摘要
口腔种植技术已成为牙列缺损、牙列缺失修复的常规方案,被证明具有良好的近远期治疗效果,这得益于种植技术的飞速发展和治疗理念的逐步更新。以修复为导向是当代口腔种植技术的核心治疗理念,在推动口腔种植学科发展过程中发挥着重要作用。然而,种植义齿与天然牙齿存在根本差异,尤其表现在种植体软硬组织界面生物学特征方面的不同,因此种植治疗范式除需满足修复空间位置方面的要求外还应符合种植体周围组织界面特定生物学规律,这即是“以生物学为导向种植治疗理念”概念提出的基础。从种植体周炎菌斑介导这一主流发病学说入手,该文将系统回顾众多并发症复杂诱因,包括细菌性和非细菌性因素,阐述从“以修复为导向”向“以生物学为导向”种植治疗范式转变的必然逻辑以及“以生物学为导向”治疗理念的基本含义和相关内容,为种植体周炎并发症预防提供新策略。
Implant therapy has been developed as a routine modality for restoration of tooth missing with high predictability of treatment outcomes in a short or long run,based on rapid advancement of technology and innovation of treatment concepts.Contemporarily,restoration-driven implant placement is the fundamental principle,which has played an essential role in the progress of implant dentistry.Nonetheless,implants are artificial entities completely different from the natural teeth,especially with respect to the biological characteristics of implant-tissue interactions.The paradigm of implant treatment,thereby,should take these specific biological patterns of implant interface into consideration,not only satisfying the requirements of spatial positions of implants.This is the reason behind the necessity to propose the concept of biological-driven implant therapy.Starting from the predominant hypothesis of biofilm-induced periimplantitis,this article will comprehensively review the diversity of factors revealed that might induce or increase the risk of periimplantitis,including bacterial or non-bacterial factors,and elucidate thereafter the logical trend for the paradigm shift from restorative-driven to biological-driven implant therapy.The fundamental definition of biological-driven concept will be clarified and periimplantitis-related factors be discussed,eliciting a novel strategy for clinical prevention of periimplantitis.
作者
李德华
Li Dehua(Dept,of Oral Implantology,School of Stomatology,Air Force Medical University,Xi'an 710032,Shanxi Province,China)
出处
《中国口腔种植学杂志》
2021年第2期79-84,共6页
Chinese Journal of Oral Implantology
关键词
以修复为导向
以生物学为导向
种植体周炎
并发症预防
Restorative-driven implant therapy
Biological-driven implant therapy
Periimplantitis
Prevention of complications
