口腔医学研究 ›› 2021, Vol. 37 ›› Issue (4): 279-283.DOI: 10.13701/j.cnki.kqyxyj.2021.04.001

• 特约述评 •    下一篇

种植体周软组织封闭建立的难点与改善方案

季平*   

  1. 重庆医科大学附属口腔医院,口腔疾病与生物医学重庆市重点实验室,重庆市高校市级口腔生物医学工程重点实验室 重庆 401147
  • 收稿日期:2021-02-20 发布日期:2021-04-15
  • 通讯作者: *季平,E-mail:jiping@hospital.cqmu.edu.cn
  • 作者简介:季平 二级教授、医学博士、博士生导师,留美学者,重庆医科大学附属口腔医院院长,“重庆市英才计划创新领军人才”。中华口腔医学会颌面外科专业委员会常务委员、种植专业委员会常务委员、口腔颌面-头颈肿瘤专业委员会常务委员、口腔医学教育专业委员会常务委员、口腔医疗服务分会常务委员、中国医师协会口腔医师分会常务委员、重庆市口腔医学会会长。参与全国统编教材编写、参编及主编著作10余部,获省部级及国家级科研项目10余项。发表论文近百篇,其中 SCI论文30余篇。

Difficulties in the Establishment of Peri-implant Soft Tissue Sealing and Improving Strategies

JI Ping*   

  1. Stomatological Hospital of Chongqing Medical University, Chongqing Key Laboratory of Oral Diseases and Biomedical Sciences, Chongqing Municipal Key Laboratory of Oral Biomedical Engineering of Higher Education, Chongqing 401147, China
  • Received:2021-02-20 Published:2021-04-15

摘要: 稳定的软组织封闭对于防止微生物入侵,维持种植体的长期稳定性至关重要。种植体周软组织封闭由上皮附着与结缔组织附着两部分构成,与天然牙相比附着较弱,易被外界干扰因素破坏,增加种植体周围疾病的发生率。因此,促进种植体周软组织封闭形成并保持稳定对于维持种植体长期成功尤为重要。本文将分析种植体软组织封闭难以建立并维持稳定的原因,并总结目前用以促进软组织封闭的主要方法,以期为种植领域研究人员与临床医生提供相关参考。

关键词: 种植体, 软组织封闭, 上皮附着, 结缔组织附着, 表面改性

Abstract: Stable soft tissue sealing around dental implants is essential for the prevention of microbial invasion and the long-term success of implant-supported prosthesis. It is composed of the epithelial attachment and the connective tissue attachment, which are weaker compared with the soft tissue sealing around natural teeth. The sealing is susceptible to detrimental external stimulates and inflammatory peri-implant diseases. Therefore, it is of great importance to promote the establishment of soft tissue sealing for the long-term success of the dental implants. This review will analyze the reasons underlying the difficulty in establishing and maintaining a stable peri-implant soft tissue sealing, and summarize the methods for improving it, so as to provide a comprehensive review for the researchers and clinicians.

Key words: dental implant, soft tissue sealing, epithelial attachment, connective tissue attachment, surface modification