摘要
种植体周围骨吸收是种植修复后的常见现象。当种植体修复时间超过1年出现碟形骨吸收达到种植体平台下3mm时,是否需要进行翻瓣植骨是值得探讨的临床问题。本文根据最新种植修复生物学并发症临床治疗指南,从评估和诊断、排除和控制风险因素、非手术治疗清创、早期再评估、手术治疗、临床维护和支持等多方面对此进行论述,总结认为种植修复时间超过1年,碟形骨吸收至种植体肩台下3 mm时并不需要进行翻瓣植骨。
Peri-implant bone resorption is one of the common phenomena after crown delivery. It remains a clinical question worth discussing that whether or not open flap debridement is indicated when the"saucer-like"marginal bone loss accumulates to 3 mm below the implant shoulder after 1-year functional loading. According to the Consensus Statements for prevention and management of biological implant complications,this article will focus on the recommended clinical protocol of assessment,reduction and control of risk factors,nonsurgical debridement,early reassessment,operative treatment,and clinical maintenance and support,thus demonstrating that open flap debridement may not be necessary when the"saucer-like"marginal bone loss amounts to 3 mm.
引文
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