健康和疾病中种植体周围软组织的结构、生物学和功能:文献综述。

IF 2.2 4区 医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE
Néstor Ríos-Osorio, Luis Gabriel Ladino, Mario Guerrero-Torres
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引用次数: 0

摘要

手术创伤后种植体周围软组织的形态发生,以及种植体-假体材料表面的性质、地形和设计,导致种植体周围组织表现出独特的组织学和形态学特征。研究表明,粘膜厚度至少为2mm和角化粘膜宽度至少为2mm的粘膜表型可促进粘膜-种植体界面的适当整合和生物密封。这种密封可以防止病原体渗透,保护潜在的种植体周围骨,并减少对炎症性种植体周围疾病(IPDs)的易感性。此外,即使在理想条件下,与牙周组织相比,种植体周围软组织表现出更小的机械阻力、稳定性和密封性。这些缺陷与ipd的发生和发展直接相关,如种植体周围粘膜炎(PM)和种植体周围炎(PI)。近几十年来,PM和PI的患病率上升,使它们成为种植失败的主要原因。鉴于种植体周围黏膜的特征与这些疾病的进展密切相关,深入了解种植体周围软组织的生物学对于制定策略以避免或最小化ipd对种植体治疗结果的影响至关重要。本文旨在从种植体周围软组织的形成过程出发,将其形态特征与ipd的建立和演化联系起来,对种植体周围软组织的结构、生物学和功能进行精确而详细的描述。此外,总结了微生物组的组成和参与ipd发展的最相关的抗/促炎症介质。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Structure, biology, and function of peri-implant soft tissues in health and disease: a comprehensive review of the literature.

The morphogenesis of peri-implant soft tissues following surgical trauma, along with the nature, topography, and design of implant-prosthetic material surfaces, leads to peri-implant tissues that exhibit unique histological and morphological characteristics. It has been shown that mucosal phenotypes with a mucosal thickness of at least 2 mm and a keratinised mucosa width of at least 2 mm promote proper integration and a biological seal at the mucosa-implant interface. This seal prevents pathogen penetration, protects the underlying peri-implant bone, and reduces susceptibility to inflammatory peri-implant diseases (IPDs). Furthermore, even under ideal conditions, peri-implant soft tissues demonstrate less mechanical resistance, stability, and hermeticity compared to periodontal tissues. These deficiencies are directly associated with both the onset and progression of IPDs such as peri-implant mucositis (PM) and peri-implantitis (PI). Over recent decades, the prevalence of PM and PI has risen, making them the primary causes of implant failure. Given that the characteristics of peri-implant mucosa are closely linked to the progression of these diseases, a deep understanding of the biology of peri-implant soft tissues is crucial for developing strategies to either avoid or minimise the impact of IPDs on implant therapy outcomes. This comprehensive review of the literature aims to provide a precise and detailed description of the structure, biology, and function of peri-implant soft tissues, starting from their formation process and linking their morphogenic characteristics to the establishment and evolution of IPDs. Additionally, the composition of the microbiome and the most relevant anti/pro-inflammatory mediators involved in the development of IPDs are summarised.

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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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