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Surface modification strategies to reinforce the soft tissue seal at transmucosal region of dental implants

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摘要 Soft tissue seal around the transmucosal region of dental implants is crucial for shielding oral bacterial invasion and guaranteeing the long-term functioning of implants.Compared with the robust periodontal tissue barrier around a natural tooth,the peri-implant mucosa presents a lower bonding efficiency to the transmucosal region of dental implants,due to physiological structural differences.As such,the weaker soft tissue seal around the transmucosal region can be easily broken by oral pathogens,which may stimulate serious inflammatory responses and lead to the development of peri-implant mucositis.Without timely treatment,the curable peri-implant mucositis would evolve into irreversible peri-implantitis,finally causing the failure of implantation.Herein,this review has summarized current surface modification strategies for the transmucosal region of dental implants with improved soft tissue bonding capacities(e.g.,improving surface wettability,fabricating micro/nano topographies,altering the surface chemical composition and constructing bioactive coatings).Furthermore,the surfaces with advanced soft tissue bonding abilities can be incorporated with antibacterial properties to prevent infections,and/or with immunomodulatory designs to facilitate the establishment of soft tissue seal.Finally,we proposed future research orientations for developing multifunctional surfaces,thus establishing a firm soft tissue seal at the transmucosal region and achieving the long-term predictability of dental implants.
出处 《Bioactive Materials》 SCIE CSCD 2024年第12期404-432,共29页 生物活性材料(英文)
基金 supported by the National Key Research and Development Program of China(2023YFC2412600) the National Natural Science Foundation of China(52271243,52171233,82370924) the NSFC-RFBR Joint Research Scheme(82361138575) the Beijing Nova Program(20230484459) the Beijing Natural Science Foundation(7242173) the Clinical Medicine Plus X-Young Scholars Project of Peking University the Fundamental Research Funds for the Central Universities(PKU2024LCXQ014).
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