咬合调整联合激光治疗种植体周炎的研究进展

Research progress on occlusal adjustment combined with laser therapy for peri-implantitis

种植义齿已成为牙列缺损或牙列缺失患者的首要选择,但过大的咬合负荷和种植体周炎均可能引起种植体周骨吸收,甚至造成种植体松动或脱落。尽管具体机制尚不明确,但有文献表明过大的咬合负荷会与种植体周炎发生协同作用,进一步加重骨吸收。激光具有有效的消融、杀菌及生物调节功能,在种植体周炎的治疗中起着重要作用。调整不合理的咬合负荷联合激光治疗可以控制种植体周骨吸收,缓解和改善种植体周炎的症状。本文就引起种植体周骨吸收的咬合因素、咬合因素促进种植体边缘骨吸收的机制、咬合调整联合激光治疗种植体周骨吸收的原理等相关方面进行探讨,旨在为解决种植体周骨吸收提供治疗建议。

Implant-supported dentures have become the primary choice for patients with partial or complete edentulism.However,excessive occlusal loads and peri-implantitis can lead to bone resorption around implants,potentially causing implant loosening or even failure.Although the mechanism is not clear,studies suggest that excessive occlusal forces may synergistically exacerbate bone resorption in the presence of peri-implantitis.Laser therapy,known for its effective ablation,bactericidal,and bioregulatory properties,plays a significant role in the treatment of peri-implantitis.Combining occlusal adjustment with laser therapy can help control bone resorption around implants and alleviate the symptoms of peri-implantitis.This article reviews the occlusal factors that cause peri-implant bone resorption,the mechanisms through which these factors promote bone loss,and the principles of combining occlusal adjustment with laser therapy for treating peri-implant bone resorption.The aim is to provide treatment suggestions for solving the problem of peri-implant bone resorption.