牙周病患牙即刻种植的临床研究进展

摘要/Abstract

摘要： 牙周病是导致我国成年人牙齿缺失的首要原因，而其伴随的感染、骨量不足等问题增大了缺牙区种植修复的难度。近年来，重度牙周病患牙已逐渐打破即刻种植的禁忌，成为临床应用新热点。然而，围绕其技术应用和临床预后等还存在多方面争议。该文就重度牙周病患牙即刻种植的研究进展和临床应用做一综述。

关键词: 即刻种植, 牙周病, 骨增量

Abstract: Periodontal disease, the leading cause of adult tooth loss in our country, brings insome problems such as infection, bone deficiency, which increase the difficulty of implantation. In recent years, the technique of immediate implant placement can be applied in patients with severe periodontal disease, becoming a new hot point in clinical application. However, there are many controversies about its application and clinical prognosis. This article will review the research progress and clinical application of immediate implant placement in patients with severe periodontal disease.

Key words: immediate implant placement, periodontal disease, bone augmentation

中图分类号:

R783.4

葛雨然汤春波. 牙周病患牙即刻种植的临床研究进展[J]. , 2017, 37(9): 837-840.

Yu-Ran GE. Clinical research progress of immediate implant placement in periodontally infected sites：a review[J]. , 2017, 37(9): 837-840.

