›› 2019, Vol. 39 ›› Issue (9): 827-830.

• 争鸣 • 上一篇    下一篇

后牙区角化黏膜宽度小于2mm时,角化黏膜移植是必要的吗?

刘瑞敏,陈江,周勇,罗谷声,苏恩典,吴东   

  1. 福建医科大学附属口腔医院种植一科
  • 收稿日期:2019-01-15 修回日期:2019-05-06 出版日期:2019-09-28 发布日期:2019-09-17
  • 通讯作者: 刘瑞敏 E-mail:-

keratinized mucosa; peri-implant diseases; dental plaque; soft tissue augmentation

  • Received:2019-01-15 Revised:2019-05-06 Online:2019-09-28 Published:2019-09-17

摘要: 种植体周充足的角化黏膜有利于口腔卫生的维持与良好软组织美学的获得。然而,当非美学区种植体周围角化黏膜宽度小于2 mm时,角化黏膜移植是否必要依然存有争议。该文通过回顾相关文献,探讨了后牙区角化黏膜宽度不足2 mm时,对种植体周围相关指标的影响,并从种植体长期存留、角化黏膜移植的利弊等方面进行论述。总结认为角化黏膜移植,不是必要的;必要的是:口腔卫生保持、定期随访与个体化的策略制定。

关键词: 大麻素受体, 牙周炎, 牙周组织再生, 间充质干细胞

Abstract: Presence of adequate keratinized tissue around dental implants helps oral hygiene maintenance and enhances esthetic blending. However, whether mucosa graft is necessary for deficient posterior area (keratinized mucosa width ≤ 2 mm) remains controversy. This paper mainly discusses the effect of keratinized tissue deficiency in the posterior jaw on periimplant indexes, and the pros and cons of keratinized mucosa graft, and implant long stability. It is concluded that mucosa graft is not necessary, while oral hygiene maintenance, regular followup and individual consideration of treatment strategies are necessary.

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