以生物学为导向种植治疗理念——从种植体周炎预防入手浅谈种植治疗范式转变之必然

doi:10.12337/zgkqzzxzz.2021.04.001

中国口腔种植学杂志 ›› 2021, Vol. 26 ›› Issue (2): 79-84.DOI: 10.12337/zgkqzzxzz.2021.04.001

• 专家笔谈 • 下一篇

以生物学为导向种植治疗理念——从种植体周炎预防入手浅谈种植治疗范式转变之必然

李德华

空军军医大学口腔医院种植科,西安 710032

收稿日期:2021-05-22 出版日期:2021-04-10 发布日期:2021-07-14
通讯作者: Email：li_dehua29@163.com,电话：029-84776451;
作者简介:李德华, 第四军医大学口腔医学院种植科主任,教授,主任医师,博士生导师; 曾任中华口腔医学会口腔种植专业委员会第四届主任委员,现任陕西省口腔种植专业委员会主任委员,国际骨再生基金会专家委员会委员,全军口腔医学专业委员会秘书长; 承担国家、省部级多项研究课题,以第一作者或通讯作者发表SCI论著30余篇,主持编写国家首部《口腔种植诊疗指南》和《口腔种植临床技术规范》,作为副主编编写教育部研究生规划教材《口腔种植学》1部,获国际专利2项、国家发明专利2项,多次应邀在AO、EAO、ITI等世界大会专题演讲并出访日本、东南亚等国讲学; 专业特长：复杂种植、骨增量、种植美学以及数字化种植等

A concept of biological - driven implant therapy ——The inevitable trend of this paradigm shift in prevention of periimplantitis

Li Dehua

Dept. of Oral Implantology, School of Stomatology, Air Force Medical University, Xi'an 710032, Shanxi Province, China

Received:2021-05-22 Online:2021-04-10 Published:2021-07-14
Contact: Email: li_dehua29@163.com, Tel: 0086-29-84776451

摘要/Abstract

摘要： 口腔种植技术已成为牙列缺损、牙列缺失修复的常规方案,被证明具有良好的近远期治疗效果,这得益于种植技术的飞速发展和治疗理念的逐步更新。以修复为导向是当代口腔种植技术的核心治疗理念,在推动口腔种植学科发展过程中发挥着重要作用。然而,种植义齿与天然牙齿存在根本差异,尤其表现在种植体软硬组织界面生物学特征方面的不同,因此种植治疗范式除需满足修复空间位置方面的要求外还应符合种植体周围组织界面特定生物学规律,这即是“以生物学为导向种植治疗理念”概念提出的基础。从种植体周炎菌斑介导这一主流发病学说入手,该文将系统回顾众多并发症复杂诱因,包括细菌性和非细菌性因素,阐述从“以修复为导向”向“以生物学为导向”种植治疗范式转变的必然逻辑以及“以生物学为导向”治疗理念的基本含义和相关内容,为种植体周炎并发症预防提供新策略。

关键词: 以修复为导向, 以生物学为导向, 种植体周炎, 并发症预防

Abstract: Implant therapy has been developed as a routine modality for restoration of tooth missing with high predictability of treatment outcomes in a short or long run, based on rapid advancement of technology and innovation of treatment concepts. Contemporarily, restoration-driven implant placement is the fundamental principle, which has played an essential role in the progress of implant dentistry. Nonetheless, implants are artificial entities completely different from the natural teeth, especially with respect to the biological characteristics of implant-tissue interactions. The paradigm of implant treatment, thereby, should take these specific biological patterns of implant interface into consideration, not only satisfying the requirements of spatial positions of implants. This is the reason behind the necessity to propose the concept of biological-driven implant therapy. Starting from the predominant hypothesis of biofilm-induced periimplantitis, this article will comprehensively review the diversity of factors revealed that might induce or increase the risk of periimplantitis, including bacterial or non-bacterial factors, and elucidate thereafter the logical trend for the paradigm shift from restorative-driven to biological-driven implant therapy. The fundamental definition of biological-driven concept will be clarified and periimplantitis-related factors be discussed, eliciting a novel strategy for clinical prevention of periimplantitis.

Key words: Restorative-driven implant therapy, Biological-driven implant therapy, Periimplantitis, Prevention of complications

李德华. 以生物学为导向种植治疗理念——从种植体周炎预防入手浅谈种植治疗范式转变之必然[J]. 中国口腔种植学杂志, 2021, 26(2): 79-84. DOI: 10.12337/zgkqzzxzz.2021.04.001

Li Dehua. A concept of biological - driven implant therapy ——The inevitable trend of this paradigm shift in prevention of periimplantitis[J].Chinese Journal of Oral Implantology, 2021, 26(2): 79-84.DOI: 10.12337/zgkqzzxzz.2021.04.001.

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以生物学为导向种植治疗理念——从种植体周炎预防入手浅谈种植治疗范式转变之必然

A concept of biological - driven implant therapy ——The inevitable trend of this paradigm shift in prevention of periimplantitis

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