国际口腔医学杂志

国际口腔医学杂志 ›› 2023, Vol. 50 ›› Issue (2): 152-158.doi: 10.7518/gjkq.2023031

• 种植专栏 • 上一篇    下一篇

种植体磨光整形术治疗种植体周围炎的研究进展

陆倩(),夏海斌,王敏()   

  1. 武汉大学口腔医院种植科 武汉 430079
  • 收稿日期:2022-09-15 修回日期:2022-12-26 出版日期:2023-03-01 发布日期:2023-03-14
  • 通讯作者: 王敏
  • 作者简介:陆倩，硕士，Email：2021283040041@whu.edu.cn
  • 基金资助:
    国家自然科学基金(82071095)

Research progress on implantoplasty in the treatment of peri-implantitis

Lu Qian(),Xia Haibin,Wang Min.()   

  1. Dept. of Oral Implantology, Hospital of Stomatology, Wuhan University, Wuhan 430079, China
  • Received:2022-09-15 Revised:2022-12-26 Online:2023-03-01 Published:2023-03-14
  • Contact: Min. Wang
  • Supported by:
    National Natural Science Foundation of China(82071095)

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摘要：

种植体周围炎是种植修复后最常见的生物学并发症之一。发生种植体周围炎后，种植体周骨组织丧失，牙龈退缩，使种植体表面螺纹暴露在口腔中，这种粗糙的表面较光滑表面更易积累菌斑。种植体磨光整形术是通过采用一系列打磨抛光器械机械性去除种植体裸露螺纹，并对种植体表面进行抗菌去污处理，以对种植体表面进行修饰。应用种植体磨光整形术不仅可去除种植体表面污染，还可以降低表面粗糙度，减少未来菌斑附着的程度，有利于种植体周围炎的控制。本文从种植体磨光整形术的治疗程序、疗效、术后问题及并发症等方面进行综述。

关键词: 种植体磨光整形术, 种植体周围炎, 牙种植体, 打磨抛光器械

Abstract:

Peri-implantitis is one of the most common biological complications after implant restoration. The implant threads are exposed due to the peri-implant bone loss and gingival recession. Exposed rough surfaces are more prone to plaque accumulation than smooth surfaces. Implantoplasty is the implant surface modification through the removal of exposed threads and antibacterial decontamination of the implant surface by using a series of rotary instruments. This me-thod has shown promising results in the treatment of peri-implantitis by removing the entire outmost infected layer of titanium and reduce the roughness and plaque adhesion of implant surface. This article reviews the treatment procedure, the-rapeutic effect, postoperative problems, and complications of implantoplasty.

Key words: implantoplasty, peri-implantitis, dental implant, rotary instruments

中图分类号: 

  • R 783

表 1

常用打磨抛光器械"

打磨抛光器械规格用途
金刚砂车针（diamond burs）106、40、15、8、4 μm粒度；花蕾状/蛋状去除种植体表面污物及螺纹
碳化钨车针（carbide cutting burs）红色（普通）；白色（细）去除种植体表面污物及螺纹
碳化硅磨石（silicon carbide stones）绿色棒柱状去除种植体表面污物及螺纹
硅胶抛光器（silicone burs）Brownie（棕色锥状）；Greenie（绿色锥状）进一步抛光平整种植体表面
阿肯色石（Arkansas stone）锥状/棒柱状/球状进一步抛光平整种植体表面
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