国际口腔医学杂志 ›› 2019, Vol. 46 ›› Issue (4): 481-487.doi: 10.7518/gjkq.2019066
郑铮,陈文川
Zheng Zheng,Chen Wenchuan
摘要:
1962年,Cohon根据Gargiulo等的研究提出了天然牙中存在生物学宽度,即龈沟底与牙槽嵴顶之间约2 mm的恒定距离,结构上包括结合上皮(宽约0.97 mm)以及结合上皮根方和牙槽嵴顶之间的纤维结缔组织(宽约1.07mm)。1991年,Berglundh等提出在种植体周围存在类似的结构,即被称为种植体生物学宽度,从种植体周围黏膜顶端到种植体-骨结合位点之间约3~4 mm的较为恒定的距离,结构上包括上皮层(包括龈沟上皮和结合上皮)以及上皮根方与种植体-骨结合位点之间的纤维结缔组织层。其功能意义主要包括作为屏障抵御外界刺激、有利于种植区软硬组织的重建和临床上指导种植修复过程3个方面。本文就口腔种植体周围生物学宽度在结构、尺度及功能上的意义进行综述。
中图分类号:
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