种植固定修复体与邻近天然牙邻接丧失的研究进展  

Interproximal Contact Loss Between Implant-supported Fixed Prostheses and Adjacent Natural Teeth:A Review

作　　者：赵歌 魏凌飞 肖慧娟[3] Ge Zhao;Lingfei Wei;Huijuan Xiao(The School of Stomatology of Binzhou Medical University,Yantai,Shandong Province,P.R.China;Department of Dental Implantation,Yantai Stomatological Hospital Affiliated Binzhou Medical University,Yantai,Shandong Province,P.R.China;Department of Prosthodontic Dentistry,Yantai Stomatological Hospital Affiliated Binzhou Medical University,Yantai,Shandong Province,P.R.China)

机构地区：[1]滨州医学院口腔医学院 [2]滨州医学院附属烟台口腔医院口腔种植科 [3]滨州医学院附属烟台口腔医院口腔修复科

出　　处：《中国口腔医学继续教育杂志》2024年第3期214-218,245,共6页Chinese Journal of Stomatologial Continuing Education

基　　金：山东省自然科学基金骨形成蛋白-2缓释仿生磷酸钙用于牙槽嵴保存的机制及应用研究(项目编号:ZR2020QH162)。

摘　　要：口腔种植固定修复完成后,随着时间的推移,其与邻近天然牙之间会发生邻接丧失(interproximal contact loss,ICL)。ICL是指种植义齿与天然牙或修复体之间邻面接触区丧失,出现微小间隙,尤其是在种植义齿的近中发生,这种情况与天然牙的近中移动相关。ICL不仅会引起食物嵌塞,还可能对牙周组织、种植体和修复体以及相邻牙齿造成长期的负面影响,从而影响种植体周围组织的健康,甚至造成种植失败。因此,近年来ICL逐渐被临床医师重视。本文就种植固定修复体与邻近天然牙之间发生ICL的临床发生率、原因、检测方法、预防与治疗方法进行综述,以期提供相应的临床指导。After the completion of implant-supported fixed prostheses,there would be interproximal contact loss(ICL)between implant-supported fixed prostheses and adjacent natural teeth with the passage of time.ICL is the absence of interproximal contact between the implant-supported prostheses and natural teeth or prostheses.The prevalence of ICL is high and its primary cause is mesial migration of natural teeth.ICL can result in food impaction and exert a detrimental influence on the long-term success not only of periodontal tissues and dental implants but also of associated restorations and adjacent teeth.Furthermore,it can adversely affect the health of peri-implant tissues and even lead to implant failure.Consequently,there is growing recognition among clinicians of the importance of managing this condition effectively.This article reviewed the clinical prevalence,causes,prevention and treatment of interproximal contact loss between implant-supported fixed prostheses and adjacent natural teeth,aiming to provide some clinical suggestions.

关 键 词：邻接丧失 种植固定修复 邻近天然牙 食物嵌塞 压膜保持器 

分 类 号：R783.6[医药卫生—口腔医学]