中国口腔种植学杂志 ›› 2025, Vol. 29 ›› Issue (6): 574-579.DOI: 10.12337/zgkqzzxzz.2024.12.018

• 学术争鸣 • 上一篇    下一篇

因牙周炎面临失牙的患者牙周基础治疗后即刻种植的临床研究进展

陆怡凡, 罗洪科, 陈谦明, 姒蜜思   

  1. 浙江大学医学院附属口腔医院 浙江大学口腔医学院 浙江省口腔疾病临床医学研究中心 浙江省口腔生物医学研究重点实验室 浙江大学癌症研究院 口腔生物材料与器械浙江省工程研究中心,杭州 310000
  • 收稿日期:2024-06-30 出版日期:2025-01-02 发布日期:2025-01-02
  • 通讯作者: 姒蜜思,Email:misi_si@zju.edu.cn,电话:0571-87216567
  • 作者简介:陆怡凡 口腔医学专业型硕士研究生,研究方向:种植体周炎及口腔微生态相关研究; 姒蜜思 副主任医师、口腔种植学博士、博士研究生导师,研究方向:口腔种植临床研究、种植体周炎、骨再生、穿牙槽嵴上颌窦底提升
  • 基金资助:
    中央高校基本科研业务费专项资金资助(2023QZJH59/226-2023-00155); 国家自然科学基金(82370990、82201051); 浙江省卫生健康委员会医学卫生科技项目(WKJ-ZJ-2335); 浙江省大学生科技创新活动计划暨新苗人才计划大学生科技成果推广项目(2023R401211)

Clinical research progress on immediate implant placement in patients facing tooth loss due to periodontitis after periodontal initial therapy

Lu Yifan, Luo Hongke, Chen Qianming, Si Misi   

  1. Stomatology Hospital, School of Stomatology, Zhejiang University School of Medicine, Zhejiang Provincial Clinical Research Center for Oral Diseases, Key Laboratory of Oral Biomedical Research of Zhejiang Province, Cancer Center of Zhejiang University, Engineering Research Center of Oral Biomaterials and Devices of Zhejiang Province, Hangzhou 310000, China
  • Received:2024-06-30 Online:2025-01-02 Published:2025-01-02
  • Contact: Si Misi, Email: misi_si@zju.edu.cn, Tel: 0086-571-87216567
  • Supported by:
    The Fundamental Research Funds for the Central Universities (2023QZJH59/226-2023-00155); National Natural Science Foundation of China (82370990, 82201051); Medical Health Science and Technology Project of Zhejiang Provincial Health Commission (WKJ-ZJ-2335); The Innovative Talent of Zhejiang Provincial Health Commission, the Zhejiang “Xinmiao” Talents Program (2023R401211)

摘要: 临床工作中,种植固定义齿修复被认为是牙列缺损和/或牙列缺失的可靠治疗方案。因牙周炎面临失牙的患者为消除拔牙创内感染性组织带来的不利影响,传统观念认为需要软硬组织愈合后再制定口腔种植方案。随着技术的发展,为进一步提升治疗效果、缩短治疗周期,在控制牙周感染的前提下,即刻种植也逐渐引起关注,而且已经有学者开展了相关研究。本文通过总结文献,分析目前因牙周炎面临失牙的患者牙周基础治疗后即刻种植的研究结果,总结相关经验,用以规范临床诊疗。

关键词: 即刻种植, 牙周炎, 牙周基础治疗, 种植体周病

Abstract: In clinical practice, implant-supported fixed prostheses are considered a reliable treatment option for patients with tooth loss. However, for patients facing tooth loss due to periodontitis, traditional approaches suggest that an implant plan should only be made after soft tissue healing to avoid the potential negative effects of residual inflammatory tissue from tooth extraction. With advancements in technology, immediate implant placement has gained increasing attention as a way to enhance treatment outcomes and shorten the treatment cycle, provided periodontal infection is well controlled. Several studies have already explored this approach. This article summarizes the literature and analyzes current research on immediate implant treatment in patients with tooth loss due to periodontitis following periodontal initial therapy. The relevant experiences are summarized to help standardize clinical practice.

Key words: Immediate implant placement, Periodontitis, Periodontal initial therapy, Peri-implant diseases