角化组织在种植体周围炎治疗中的作用:一例报告。

IF 1.3 4区 医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE
Fadi Shaya, Bobby Butler, Yung-Ting Hsu
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引用次数: 0

摘要

种植体周围炎是一种炎症性疾病,涉及种植体周围附着和支撑的丧失。在本病例报告中,一名中年妇女在下颌右象限植入了两个植入物,被诊断为种植体周围炎。患者植入物周围也有压痛,并报告在进行口腔卫生程序时有敏感性。手术治疗包括游离牙龈移植物以增加植入物周围角化组织的宽度,然后进行第二次植入成形术和表面去污。结果显示,在随访1年后,前磨牙种植体周围的种植体周围缺陷的放射学分辨率有所提高,两个种植体周围角质化组织显著增加(>4mm)。据报道,在患者层面上,植入物周围的敏感性显著降低,家庭护理效果更好。该病例报告显示,角质化组织的增加可能有利于种植体周围炎治疗的临床和患者结果,包括减少探查深度、无炎症和改善放射学冠部稳定性。种植体周围病变的硬组织和软组织缺陷的联合矫正可能有助于治疗成功,并有助于保持种植体周围的稳定性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Role of Keratinized Tissue on the Management of Peri-implantitis: A Case Report.

Peri-implantitis is an inflammatory condition that involves the loss of attachment and support around dental implants. In this case report, a middle-aged woman presented with two implants in the mandibular right quadrant that were diagnosed with peri-implantitis. The patient also had tenderness around the implants and reported sensitivity when performing oral hygiene procedures. Surgical treatment comprised a free gingival graft to augment the keratinized tissue width around the implants, followed by a second procedure of implantoplasty and surface decontamination. The outcome showed radiographic resolution of the peri-implant defect around the premolar implant with a marked increase of keratinized tissue (> 4 mm) around both implants after 1 year of follow up. On a patient level, significantly reduced sensitivity around the implants and better home care were reported. This case report showed that the increase of keratinized tissue may benefit the clinical and patient outcomes of peri-implantitis treatment in terms of decreased probing depths, absence of inflammation, and improved radiographic crestal stability. The combined correction of both hard and soft tissue defects around peri-implantitis lesions may facilitate treatment success and help maintain peri-implant stability.

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来源期刊
CiteScore
2.90
自引率
6.20%
发文量
113
审稿时长
6-12 weeks
期刊介绍: The International Journal of Periodontics & Restorative Dentistry will publish manuscripts concerned with all aspects of clinical periodontology, restorative dentistry, and implantology. This includes pertinent research as well as clinical methodology (their interdependence and relationship should be addressed where applicable); proceedings of relevant symposia or conferences; and quality review papers. Original manuscripts are considered for publication on the condition that they have not been published or submitted for publication elsewhere.
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