种植体根尖周炎的病因及临床治疗  

Etiology and clinical treatment of apical peri-implantitis

作　　者：彭异卿 黄元丁[1] PENG Yi-qing;HUANG Yuan-ding(The Affiliated Stomatological Hospital of Chongqing Medical University,Chongqing 401147,China)

机构地区：[1]重庆医科大学附属口腔医院种植科,重庆401147

出　　处：《中国实用口腔科杂志》2024年第2期135-140,共6页Chinese Journal of Practical Stomatology

摘　　要：种植体根尖周炎是一类炎性病损,属于种植体生物学并发症的一种,其临床发生率相对较低(0.26%~3.80%)。该疾病一般局限于种植体根尖区域,其他骨-种植体接触界面则保持正常。在种植体根尖周炎的早期阶段,通常缺乏特征性的临床症状,只有影像学检查才能揭示潜在病灶。目前,该疾病尚缺乏公认的分类系统和临床治疗共识。一般在治疗选择方面,可采取保留种植体的非手术治疗和手术治疗两种方式,后者包括翻瓣行种植体根尖术、引导骨组织再生术和(或)种植体根尖切除术。在骨结合阶段对种植体根尖周炎进行早期诊断和治疗,有望提高种植体的存留率,从而降低种植体被拔除的风险。Apical peri-implantitis(API)is an inflammatory lesion categorized as one of the biological complications of dental implants,with a relatively low clinical occurrence rate(0.26%-3.80%).This condition typically localizes around the periapical region of the implant,while other bone-implant interfaces remain unaffected.In the early stages of API,characteristic clinical symptoms are often absent,and detection of potential lesions relies on radiographic imaging.Currently,there is a lack of universally recognized classification systems and clinical treatment consensus for this condition.Treatment options generally involve non-surgical approaches aiming at implant preservation and surgical interventions,including flap elevation with implant apical surgery,guided bone regeneration,and/or implant apical resection.Early diagnosis and treatment of API during the osseointegration phase holds promise for improving implant survival rates and reducing the risk of implant removal.

关 键 词：种植体根尖周炎 骨结合 存留率 分类 非手术治疗 手术治疗 

分 类 号：R78[医药卫生—口腔医学]