的长期生存能力。本文旨在总结目前对种植体周围疾病的认识,并讨论其诊断、治疗和长期管理的有效策略。与种植体周围疾病相关的证据分为4部分进行分类和回顾:1)定义、流行和分类;2)危险指标及病因;3)诊断标准;4)种植体周围疾病的治疗方案。种植体周围粘膜炎和种植体周围炎的患病率显著,分别占种植体病例的43%和22%。主要的危险因素包括口腔卫生不良、有牙周炎病史以及糖尿病和吸烟等全身性疾病。治疗结果受假体设计和周围软组织状况的影响。处理策略包括:1)对诊断为种植体周围粘膜炎的种植体进行非手术治疗;2)对受种植体周围炎影响的种植体进行综合治疗,包括机械、化学清创和手术通路;3)去除失败的种植体,然后修复已有的种植体周围骨缺损。种植体周围疾病的管理需要一种综合的方法,包括风险评估、量身定制的治疗计划和严格的维护方案。定期随访和患者教育对于预防疾病复发和确保种植体治疗的长期成功至关重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Current understanding of the etiology, diagnosis, treatment, and management of peri-implant diseases: a narrative review for the consensus report of the Korean Academy of Periodontology.

Over the past few decades, dental implants have been successfully utilized to replace teeth lost due to periodontal disease and other conditions. However, similar to natural teeth, dental implants are vulnerable to inflammatory peri-implant diseases, which can compromise their long-term viability. This review aims to summarize the current understanding of peri-implant diseases and discuss effective strategies for their diagnosis, treatment, and long-term management. Evidence related to peri-implant diseases was categorized and reviewed in 4 sections: 1) definition, prevalence, and classification; 2) risk indicators and etiological factors; 3) diagnostic criteria; and 4) treatment protocols for peri-implant diseases. The prevalence of peri-implant mucositis and peri-implantitis is significant, affecting 43% and 22% of implant cases, respectively. Key risk factors include poor oral hygiene, a history of periodontitis, and systemic conditions such as diabetes and smoking. The outcomes of treatment are influenced by the design of the implant prosthesis and the condition of the surrounding soft tissue. Management strategies include: 1) non-surgical treatment for implants diagnosed with peri-implant mucositis; 2) comprehensive treatment, which involves both mechanical and chemical debridement and surgical access, for implants affected by peri-implantitis; and 3) removal of failed implants, followed by the restoration of pre-existing peri-implant bone defects. Managing peri-implant diseases necessitates a comprehensive approach, encompassing risk assessment, tailored treatment planning, and stringent maintenance protocols. Regular follow-ups and patient education are critical for preventing disease recurrence and ensure the long-term success of implant therapy.

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来源期刊
Journal of Periodontal and Implant Science
Journal of Periodontal and Implant Science DENTISTRY, ORAL SURGERY & MEDICINE-
CiteScore
3.30
自引率
5.30%
发文量
38
期刊介绍: Journal of Periodontal & Implant Science (JPIS) is a peer-reviewed and open-access journal providing up-to-date information relevant to professionalism of periodontology and dental implantology. JPIS is dedicated to global and extensive publication which includes evidence-based original articles, and fundamental reviews in order to cover a variety of interests in the field of periodontal as well as implant science.
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