种植体根尖周炎的病因及临床治疗
Etiology and clinical treatment of apical peri-implantitis
彭异卿 1黄元丁1
作者信息
- 1. 重庆医科大学附属口腔医院种植科,重庆 401147
- 折叠
摘要
种植体根尖周炎是一类炎性病损,属于种植体生物学并发症的一种,其临床发生率相对较低(0.26％～3.80％).该疾病一般局限于种植体根尖区域,其他骨-种植体接触界面则保持正常.在种植体根尖周炎的早期阶段,通常缺乏特征性的临床症状,只有影像学检查才能揭示潜在病灶.目前,该疾病尚缺乏公认的分类系统和临床治疗共识.一般在治疗选择方面,可采取保留种植体的非手术治疗和手术治疗两种方式,后者包括翻瓣行种植体根尖术、引导骨组织再生术和(或)种植体根尖切除术.在骨结合阶段对种植体根尖周炎进行早期诊断和治疗,有望提高种植体的存留率,从而降低种植体被拔除的风险.
Abstract
Apical peri-implantitis(API)is an inflammato-ry lesion categorized as one of the biological complications of dental implants,with a relatively low clinical occurrence rate(0.26％-3.80％).This condition typically localizes around the periapical region of the implant,while other bone-implant interfaces remain unaffected.In the early stages of API,char-acteristic clinical symptoms are often absent,and detection of potential lesions relies on radiographic imaging.Currently,there is a lack of universally recognized classification systems and clinical treatment consensus for this condition.Treatment options generally involve non-surgical approaches aiming at implant preservation and surgical interventions,including flap elevation with implant apical surgery,guided bone regenera-tion,and/or implant apical resection.Early diagnosis and treat-ment of API during the osseointegration phase holds promise for improving implant survival rates and reducing the risk of implant removal.
关键词
种植体根尖周炎/骨结合/存留率/分类/非手术治疗/手术治疗Key words
apical peri-implantitis/osseointegration/sur-vival rate/classification/non-surgical treatment/surgical treatment引用本文复制引用
出版年
2024
国家科技期刊平台
NSTL
万方数据