›› 2019, Vol. 39 ›› Issue (8): 744-747.

• 综述 • 上一篇    下一篇

初始黏膜厚度对种植体边缘骨吸收影响的研究进展

罗昕1,2,冯宜1,何福明1   

  1. 1. 浙江大学医学院附属口腔医院
    2. 浙江省杭州市余杭区第三人民医院
  • 收稿日期:2018-11-26 修回日期:2019-01-17 出版日期:2019-08-28 发布日期:2019-08-23
  • 通讯作者: 何福明 E-mail:hfm@zju.edu.cn
  • 基金资助:
    新型牙种植体的临床应用技术及其系统评价体系研究子课题

Research progress of the effect of initial mucosal thickness on implant marginal bone loss

  • Received:2018-11-26 Revised:2019-01-17 Online:2019-08-28 Published:2019-08-23
  • Contact: Fu-Ming HE E-mail:hfm@zju.edu.cn

摘要: [摘要] 稳定的颈部边缘骨水平是种植体长期成功的一个重要指标,而黏膜厚度作为一个影响种植体边缘骨吸收(marginal bone loss, MBL)的因素一直被研究和讨论。大多数的临床研究和动物实验表明,相对于薄黏膜(≤2 mm),厚黏膜(>2 mm)区域的种植体颈部MBL更少。基于推测黏膜厚度影响重建种植体生物学宽度(biologic width,BW)从而影响种植体MBL,学者们根据缺牙区初始的黏膜厚度,尝试调整临床种植操作。有学者增加黏膜厚度达到了减少种植体MBL的目的,也有学者根据黏膜厚度调节种植深度达到了避免种植体表面早期暴露的目的。本文就初始黏膜厚度对种植体颈部MBL影响和对临床种植参考意义的相关研究进展综述如下。

关键词: 初始粘膜厚度, 边缘骨吸收, 生物学宽度, 种植

Abstract: The stability of marginal bone level is an important indicator of long-term success of implants. The mucosal thickness has been studied and discussed as a factor influencing the implant marginal bone loss (MBL). Most clinical and animal studies have demonstrated that there is less implant MBL in the thick mucosa (>2mm) than in the thin mucosa (≤2mm). Based on the speculation that mucosal thickness would be involved in the reconstruction of implant biologic width (BW), thereby affecting implant MBL, the researchers try to adjust clinical implantation procedures according to the initial mucosal thickness. Some scholars have achieved the goal of reducing implant MBL by increasing the thickness of the mucosa, while others have achieved the goal of avoiding early exposure of the implant surface by adjusting the implant depth according to the thickness of the mucosa. The research progress of the effect of initial mucosal thickness on MBL around the neck of implant and its significance for clinical implantation is reviewed as follows in this paper.

Key words: initial mucosal thickness , Marginal bone loss, biologic width , Dental implants

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