种植修复大于1年，碟形骨吸收至种植体平台下3 mm时，应选择翻瓣植骨

›› 2019, Vol. 39 ›› Issue (2): 161-163.

种植修复大于1年，碟形骨吸收至种植体平台下3 mm时，应选择翻瓣植骨

田陶然

华西口腔医学院

收稿日期:2018-11-05 修回日期:2018-11-21 出版日期:2019-02-28 发布日期:2019-03-05
通讯作者: 田陶然 E-mail:15982172229@163.com

Flap surgery is required when “saucer-like” marginal bone loss amounted to 3 mm below implant shoulder after 1-year loading

Received:2018-11-05 Revised:2018-11-21 Online:2019-02-28 Published:2019-03-05

摘要/Abstract

摘要： 在口腔种植临床工作中，各种原因导致的种植体周围骨吸收是一种常见的临床问题。然而，在对于碟形骨吸收的处理上，还缺乏统一的认识和标准。本文结合历史文献以及最新的共识性论述，提出当种植体修复时间超过1年，碟形骨吸收至种植体平台下3 mm时，患者处于一种较危险，并极有可能满足种植体周围炎的病理性状态当中。本文总结认为，处于这一病理状态下的患者需要进行翻瓣植骨的治疗。

关键词: 碟形骨吸收, 种植体周围炎, 再生性治疗

Abstract: 　Marginal bone loss is a common phenomenon after functional loading. Whereas, these are scant literatures as well as treatment guidelines regarding “saucer-like” marginal bone loss amounted to 3 mm after 1-year loading. To make a comprehensive understanding of this situation, this article reviewed recent literatures and consensus reports, demonstrating that under the pre-described situation, patients might sit in a dangerous pathological condition close to peri-implantitis. To achieve stable long-term outcomes, an open flap debridement and regenerative treatment are required.

Key words: saucer-like bone resorption, peri-implantitis, regenerative medicine

中图分类号:

R783.4

田陶然. 种植修复大于1年，碟形骨吸收至种植体平台下3 mm时，应选择翻瓣植骨[J]. , 2019, 39(2): 161-163.

参考文献

[1]Zhang L, Geraets W, Zhou Y, et al.A new classification of peri-implant bone morphology: a radiographic study of patients with lower implant-supported mandibular overdentures[J].Clin Oral Implants Res, 2014, 25(8):905-909
[2]Albrektsson T, Zarb G, Worthington P, et al.The long-term efficacy of currently used dental implants: a review and proposed criteria of success[J].Int J Oral Maxillofac Implants, 1986, 1(1):11-25
[3]Trullenque-Eriksson A, Guisado-Moya B.Retrospective long-term evaluation of dental implants in totally and partially edentulous patientsPart I: survival and marginal bone loss[J].Implant Dent, 2014, 23(6):732-737
[4]Dierens M, Vandeweghe S, Kisch J, et al.Long-term follow-up of turned single implants placed in periodontally healthy patients after 16 to 22 years: microbiologic outcome[J].J Periodontol, 2013, 84(7):880-894
[5]Renvert S, Persson GR, Pirih FQ, et al.Peri-implant health,peri-implant mucositis,and peri-implantitis: Case definitions and diagnostic considerations[J].J Clin Periodontol, 2018, 45(Suppl 20):S278-S285
[6]Lindhe J, Meyle J.Peri-implant diseases: Consensus Report of the Sixth European Workshop on Periodontology[J].J Clin Periodontol, 2008, 35(8 Suppl):282-285
[7]Koldsland OC, Scheie AA, Aass AM.Prevalence of peri-implantitis related to severity of the disease with different degrees of bone loss[J].J Periodontol, 2010, 81(2):231-238
[8]De Bruyn H, Vandeweghe S, Ruyffelaert C, et al.Radiographic evaluation of modern oral implants with emphasis on crestal bone level and relevance to peri-implant health[J].Periodontol, 2013, 62(1):256-270
[9]Schwarz F, Derks J, Monje A, et al.Peri-implantitis[J].J Clin Periodontol, 2018, 45(Suppl 20):S246-S266
[10]Figuero E, Graziani F, Sanz I, et al.Management of peri-implant mucositis and peri-implantitis[J].Periodontol, 2014, 66(1):255-273
[11]Renvert S, Lessem J, Dahlén G, et al.Topical minocycline microspheres versus topical chlorhexidine gel as an adjunct to mechanical debridement of incipient peri-implant infections: a randomized clinical trial[J].J Clin Periodontol, 2006, 33(5):362-369
[12]Renvert S, Lessem J, Dahlén G, et al.Mechanical and repeated antimicrobial therapy using a local drug delivery system in the treatment of peri-implantitis: a randomized clinical trial[J].J Periodontol, 2008, 79(5):836-844
[13]Bassetti M, Sch?r D, Wicki B, et al.Anti-infective therapy of peri-implantitis with adjunctive local drug delivery or photodynamic therapy: 12-month outcomes of a randomized controlled clinical trial[J].Clin Oral Implants Res, 2014, 25(3):279-287
[14]Heitz-Mayfield LJ, Mombelli A.The therapy of peri-implantitis: a systematic review[J].Int J Oral Maxillofac Implants, 2014, 29(Suppl):325-345
[15]Schwarz F, Sahm N, Schwarz K, et al.Impact of defect configuration on the clinical outcome following surgical regenerative therapy of peri-implantitis[J].J Clin Periodontol, 2010, 37(5):449-455
[16]Mercado F, Hamlet S, Ivanovski S.Regenerative surgical therapy for peri-implantitis using deproteinized bovine bone mineral with 10% collagen,enamel matrix derivative and Doxycycline-A prospective 3-year cohort study[J].Clin Oral Implants Res, 2018, 29(6):583-591