种植体表面去污处理在种植体周围炎治疗中的作用

Role of decontamination treatment for implant surface in the treatment of peri-implantitis

种植体周围炎表现为种植体周围组织炎症反应和支持骨组织逐渐丧失,已成为导致种植体失败的主要原因之一。彻底清除种植体表面的菌斑生物膜是种植体周围炎治疗的首要原则,目前已有多种去污处理方法,根据种植体表面菌斑生物膜的作用结局,去污处理方法可分为清除生物膜和杀灭微生物两大类。但尚无一种去污方法能完全清除种植体表面的菌斑生物膜,且缺乏临床推荐指南,因此了解不同种植体表面去污方式的优缺点、有效性及安全性,对指导临床选择种植体周围炎的治疗方式具有重要意义。

Peri-implantitis,characterized by inflammation of tissues around implants and gradual loss of supporting bone tissue,has become one of the main causes for implant failure.Thoroughly removing the plaque biofilm on the implant surface is the first principle in the treatment of peri-implantitis.For this reason,various decontamination methods have been proposed,which can be divided into 2 categories:Removing biofilm and killing microorganisms according to the effect of plaque biofilm on the implant surface.However,at present,there is no decontamination method that can completely remove the plaque biofilm on the implant surface,and it lacks of clinical recommended guidelines.To understand the advantages and disadvantages,effectiveness and safety for different implant surface decontamination methods is of great significance to guide the clinical selection for peri-implantitis treatment.