种植体周角化龈不足的风险因素及临床处理策略
Risk factors and clinical management strategies for insuf-ficient keratinized mucosa around dental implants
刘格格 1高静 1赵宝红1
作者信息
- 1. 中国医科大学口腔医学院口腔种植学教研室,辽宁省口腔医学研究所口腔种植研究室,辽宁省口腔疾病重点实验室,辽宁省口腔疾病转化医学研究中心,辽宁沈阳 110002
- 折叠
摘要
种植体周围软组织不仅影响种植体的长期稳定性,对唇颊区的美学表现及患者适应性也起到决定性的作用.种植体周围足量的角化龈宽度可减少菌斑堆积及局部牙槽嵴的吸收,降低种植体周围炎的发生率.因此,规避角化龈不足的风险、掌握不同的角化龈处理及增量方法有助于及时有效地治疗临床出现的并发症.目前,临床中用于角化龈增宽的术式主要有根向复位瓣术、游离龈移植术及上皮下结缔组织移植术等.文章旨在介绍种植体周角化龈宽度不足的风险因素及各类角化龈增宽手术的临床操作要点,以期为临床诊疗提供参考.
Abstract
The peri-implant soft tissue not only influenc-es the long-term stability of the implant,but also plays a deci-sive role in the aesthetics of the labial and buccal sides as well as in patient adaptation.Adequate keratinized mucosa width around the implant reduces plaque accumulation and lo-cal alveolar ridge resorption,and decreases the incidence of peri-implantitis.Therefore,avoiding the risk of insufficient keratinized mucosa and mastering different methods of keratin-ized mucosa treatment and augmentation can contribute to the timely and effective treatment of clinical complications.Cur-rently,the main surgical procedures used for keratinized mu-cosa widening in the clinic include root-oriented resurfacing flap,free gingival grafting,and subepithelial connective tissue grafting.In this article,we present a review of the risk factors for insufficient width of peri-implant keratinized mucosa and the operational features of various types of keratinized mucosa widening procedures,with a view to provide reference for clini-cal diagnosis and treatment.
关键词
种植修复/角化龈/角化龈宽度/风险因素/处理策略Key words
implant restoration/keratinized mucosa/ke-ratinized mucosa width/risk factors/management strategies引用本文复制引用
基金项目
国家自然科学基金(82071151)
辽宁省自然科学基金(20170541059)
出版年
2024
国家科技期刊平台
NSTL
万方数据