中国组织工程研究 ›› 2014, Vol. 18 ›› Issue (21): 3406-3411.doi: 10.3969/j.issn.2095-4344.2014.21.022

• 生物材料综述 biomaterial review • 上一篇    下一篇

种植体结构设计与种植体边缘的骨吸收:现状与争议

李  平1,2,戴静桃1,2,李  安2,唐尤超1   

  1. 1暨南大学附属惠州口腔医院•惠州市口腔医院,广东省惠州市  516000;2暨南大学医学院,广东省广州市  510000
  • 出版日期:2014-05-21 发布日期:2014-05-21
  • 通讯作者: 唐尤超,主任医师,暨南大学附属惠州口腔医院?惠州市口腔医院,广东省惠州市 516000
  • 作者简介:李平,男,1988年生,浙江省宁波市人,汉族,暨南大学医学院在读硕士,医师,主要从事口腔种植学研究。
  • 基金资助:

    惠州科技计划项目(2013Y115)资助

Relationship between implant design and marginal bone loss around oral implants: current situation and controversy 

Li Ping 1, 2, Dai Jing-tao 1, 2, Li An2, Tang You-chao1   

  1. 1 Huizhou Stomatological Hospital of Jinan University, Huizhou 516000, Guangdong Province, China; 2 Jinan University Medical School, Guangzhou  510000, Guangdong Province, China
  • Online:2014-05-21 Published:2014-05-21
  • Contact: Tang You-chao, Chief physician, Huizhou Stomatological Hospital of Jinan University, Huizhou 516000, Guangdong Province, China
  • About author:Li Ping, Studying for master’s degree, Physician, Huizhou Stomatological Hospital of Jinan University, Huizhou 516000, Guangdong Province, China
  • Supported by:

    the Science and Technology Plan Project of Huizhou City, No. 2013Y115

摘要:

背景:种植体边缘骨吸收直接影响着种植义齿的长期稳定及美观,除了过度负荷及病理性炎症两大因素外,种植体结构设计也是至关重要的因素
目的:综述种植体结构设计与种植体边缘骨吸收的关系。
方法:应用计算机检索 PubMed 数据、SCI 数据库、中国知网数据库有关种植体结构设计及种植体边缘骨吸收的文献。英文检索词为“implant design,marginal bone loss,bone loss, bone defect”,中文检索词为“种植体设计;边缘骨吸收;骨吸收;骨缺损”。排除本综述无关及重复性研究的文献,最后按纳入标准筛选43篇文献进行综述。
结果与结论:在口腔种植治疗中,避免种植体边缘骨是能确保种植体周围软硬组织健康及美学修复效果基本要求,优化种植体形态结构设计对种植体周围骨吸收有极大的影响。故种植修复时应尽量考虑到以下因素:合理匹配种植体的尺寸,不同种植体选择合理的颈部设计,一体式种植体,基台设计及种植体-基台连接等。


中国组织工程研究杂志出版内容重点:生物材料;骨生物材料; 口腔生物材料; 纳米材料; 缓释材料; 材料相容性;组织工程


全文链接:

关键词: 生物材料, 口腔生物材料, 种植体设计, 边缘骨吸收, 骨吸收, 骨缺损, 平台转移

Abstract:

BACKGROUND: Marginal bone loss around oral implants may represent a threat to implant stability and aesthetics. In addition to two major factors (overloading and infection), implant design play a role of critical factor.
OBJECTIVE: To review the relationship between implant design and marginal bone loss around oral implants
METHODS: PubMed, SCI database and CNKI (2000-01/2013-12) were retrieved for articles about the relationship between implant design and marginal bone loss around oral implants, with the key words of “implant design, marginal bone loss, bone loss, bone defect” in English and Chinese, respectively. Independent literatures and repetition research with this review were excluded were excluded. According to the inclusive and exclusion criteria, 43 articles were included in result analysis.
RESULTS AND CONCLUSION: Avoiding bone loss is to ensure the health of soft and hard tissue around implant and it is the basic requirement of aesthetic restoration. Optimizing implant design has a great impact on marginal bone loss around oral implants. We should try to consider the following factors during implant restoration: the size of the implant, a reasonable choice of different implant neck design, one-piece implant, abutment and implant design-abutment connections.


中国组织工程研究杂志出版内容重点:生物材料;骨生物材料; 口腔生物材料; 纳米材料; 缓释材料; 材料相容性;组织工程


全文链接:

Key words: biocompatible materials, dental implants, alveolar bone loss

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