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种植体根尖周炎的病因及临床治疗OACSTPCD

Etiology and clinical treatment of apical peri-implantitis

中文摘要英文摘要

种植体根尖周炎是一类炎性病损,属于种植体生物学并发症的一种,其临床发生率相对较低(0.26%~3.80%).该疾病一般局限于种植体根尖区域,其他骨-种植体接触界面则保持正常.在种植体根尖周炎的早期阶段,通常缺乏特征性的临床症状,只有影像学检查才能揭示潜在病灶.目前,该疾病尚缺乏公认的分类系统和临床治疗共识.一般在治疗选择方面,可采取保留种植体的非手术治疗和手术治疗两种方式,后者包括翻瓣行种植体根尖术、引导骨组织再生术和(或)种植体根尖切除术.在骨结合阶段对种植体根尖周炎进行早期诊断和治疗,有望提高种植体的存留率,从而降低种植体被拔除的风险.

Apical peri-implantitis(API)is an inflammato-ry lesion categorized as one of the biological complications of dental implants,with a relatively low clinical occurrence rate(0.26%-3.80%).This condition typically localizes around the periapical region of the implant,while other bone-implant interfaces remain unaffected.In the early stages of API,char-acteristic clinical symptoms are often absent,and detection of potential lesions relies on radiographic imaging.Currently,there is a lack of universally recognized classification systems and clinical treatment consensus for this condition.Treatment options generally involve non-surgical approaches aiming at implant preservation and surgical interventions,including flap elevation with implant apical surgery,guided bone regenera-tion,and/or implant apical resection.Early diagnosis and treat-ment of API during the osseointegration phase holds promise for improving implant survival rates and reducing the risk of implant removal.

彭异卿;黄元丁

重庆医科大学附属口腔医院种植科,重庆 401147

口腔医学

种植体根尖周炎骨结合存留率分类非手术治疗手术治疗

apical peri-implantitisosseointegrationsur-vival rateclassificationnon-surgical treatmentsurgical treatment

《中国实用口腔科杂志》 2024 (002)

135-140 / 6

10.19538/j.kq.2024.02.002

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