种植体根尖病变的预防与治疗  

Prevention and treatment of implant periapical lesions

作　　者：石前会 伍超 周倩 程余婷 李芳 霍花 齐昱晗 黄晓林 王永 廖健 Shi Qianhui;Wu Chao;Zhou Qian;Cheng Yuting;Li Fang;Huo Hua;Qi Yuhan;Huang Xiaolin;Wang Yong;Liao Jian(School of Stomatology of Guizhou Medical University,Stomatological Hospital of Guizhou Medical University,Guiyang 550004,Guizhou Province,China)

机构地区：[1]贵州医科大学口腔医学院,贵州医科大学附属口腔医院,贵州省贵阳市550004

出　　处：《中国组织工程研究》2020年第34期5434-5440,共7页Chinese Journal of Tissue Engineering Research

基　　金：国家自然科学基金(81660179),项目负责人:廖健;贵州省科技计划项目(黔科合LH[2016]7257),项目负责人:廖健。

摘　　要：背景:目前对种植体根尖周病变的认识尚不充分。目的:结合最新的与种植体根尖周病变临床症状、致病因素及治疗方法相关的研究动态,对种植体根尖病变的病因机制及治疗方法的研究进展作一综述。方法:由第一作者应用计算机以"apical peri-implantitis,retrograde peri-implantitis,dental implant,implants periapicallesion"为英文检索词,以"根尖性种植体周围炎,逆行性种植体周围炎,口腔种植体,种植体根尖病变"为中文检索词,检索Pub Med、维普、万方、知网数据库中1985年1月至2019年11月已发表的相关文献,对种植体根尖病变的病因、临床表现、治疗方案等进行归纳与总结。结果与结论:种植体根尖病变可能是由感染、骨灼热、骨质量差、全身及局部因素等引起,临床表现为种植体根尖周围区域黏膜颜色发红、肿胀或形成瘘道、按压有疼痛,影像学显示种植体根尖周围区域低密度放射暗影。治疗方法主要包括邻牙根管治疗、外科清创、种植体根尖切除、引导性骨组织再生及全身应用抗生素等。因此,熟悉掌握种植体根尖病变的相关病因和治疗方法,可为临床中种植体根尖病变的预防和治疗提供积极的指导作用。BACKGROUND:At present,the understanding of periapical lesions of implants is not sufficient.OBJECTIVE:Based on the latest research trends related to the clinical symptoms,pathogenic factors and treatment methods of implant periapical lesions,this paper reviews the research progress of the etiology and treatment methods of implant periapical lesions.METHODS:The first author searched Pub Med,VIP,Wanfang and CNKI databases using computer for relevant articles published from January 1985 to November 2019.The search terms were"apical peri-implantitis,retrograde peri-implantitis,dental implant,implants periapical lesion"in English and Chinese,respectively.The etiology,clinical manifestation,and treatment plan of implant periapical lesions were summarized.RESULTS AND CONCLUSION:The implant periapical lesions may be caused by infection,bone burning,poor bone quality,systemic and local factors.The clinical manifestations were redness and swelling of the mucosa in the periapical area of the implant,tenderness,or fistula formation.Imaging results showed a low-density radiation shadow in the periapical area of the implant.The treatment methods include root canal therapy of adjacent teeth,surgical debridement,implant root tip resection,guided bone regeneration,and systemic application of antibiotics.Therefore,to be familiar with the etiology and treatment methods of implant periapical lesions can provide positive guidance for the prevention and treatment of implant periapical lesions in clinical practice.

关 键 词：根尖性种植体周围炎 逆行性种植体周围炎 种植体根尖病变 口腔种植体 引导骨组织再生术 种植义齿 

分 类 号：R459.9[医药卫生—治疗学] R366[医药卫生—临床医学]