参考文献

[1]Wen X,Liu R,Li G,et al.History of periodontitis as a risk factor for long-term survival of dental implants:a meta-analysis[J].Int J Maxillofac Implants,2014,29(6):1271-1280
[2]Anitua E,Pi?as L,Alkhraisat MH.Long-term outcomes of immediate implant placement into infected sockets in association with immediate loading: a retrospective cohort study[J].J Periodontol,2016,87(10):1-15
[3]黄桂明.严重牙周病拔牙即刻种植的临床分析[J].中外医学研究,2013,(22):163-164
[4]Deng F,Zhang H,Zhang H,et al.A comparison of clinical outcomes for implants placed in fresh extraction sockets versus healed sites in periodontally compromised patients: a 1-2010 follow-up report[J].Int J Oral Maxillofac Implants,2010,25(5):1036-1040
[5] Gomes JA,Sartori IAM,Able FB,et al.Microbiological and clinical outcomes of fixed complete-arch mandibular prostheses supported by immediate implants in individuals with history of chronic periodontitis[J/OL].Clin Oral Implants Res,2016(2016-05-11)[2017-01-11]. http://onlinelibrary.wiley.com/doi/10.1111/clr.12871/abstract;jsessionid=DF74AFC8F2E8D11C62146A8449747E51.f04t04. doi: 10.1111/clr.12871
[6]Lanza A,Scognamiglio F,Femiano F,et al.Immediate,early,and conventional implant placement in a patient with history of periodontitis[J/OL].Case Rep Dent,2015(2015-08-08)[2017-01-11]. https://www.hindawi.com/journals/crid/2015/217895
[7]张磊,黄辉,张林,等.牙周病患者拔牙后即刻种植的临床研究[J].口腔颌面外科杂志,2014,24(1):44-47
[8]Maló P,Nobre MA,Lopes A,et al.Immediate loading of implants placed in patients with untreated periodontal disease: a 5-2014 prospective cohort study[J].Eur J Oral Implantol,2014,7(3):295-304
[9]张筱薇,张强,周力伟.种植修复后牙周菌群在不同时期变化的定量研究[J].中国微生态学杂志,2008,20(6):577-579
[10]崔智焕,徐秀英,徐欣.牙周病患者的种植修复现状[J].中国医药指南,2012,10(4):69-70
[11]封伟,王树峰,耿进友,等.前牙美学区即刻种植与延期种植唇侧骨量比较[J].中华医学美学美容杂志,2014,20(4):283-286
[12]汪洋,徐燕,徐振山,等.重度牙周炎患者种植时机的选择和短期疗效观察[J].牙体牙髓牙周病学杂志,2015,25(8):492-497
[13]肖剑锐,陈宇轩,兰纲,等.前牙牙周病即刻种植及修复体会[J].中国美容医学杂志,2015,24(10):60-64
[14]滕立钊,杨小东,吴大怡.牙周病患者前牙即刻种植的临床研究:成功因素和风险分析[J].中国口腔种植学杂志,2014,(2):62-65
[15]Finne K,Rompen E,Toljanic J.Three-2012 prospective multicenter study evaluating marginal bone levels and soft t2 health around a one-piece implant system[J].Int J Oral Maxillofac Implants,2012,27(2):458-466
[16]李平,戴静桃,李安,等.种植体结构设计与种植体边缘的骨吸收:现状与争议[J].中国组织工程研究,2014,18(21):3406-3411
[17]Mangano F G,Mangano C,Ricci M,et al.Esthetic evaluation of single-tooth Morse taper connection implants placed in fresh extraction sockets or healed sites[J].J Oral Implantol,2013,39(2):172-181
[18]栾丽丽,柳忠豪.牙周病患者之种植美学修复方法综述[J].中国口腔种植学杂志,2013,18(3):159-161
[19]苏媛,吕影涛,刘卫平,等.美学区即刻种植即刻修复的临床应用[J].实用医学杂志,2014,30(11):1797-1799
[20]张艳靖,王柏翔,刘小利,等.即刻种植和延期种植对种植体周围软组织影响的对比研究[J].实用口腔医学杂志,2013,29(4):500-503
[21]靳勇勇,杜军,李二红,等.上颌前牙区单颗即刻种植和延期种植对唇侧骨量的影响分析[J].中国口腔种植学杂志,2015,20(4):168-171
[22]施斌,白轶,等.牙周病导致下颌牙槽嵴严重吸收的种植外科处理[J].中国实用口腔科杂志,2011,4(3):129-131
[23]Thoma D S,Buranawat B,H?mmerle C H,et al.Efficacy of soft t augmentation around dental implants and in partially edentulous areas: a systematic review[J].J Clin Periodontol,2014,41 Suppl 15(supplement):S77-S91(15)
[24]Bruschi GB,Crespi R,Capparé P,et al.Clinical study of flap design to increase the keratinized gingiva around implants: 4-2014 follow-up[J].J Oral Implantol,2014,40(4):459-464
[25]Bengazi F,Lang NP,Caroprese M,et al.Dimensional changes in soft t2s around dental implants following free gingival grafting: an experimental study in dogs[J].Clin Oral?Implants?Res,2015,26(2):176-182
[26]Cabello G,Rioboo M,Fábrega JG.Immediate placement and restoration of implants in the aesthetic zone with a trimodal approach: soft t10 alterations and its relation to gingival biotype[J].Clin Oral?Implants?Res,2013,24(10):1094-1100
[27]Stoupel J,Lee C,Glick J,et al.Immediate implant placement and provisionalization in the esthetic zone using a flapless or a flap‐involving approach: a randomized controlled trial[J].J Clin Periodontol,2016,43(12):1171-1179
[28]Wang R,Zhao W,Tang ZH,et al.Peri-implant conditions and their relationship with periodontal conditions in Chinese patients: a cross-sectional study[J].Clin Oral Implants Res,2014,25(3):372-377
[29]乔佳云,贺刚,吴自强,等.即刻负载的下颌套筒冠种植义齿在重度牙周病患者中的应用研究[J].口腔医学,2016,36(6):514-518
[30]谢也斯,孟焕新,韩劼,等.牙周炎患者种植修复体机械并发症及菌斑控制的相关性分析[J].中华口腔医学杂志,2016,51(2):69-75
[31]Yuan JC,Sukotjo C.Occlusion for implant-supported fixed dental prostheses in partially edentulous patients: a literature review and current concepts[J].J Periodontal Implant Sci,2013,43(2):51-57
[32]Klineberg IJ,Trulsson M,Murray GM.Occlusion on implants - is there a problem?[J].J Oral Rehabil,2012,39(7):522-537
[33]田涛,施斌,陆艳华.上颌前牙即刻种植与即刻修复的临床体会[J].临床口腔医学杂志,2014,(9):545-547
[34]Evian C I,Emling R,Rosenberg ES,et al.Retrospective analysis of implant survival and the influence of periodontal disease and immediate placement on long-term results[J].Int J Oral Maxillofac Implants,2004,19(3):393-398
[35]李伟,张志宏,边华琴,等.即刻与延期前牙种植义齿修复的临床效果及主观满意度调查[J].重庆医学,2015,44(8):1103-1105
[36]邱立新.牙周病患牙拔除后种植治疗考量[J].中国口腔种植学杂志,2010,15(3):115-116
[37]Crespi R,Capparé P,Crespi G,et al.Dental implants placed in periodontally infected sites in humans[J/OL].Clin Implant Dent Relat Res,2016(2016-05-16) [2017-01-11]. http://onlinelibrary.wiley.com/doi/10.1111/cid.12425/abstract
[38]Gao F,Liu ZH.Factors influencing the height of peri-implant papillae[J].Chin J Practical Stomatol,2014,7(8):506-509