咬合调整联合激光治疗种植体周炎的研究进展

doi:10.12337/zgkqzzxzz.2024.10.014

中国口腔种植学杂志 ›› 2024, Vol. 29 ›› Issue (5): 480-485.DOI: 10.12337/zgkqzzxzz.2024.10.014

咬合调整联合激光治疗种植体周炎的研究进展

方利¹, 陈梓俊¹, 邓邦莲², 宋应亮¹

¹口颌系统重建与再生全国重点实验室国家口腔疾病临床医学研究中心陕西省口腔生物工程工程技术中心空军军医大学第三附属医院口腔种植科,西安 710032; ²西安联邦口腔医院 710032

收稿日期:2023-11-04 出版日期:2024-10-30 发布日期:2024-10-30
通讯作者: 宋应亮,Email：songyingliang@163.com,电话：029-84776465
作者简介:方利,医师、硕士研究生,研究方向：种植体咬合;宋应亮,主任医师、博士研究生导师,研究方向：临床种植与相关风险因素及激光技术在口腔种植中的应用
基金资助:
国家自然科学基金（82170991）

Research progress on occlusal adjustment combined with laser therapy for peri-implantitis

Fang Li¹, Chen Zijun¹, Deng Banglian², Song Yingliang¹

¹National Key Laboratory of Reconstruction and Regeneration of Oral and Maxillofacial, System National Clinical Medical Research Center for Oral Diseases, Shaanxi Provincial Oral Bioengineering Technology Center, Department of Oral Implantology, The Third Affiliated Hospital of Air Force Medical University, Xi'an 710032, China;
²Xi'an Federal Stomatological Hospital, Xi'an 710032, China

Received:2023-11-04 Online:2024-10-30 Published:2024-10-30
Contact: Song Yingliang, Email: songyingliang@163.com, Tel: 0086-29-84776465
Supported by:
National Natural Science Foundation of China (82170991)

摘要/Abstract

摘要： 种植义齿已成为牙列缺损或牙列缺失患者的首要选择,但过大的咬合负荷和种植体周炎均可能引起种植体周骨吸收,甚至造成种植体松动或脱落。尽管具体机制尚不明确,但有文献表明过大的咬合负荷会与种植体周炎发生协同作用,进一步加重骨吸收。激光具有有效的消融、杀菌及生物调节功能,在种植体周炎的治疗中起着重要作用。调整不合理的咬合负荷联合激光治疗可以控制种植体周骨吸收,缓解和改善种植体周炎的症状。本文就引起种植体周骨吸收的咬合因素、咬合因素促进种植体边缘骨吸收的机制、咬合调整联合激光治疗种植体周骨吸收的原理等相关方面进行探讨,旨在为解决种植体周骨吸收提供治疗建议。

关键词: 咬合, 激光疗法, 种植体周炎

Abstract: Implant-supported dentures have become the primary choice for patients with partial or complete edentulism. However, excessive occlusal loads and peri-implantitis can lead to bone resorption around implants, potentially causing implant loosening or even failure. Although the mechanism is not clear, studies suggest that excessive occlusal forces may synergistically exacerbate bone resorption in the presence of peri-implantitis. Laser therapy, known for its effective ablation, bactericidal, and bioregulatory properties, plays a significant role in the treatment of peri-implantitis. Combining occlusal adjustment with laser therapy can help control bone resorption around implants and alleviate the symptoms of peri-implantitis. This article reviews the occlusal factors that cause peri-implant bone resorption, the mechanisms through which these factors promote bone loss, and the principles of combining occlusal adjustment with laser therapy for treating peri-implant bone resorption. The aim is to provide treatment suggestions for solving the problem of peri-implant bone resorption.

Key words: Dental occlusion, Laser therapy, Peri-implantitis

方利,陈梓俊,邓邦莲,等. 咬合调整联合激光治疗种植体周炎的研究进展[J]. 中国口腔种植学杂志, 2024, 29(5): 480-485. DOI: 10.12337/zgkqzzxzz.2024.10.014

Fang Li, Chen Zijun, Deng Banglian, Song Yingliang. Research progress on occlusal adjustment combined with laser therapy for peri-implantitis[J].Chinese Journal of Oral Implantology, 2024, 29(5): 480-485.DOI: 10.12337/zgkqzzxzz.2024.10.014.

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咬合调整联合激光治疗种植体周炎的研究进展

Research progress on occlusal adjustment combined with laser therapy for peri-implantitis

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