中国口腔种植学杂志 ›› 2024, Vol. 29 ›› Issue (4): 385-390.DOI: 10.12337/zgkqzzxzz.2024.08.015

• 综述 • 上一篇    下一篇

种植体周炎治疗中针对种植体表面的去污策略

阳婷, 胡文杰   

  1. 北京大学口腔医学院· 口腔医院牙周科 国家口腔医学中心 国家口腔疾病临床医学研究中心 口腔生物材料和数字诊疗装备国家工程研究中心 100081
  • 收稿日期:2024-02-28 出版日期:2024-08-30 发布日期:2024-08-16
  • 通讯作者: 胡文杰,Email:huwenjie@pkuss.bjmu.edu.cn,电话:010-62173402
  • 作者简介:阳婷 博士研究生在读,研究方向:种植体周病的病因与防治; 胡文杰 教授、主任医师、博士研究生导师、北京大学口腔医院副院长,研究方向:牙周病学及口腔种植学临床、教学及基础研究
  • 基金资助:
    国家自然科学基金(82173647)

Strategies for implant surface decontamination in therapy of peri-implantitis

Yang Ting, Hu Wenjie   

  1. Department of Periodontology, Peking University School and Hospital of Stomatology & National Center of Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Research Center of Oral Biomaterials and Digital Medical Devices, Beijing 100081, China
  • Received:2024-02-28 Online:2024-08-30 Published:2024-08-16
  • Contact: Hu Wenjie, Email: huwenjie@pkuss.bjmu.edu.cn, Tel: 0086-10-62173402
  • Supported by:
    The National Natural Science Foundation of China (82173647)

摘要: 种植体周炎是一种与菌斑相关的种植体周组织疾病,主要表现为种植体周软组织炎症伴有进行性骨组织丧失,是影响种植修复远期效果、导致种植治疗失败的主要原因。种植体表面去污是种植体周炎治疗的关键,非手术治疗和手术治疗中多种去污措施都被应用于临床,但尚无金标准方法。因此,对比健康和罹患种植体周炎的种植体生物界面特点,了解针对感染种植体表面的多种去污策略,对指导临床种植体周炎的治疗决策具有重要意义。

关键词: 种植体, 种植体周炎, 菌斑, 种植体表面去污, 手术治疗

Abstract: Peri-implantitis is a biofilm-mediated pathological condition of peri-implant tissue, characterized by inflammation in peri-implant mucosa accompanied by progressive loss of supporting bone around dental implants. It is the main reason that affects the long-term result of dental implant restoration, which might eventually lead to implant failure. Implant surface decontamination is the key to the management of peri-implantitis. Non-surgical treatment and surgical treatment have both been used in clinical practice, but there is no gold standard protocol for implant decontamination. Therefore, it is of great significance to compare the characteristics of implants with and without peri-implantitis to understand the decontamination strategy for infected implant surfaces, which can provide a reference for clinicians in the decision-making when managing peri-implantitis.

Key words: Dental implant, Peri-implantitis, Biofilms, Debridement, Surgical treatment