口腔疾病防治 ›› 2022, Vol. 30 ›› Issue (4): 289-294.DOI: 10.12016/j.issn.2096-1456.2022.04.010

• 综述 • 上一篇    下一篇

种植体周炎骨缺损的类型及治疗

李霞1(), 路瑞芳2()   

  1. 1.遵义医科大学附属口腔医院牙周科,贵州 遵义(563000)
    2.北京大学口腔医学院·口腔医院牙周科 口腔数字化医疗技术和材料国家工程实验室 口腔数字医学北京市重点实验室,北京(100081)
  • 收稿日期:2021-01-26 修回日期:2021-12-02 出版日期:2022-04-20 发布日期:2022-02-16
  • 通讯作者: 路瑞芳
  • 作者简介:李霞,主治医师,硕士,Email: 381514125@qq.com
  • 基金资助:
    国家自然科学基金项目(82071116);北京大学口腔医院教育教学改革普通项目(2020-PT-08)

Types and treatment of peri-implantitis bone defects

LI Xia1(), LU Ruifang2()   

  1. 1. Department of Periodontology, Stomatology Hospital of Zunyi Medical University, Zunyi 563000, China
    2. Department of Periodontology, Peking University School and Hospital of Stomatology & National Engineering Laboratory for Digital and Material Technology of Stomatology & Beijing Key Laboratory of Digital Stomatology, Beijing 100081, China
  • Received:2021-01-26 Revised:2021-12-02 Online:2022-04-20 Published:2022-02-16
  • Contact: LU Ruifang
  • Supported by:
    National Natural Science Foundation of China(82071116);General Project of Education and Teaching Reform of Peking University Stomatological Hospital(2020-PT-08)

摘要:

种植体周炎骨缺损的重建效果依赖于骨缺损形态特征,本文就种植体周炎骨缺损的形态分类及治疗相关研究作一综述。文献回顾表明,种植体周炎骨缺损形态分类包括临床分类和影像学分类,目前临床上较常用的是Renvert分类,根据骨壁数目分为四壁骨袋、三壁骨袋、二壁骨袋、一壁骨袋及骨开裂,对种植体周炎的治疗计划具有指导意义。种植体周炎的治疗需根据种植体周骨缺损的严重程度采取不同的方式,轻度骨缺损的种植体周炎采用非手术治疗;重度骨缺损的种植体周炎建议拔除种植体;而中度骨缺损的种植体周炎,根据骨缺损形态进一步判断:对于四壁骨袋、三壁骨袋及骨开裂,多采用骨再生性手术治疗,对于浅的二壁骨袋、一壁骨袋以及水平骨吸收,多采用骨切除性手术。但是大部分种植体周炎同时存在多种骨缺损形态,需联合应用骨再生性手术和骨切除性手术。

关键词: 种植体周炎, 骨缺损, 牙槽骨吸收, 水平骨吸收, 重直骨吸收, 骨开裂, 非手术治疗, 手术治疗

Abstract:

The reconstruction effect of peri-implantitis bone defects depends on their morphological characteristics. This paper reviews the morphological classification and treatment of peri-implantitis bone defects. A literature review shows that the morphological classification of bone defects in peri-implantitis includes morphology classification and clinical classification. At present, the Renvert classification is more commonly used in the clinic and is divided into four-wall bone pockets, three-wall bone pockets, two-wall bone pockets, one-wall bone pocket and dehiscence according to the number of bone walls. This has guiding significance in the treatment plan of peri-implantitis. The treatment of peri-implantitis depends on the severity of peri-implant bone defects. Peri-implantitis with mild bone defects is treated by nonsurgical treatment, peri-implantitis with severe bone defects is recommended to remove the implant, and peri-implantitis with moderate bone defects is further judged according to the shape of the bone defects. Four-wall bone pockets, three-wall bone pockets and dehiscence are mostly treated by bone regenerative surgery. For shallow two-wall bone pockets, one-wall bone pockets and horizontal bone resorption, bone resection is often used. However, most peri-implantitis has a variety of bone defect forms at the same time, which need to be treated with bone regenerative surgery and bone resection surgery.

Key words: peri-implantitis, bone defects, alveolar bone resorption, horizontal bone resorption, vertical bone resorption, dehiscence, non-surgical treatment, surgical treatment

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