粘结剂残留致种植体周围炎

发布时间：2018-06-27 15:43

本文选题：粘结固位 + 种种植体周围炎　；参考：《实用医学杂志》2017年24期

【摘要】：目的探讨种植体周围炎相关影响因素,并着重探讨粘结剂残留引发种植体周围炎临床表现。方法收集2016年1月至2016年12月于种植中心完成种植单冠修复后确诊为新发种植体周围炎病例23例作为分析对象。20例种植体周围健康病例作为对照组。所有患者术前均记录年龄,性别,全身系统性疾病,是否吸烟及喝酒,是否牙周炎病史,手术及上部修复体材料,修复方式。病例复诊就诊原因为定期复查或遭遇机械或生物学并发症时重新就诊,随访时指标包括:牙龈色型质,探诊出血(BOP+),探诊深度(PD)及放射学检查。结果在所有种植体周围类组所有螺丝固位患者(100%)及8例粘结固位患者(50%)存在局部或全身种植体周围炎影响因素,3例螺丝固位种植体周围健康患者(30%)存在单一风险因素,2例粘结固位种植体周围健康患者(20%)存在单一风险因素,其差异具有统计学意义(P0.05),种植体周围炎组不同固位方式差异无统计学意义(P0.05)。23例种植体周围炎患者(100%)均出现探诊出血(BOP+),85%螺丝固位及50%粘结固位种植体周围炎患者口腔卫生欠佳(PLI=2或3);排除牙周炎病史,糖尿病史及重度吸烟患者等影响因素,8例粘结固位种植体周围炎患者通过放射学检查及切开翻瓣均可见粘结剂残留。结论种植体周围炎影响因素很多,可能是单一因素,也可能是多因素结合。粘结剂残留是造成种植体周围炎不可忽视的原因之一,发生早期种植体周围炎后采用外科手段去除残留粘结剂,辅助刮治,采用激光治疗消除炎症,必要时引导骨再生术等技术可促进种植体周围骨组织再生。
[Abstract]:Objective to investigate the related factors of periimplant inflammation and the clinical manifestations of periimplant inflammation caused by residual binder. Methods from January 2016 to December 2016, 23 newly diagnosed cases of periimplant periodontitis were selected as control group. Age, sex, systemic disease, smoking and drinking, history of periodontitis, materials of operation and upper prosthesis, repair methods were recorded before operation. The causes of follow-up visit were regular reexamination or revisiting with mechanical or biological complications, including gingival color, probing bleeding (BOP), probing depth (PD) and radiologic examination. Results all patients with screw retention (100%) and 8 patients with adhesive retention (50%) had a single risk of local or systemic peri-implant inflammation. 3 patients (30%) had a single risk of peri-implant health in all implant groups (100%) and 8 patients (50%) with adhesive retainer. 3 patients (30%) had a single risk of local or systemic peri-implant inflammation. There was a single risk factor (20%) in 2 patients (20%) with binder retention. The difference was statistically significant (P0.05), but there was no significant difference in different retention modes in the periimplant group (P0.05). All 23 patients (100%) with peri-implant hemorrhage (BOP) had 85% screw retention and 50% adhesive retention. Poor oral hygiene (PLI2 or 3); exclusion of history of periodontitis, The adhesive residue was observed in 8 patients with adhesive retainer periimplant by radiologic examination and incision of the flap. Conclusion there are many factors affecting periimplant inflammation, which may be a single factor or a combination of multiple factors. The residual binder is one of the causes that can not be ignored. After the early periimplant inflammation occurs, surgical methods are used to remove the residual binder, assist scraping, and laser treatment to eliminate inflammation. Techniques such as guided bone regeneration, if necessary, can promote bone regeneration around implants.
【作者单位】：南方医科大学口腔医院(广东省口腔医院);新疆吐鲁番市第二人民医院;
【基金】：广东省科技计划项目(编号:20140212)
【分类号】：R783.6

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