美学区种植体周围龈乳头高度退缩的影响因素及重建策略

doi:10.7518/gjkq.2026020

摘要/Abstract

摘要：

美学区种植体周围龈乳头的恢复是口腔种植修复中实现美学与功能协调的关键环节，其高度退缩会直接影响种植体的功能和美学效果。种植体周围龈乳头的解剖结构特殊，重建效果和重建后长期稳定性一直是困扰临床医生的难题。本文从龈乳头的解剖基础、影响因素及重建策略三大方面进行分析，总结认为影响美学区种植体周围龈乳头高度的关键因素包括解剖因素、手术因素、修复设计因素及患者个体因素，当前的重建策略主要包括传统外科增量技术与新型生物技术，为美学区种植治疗中龈乳头的保存及重建提供参考。

关键词: 牙种植, 龈乳头, 美学, 黑三角, 影响因素, 治疗计划, 新型生物技术

Abstract:

Restoring peri-implant papillae in the aesthetic zone is a critical step for attaining balance between aesthetics and functionality in dental implant restoration. However, substantial height recession directly affects implant functionality and aesthetic results, and the distinctive anatomical configuration of peri-implant papillae continues to pose a serious challenge to maintaining the effectiveness and long-term stability of restorations. This article examines three major aspects: the anatomical basis of the papilla, influencing factors, and reconstruction strategies. The identified key factors affecting the height of peri-implant papillae in the aesthetic zone include anatomical, surgical, prosthetic design, and patient-speci-fic factors. Current reconstruction strategies primarily include conventional surgical augmentation techniques and novel biotechnologies, providing reference for papilla preservation and reconstruction in aesthetic zone implant therapy.

Key words: dental implants, gingival papilla, aesthetics, black triangle, influencing factors, treatment planning, new biotechnology

中图分类号:

R783

刘坤明,张志宏. 美学区种植体周围龈乳头高度退缩的影响因素及重建策略[J]. 国际口腔医学杂志, 2026, 53(5): 719-727.

Kunming Liu,Zhihong Zhang. Factors affecting peri-implant gingival papilla height recession in the aesthetic zone and reconstruction strategies[J]. Int J Stomatol, 2026, 53(5): 719-727.

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