种植体周围龈乳头高度的影响因素分析  

Analysis of influencing factors on the height of gingival papilla around implants

作　　者：冯丹丹 王妙贞 刘峰[1] 詹雅琳 李祎[1] Feng Dandan;Wang Miaozhen;Liu Feng;Zhan Yalin;Li Yi(Clinical Division,Peking University School and Hospital of Stomatology&National Center for Stomatology&National Clinical Research Center for Oral Diseases&National Engineering Research Center of Oral Biomaterials and Digital Medical Devices&Beijing Key Laboratory of Digital Stomatology,Beijing 100034,China;Department of Prosthodontics,School and Hospital of Stomatology,Cheeloo College of Medicine,Shandong University&Shandong Key Laboratory of Oral Tissue Regeneration&Shandong Engineering Research Center of Dental Materials and Oral Tissue Regeneration&Shandong Provincial Clinical Research Center for Oral Diseases,Jinan 250012,China)

机构地区：[1]北京大学口腔医学院·口腔医院门诊部,国家口腔医学中心,国家口腔疾病临床医学研究中心,口腔生物材料和数字诊疗装备国家工程研究中心,口腔数字医学北京市重点实验室,北京100034 [2]山东大学齐鲁医学院口腔医学院·口腔医院口腔修复科,山东省口腔组织再生重点实验室,口腔生物材料与组织再生山东省工程研究中心,山东省口腔疾病临床医学研究中心,济南250012

出　　处：《中华口腔医学杂志》2025年第2期172-178,共7页Chinese Journal of Stomatology

摘　　要：种植体周围龈乳头解剖结构特殊, 损伤后恢复难度大, 其高度的降低对种植体功能及美学效果均可产生不利影响, 是目前种植治疗领域面临的难题。本文从解剖因素、种植手术设计和修复设计三方面对种植体龈乳头高度的影响因素进行分析, 内容包括天然牙外形、种植体间距、软组织移植、种植穿龈轮廓等经典影响因素, 及种植体周围软组织厚度、种植手术时机、翻瓣设计和手术切口等近年研究热点以及有争议的影响因素, 以期为临床种植治疗中龈乳头的保存及重建提供参考。The anatomical structure of the gingival papilla around the implant is special,and it is difficult to recover after injury.The reduction of its height will have a negative impact on function and esthetics,and it is one of the many problems in implant treatment at present.This paper analyzes the influencing factors of implant gingival papilla height from three aspects:anatomical factors,implant surgical design and implant restorative design,including the classical influencing factors such as the shape of natural teeth,interproximal distance between the implant and the adjacent tooth,soft tissue grafting,and contour of implant restorations,as well as the hot and controversial influencing factors in recent years such as the thickness of soft tissues around the implant,the implant surgical timing,the flap design,and the surgical incision,in order to provide reference for clinicians in the process of implant treatment for gingival papilla preservation and reconstruction.

关 键 词：牙种植 牙乳头 美学 牙科 黑三角 影响因素 

分 类 号：R783.6[医药卫生—口腔医学]