基于病因分析的种植体周炎综合序列治疗1例OA
Comprehensive sequential treatment of peri-implantitis based on etiological analysis:a case report
种植体周炎是一种以菌斑生物膜为原发病因、多因素共同影响的种植体周软、硬组织的炎症性疾病.本文通过介绍1 例种植体周炎患者的综合序列治疗过程和随访结果,以探讨种植体周炎的最佳治疗方案.该病例通过拆除种植修复体,进行非手术治疗初步控制感染,实施骨再生性手术治疗,重建种植体周骨组织,通过游离龈移植改善种植体周软组织条件,调整修复体形态后重新戴入,治疗及随访期间加强自我维护和专业维护.随访2 年结果显示,种植体周牙龈红肿及溢脓消退,深牙周袋消失,牙槽骨再生并保持稳定,达到了满意的治疗效果.
Peri-implantitis is an inflammatory disease of the peri-implant soft and hard tissues,primarily caused by plaque biofilms and influenced by multiple factors.This article presents the comprehensive sequential treatment process and follow-up results of a patient with peri-implantitis and discusses the optimal treatment approach.In this case,the implant prosthesis was first removed for non-surgical treatment to preliminarily control the infection,followed by bone regenerative surgery to reconstruct peri-implant bone tissue.Subsequently,free gingival grafting was performed to improve peri-implant soft tissue conditions,and the prosthesis morphology was adjusted and reinserted.Throughout the treatment and follow-up periods,both self-maintenance and professional maintenance were emphasized.After a 2-year follow-up,the peri-implant gingival redness,swelling,and suppuration subsided,the deep periodontal pockets resolved,and alveolar bone regeneration was achieved and maintained,resulting in a satisfactory therapeutic outcome.
杨蕊;许志杰
中山市口腔医院 528400,广东中山市口腔医院 528400,广东
种植体周炎序列治疗再生性手术角化黏膜修复体
Peri-implantitisSequential treatmentRegenerative surgeryKeratinized gingivaProsthesis
《中国口腔种植学杂志》 2025 (2)
161-168,8
中山市社会公益科技研究项目(2024SYF01) Zhongshan Social Public Welfare Science and Technology Research Project(2024SYF01)
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