种植体周炎诊疗的临床实践及考量:基于1例种植体周炎再生治疗5年长期随访OA
Clinical practice and insights in the diagnosis and treat-ment of peri-implantitis:based on a 5-year long-term follow-up of regenerative surgery for a case of peri-im-plantitis
种植体周炎是远期种植失败主要原因之一,目前治疗方案以非手术和手术序列治疗为主.2018年美国牙周病学会(AAP)和欧洲牙周病学联合会(EFP)共同发布了牙周病与种植体周病新分类相关共识报告,明确了种植体周围疾病分类及诊断标准.2023年EFP发布种植体周围疾病诊疗S3级临床防治指南,制定了种植体周炎的综合治疗方案.文章通过对1例种植体周炎采取再生治疗5年随访取得良好疗效病例进行总结,基于2018年新分类和2023年临床防治指南,从诊断、病因及危险因素、非手术治疗、手术治疗(软硬组织手术)和支持照护等方面阐述种植体周炎诊疗的临床应用实践及考量.
Peri-implantitis is one of the main causes of late-stage implant failure.Currently,the treatments mainly consist of non-surgical and surgical sequential treatments.In 2018,American Academy of Periodontology(AAP)and Euro-pean Federation of Periodontology(EFP)jointly issued a con-sensus report on the new classification of periodontal and peri-implant diseases,which clarified the classification and diag-nostic criteria of peri-implant diseases.In 2023,EFP issued S3 clinical guidelines for the prevention and treatment of peri-implant diseases,and formulated a comprehensive treatment plan for peri-implantitis.According to a 5-year follow-up of a case of peri-implantitis with regenerative treatment,the clini-cal practice and insights of peri-implantitis was described from the aspects of diagnosis,etiology,risk factors,non-surgi-cal treatment,surgical treatment(soft and hard tissue surgery)and supportive care based on the 2023 clinical guidelines and 2018 new classification.
黄川;夏连松;曹正国
东莞健力口腔医院牙周科,广东东莞 523000东莞健力口腔医院牙周科,广东东莞 523000口颌系统重建与再生全国重点实验室,口腔生物医学教育部重点实验室,口腔医学湖北省重点实验室,武汉大学口腔医学院·口腔医院牙周科,湖北武汉 430079
医药卫生
种植体周炎防治指南再生治疗
peri-implantitisguidelines for the preven-tion and treatmentregenerative therapy
《中国实用口腔科杂志》 2026 (1)
38-48,11
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