口腔医学 ›› 2024, Vol. 44 ›› Issue (9): 692-698.doi: 10.13591/j.cnki.kqyx.2024.09.009

• 综述 • 上一篇    下一篇

种植体与基台连接界面设计的研究进展

江济民,王胤霖,杨杭,何福明()   

  1. 浙江大学医学院附属口腔医院修复科,浙江大学口腔医学院,浙江省口腔生物医学研究重点实验室,浙江杭州(310006)
  • 收稿日期:2023-11-28 出版日期:2024-09-28 发布日期:2024-09-10
  • 通讯作者: 何福明 Tel:(0571)87211819 E-mail:hfm@zju.edu.cn
  • 基金资助:
    国家自然科学基金(82271026)

Progress of research on the design of implant-abutment interface

JIANG Jimin,WANG Yinlin,YANG Hang,HE Fuming()   

  1. Department of Prosthodontic, Stomatology Hospital, School of Stomatology, Zhejiang University School of Medicine, Zhejiang Provincial Clinical Research Center for Oral Diseases, Key Laboratory of Oral Biomedical Research of Zhejiang Province, Hangzhou 310006, China
  • Received:2023-11-28 Online:2024-09-28 Published:2024-09-10

摘要:

种植体植入后的边缘骨水平维持是保证种植修复具有长期良好临床疗效的重要因素。种植体与基台连接界面设计的多个要素,均对边缘骨水平的维持起到了不可忽视的作用,包括连接界面是否经历多次分离与再连接,是否使用平台转移,连接方式,连接扭矩和连接面材料差异等,它们通过影响着连接界面的微间隙和微动,进而改变微渗漏和机械稳定性的大小,最终影响到种植体长期的临床疗效。该文将对种植体与基台连接界面不同设计要素的研究进展进行详细的综述,为临床诊疗过程中种植修复的基台选择和操作方式提供理论依据。

关键词: 两段式种植体, 种植体-基台界面, 微间隙, 微动, 边缘骨水平

Abstract:

The stability of marginal bone level is an important factor in ensuring long-term good clinical efficacy of implantation. The design of implant-abutment interface(IAI)is of considerable importance,including whether undergoing multiple abutment disconnection, whether platform switching is used, connection type, connection torque, and connection material differences. These factors can affect the micro gap and micro movement of the connection interface, which change the size of micro leakage and mechanical stability, thereby affecting the long-term clinical efficacy of implants. This article presents a detailed review of the progress of research on different designs in implant-abutment interface, in order to provide a theoretical basis for the selection and operation of abutments in clinical diagnosis and treatment.

Key words: two-stage implant, implant-abutment interface, micro gap, micro movement, marginal bone level

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