种植周围炎:全科牙科医生的全面综述

T. Wiedemann
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引用次数: 0

摘要

考虑到种植体在当代牙科中的重要作用,从业者必须能够认识和预测种植体周围疾病的临床症状和适当的治疗措施。本文旨在概述种植体周围炎的发病率、病因、危险因素、诊断和全科医生的管理。种植体周围炎是一种通常与斑块相关的病理状况。它表现出种植体周围粘膜的炎症,随后进行性骨丢失。虽然一些患者表现出临床症状,但大多数表现出种植体周围疾病的种植体都是无症状的。因此,临床医生必须首先根据临床和放射学结果制定准确的诊断。种植体周围炎的诊断通常符合以下标准:1)出血,2)进行性骨丢失,3)探查深度增加。人们普遍认为种植体周围炎很难控制,预防是最好的治疗方式。早期诊断和治疗对于治疗种植体周围炎的成功临床结果至关重要。虽然非手术治疗可能并不总是有效的,但在晚期种植体周围炎患者中,应始终放在首位。良好的口腔卫生、受损植入物的位置和骨缺损的形态似乎是影响临床可预测性手术干预的关键因素。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Peri-Implantitis: A Comprehensive Overview for the General Dental Practitioner
Considering the significant role of implants in contemporary dentistry, practitioners must be able to acknowledge and anticipate the clinical signs and the appropriate treatment measures of peri-implant disease. The article aims to provide an overview of peri-implantitis, outlining its prevalence, etiology, risk factors, diagnosis, and management for the general practitioner. Peri-implantitis is a pathological condition usually associated with plaque. It exhibits inflammation around the peri-implant mucosa and subsequent progressive bone loss. While some patients show clinical signs, most implants exhibiting peri-implant disease are asymptomatic. As a result, clinicians must first develop an accurate diagnosis based on clinical and radiographic findings. The diagnosis of peri-implantitis usually done if the following criteria are met: 1) presence of bleeding, 2) progressive bone loss, and 3) increased probing depths. It is widely accepted that peri-implantitis is difficult to manage and prevention is the best form of treatment. Early diagnosis and management are essential to the successful clinical outcomes in the treatment of peri-implantitis. While non-surgical treatment may not always be effective but should always come first in patients with advanced peri-implantitis. Good oral hygiene, the location of the damaged implant, and the configuration of the bone defect, appear to be the key factors that influence the clinical predictability surgical interventions.
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