中国口腔种植学杂志 ›› 2024, Vol. 29 ›› Issue (4): 336-341.DOI: 10.12337/zgkqzzxzz.2024.08.007

• “全身系统性疾病与牙种植”重点栏目 • 上一篇    下一篇

骨质疏松症对牙种植的影响及临床考量

邱韵, 王宇蓝, 张玉峰   

  1. 武汉大学口腔医院 口颌系统重建与再生全国重点实验室 口腔生物医学教育部重点实验室 口腔医学湖北省重点实验室 430079
  • 收稿日期:2024-05-17 出版日期:2024-08-30 发布日期:2024-08-16
  • 通讯作者: 张玉峰,Email:zyf@whu.edu.cn,电话:027-87686267
  • 作者简介:邱韵 博士、主治医师,研究方向:口腔种植修复及组织再生; 张玉峰, 二级教授、一级主任医师、博士研究生导师,研究方向:口腔种植、牙周软硬组织再生、种植体周相关疾病的医疗、科研和教学工作
  • 基金资助:
    中央高校基本科研业务费专项资金(2042023kfyq02)

Impact of osteoporosis on dental implantation and related clinical considerations

Qiu Yun, Wang Yulan, Zhang Yufeng   

  1. Wuhan University, School & Hospital of Stomatology, State Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration, Key Laboratory of Oral Biomedicine Ministry of Education, Hubei Key Laboratory of Stomatology, Wuhan 430079, China
  • Received:2024-05-17 Online:2024-08-30 Published:2024-08-16
  • Contact: Zhang Yufeng, Email: zyf@whu.edu.cn, Tel: 0086-27-87686267

摘要: 随着现代牙科技术的发展,种植牙逐渐成为修复缺失牙的首选方法。牙槽骨的质量是口腔种植骨结合及种植体长期留存的关键。骨质疏松症是一种以骨量减少和骨密度降低为表现的系统性疾病,累及包括口腔在内的全身骨骼。骨质疏松症的口腔表现对于其早期诊断具有提示作用,并且骨质疏松症导致的全身和口腔变化对种植牙的影响也不可忽略。深入了解骨质疏松患者口腔种植过程中的治疗风险并据此调整治疗方案,有望提高口腔种植治疗的成功率。本文通过文献回顾,对骨质疏松症的口腔表现、口腔种植的治疗风险及方案考量进行综述。

关键词: 骨质疏松症, 口腔种植, 骨结合, 骨密度, 骨增量

Abstract: With the development of dental technology, dental implants are gradually becoming the primary choice for restoring missing teeth. The quality and quantity of the alveolar bone are key to the success of implant surgery and the long-term retention of the implants. Osteoporosis is a systemic disease characterized by a decrease in bone mass and a reduction in bone density, affecting bones throughout the body, including the alveolar bone. Therefore, its characteristic oral manifestations can be indicative of an early diagnosis of osteoporosis. At the same time, the changes in bone density and bone structure in osteoporosis patients necessitate awareness of the treatment risks during implantation and modification of the treatment plan to improve the success rate of implant treatment. This article reviews the oral manifestations of osteoporosis, the risks of implant treatment, and the consideration for implant treatment through a literature review.

Key words: Osteoporosis, Dental implantation, Osseointegration, Bone density, Bone augmentation