种植体表面去污处理在种植体周围炎治疗中的作用  

Role of decontamination treatment for implant surface in the treatment of peri-implantitis

作　　者：曾春玉 王者馥 蔡芸舟 曾婷 杨艳青 王月红 ZENG Chunyu;WANG Zhefu;CAI Yunzhou;ZENG Ting;YANG Yanqing;WANG Yuehong(Key Laboratory of Oral Health Research of Hunan Province,Academician Wang Songling Expert Workstation of Oral and Maxillofacial Regeneration,3D Printing Oral Medical Engineering Technology Research Center of Hunan Province,Xiangya School of Stomatology(Xiangya Stomatological Hospital),Central South University,Changsha 410008,China)

机构地区：[1]口腔健康研究湖南省重点实验室,口腔颌面再生王松灵院士专家工作站,湖南省3D打印口腔医疗工程技术研究中心,中南大学湘雅口腔医学院(湘雅口腔医院),长沙410008

出　　处：《中南大学学报（医学版）》2022年第4期521-528,共8页Journal of Central South University ：Medical Science

基　　金：国家自然科学基金(81901020);全国医学专业学位研究生教育指导委员会研究课题(B3-YX20190603-05);湖南省卫生计生委科研计划项目(B2017036)。

摘　　要：种植体周围炎表现为种植体周围组织炎症反应和支持骨组织逐渐丧失,已成为导致种植体失败的主要原因之一。彻底清除种植体表面的菌斑生物膜是种植体周围炎治疗的首要原则,目前已有多种去污处理方法,根据种植体表面菌斑生物膜的作用结局,去污处理方法可分为清除生物膜和杀灭微生物两大类。但尚无一种去污方法能完全清除种植体表面的菌斑生物膜,且缺乏临床推荐指南,因此了解不同种植体表面去污方式的优缺点、有效性及安全性,对指导临床选择种植体周围炎的治疗方式具有重要意义。Peri-implantitis,characterized by inflammation of tissues around implants and gradual loss of supporting bone tissue,has become one of the main causes for implant failure.Thoroughly removing the plaque biofilm on the implant surface is the first principle in the treatment of peri-implantitis.For this reason,various decontamination methods have been proposed,which can be divided into 2 categories:Removing biofilm and killing microorganisms according to the effect of plaque biofilm on the implant surface.However,at present,there is no decontamination method that can completely remove the plaque biofilm on the implant surface,and it lacks of clinical recommended guidelines.To understand the advantages and disadvantages,effectiveness and safety for different implant surface decontamination methods is of great significance to guide the clinical selection for peri-implantitis treatment.

关 键 词：种植体周围炎 种植体表面去污 清除生物膜 杀灭微生物 

分 类 号：R783.6[医药卫生—口腔医学]