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首页> 外文期刊>The Journal of Prosthetic Dentistry >The soft tissue response to osseointegrated dental implants.
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The soft tissue response to osseointegrated dental implants.

机译：软组织对骨整合牙齿植入物的反应。

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摘要

The use of dental implants in the treatment of fully edentulous patients has become an important addition in oral/dental rehabilitation. The fact that these implants penetrate the oral mucosa can lead to the assumption that peri-implant tissues, similar to the periodontal tissues, are fulfilling an important function as a barrier to protect the bony anchorage underneath. It has been shown that insufficient plaque removal may lead to peri-implant tissue disease with bone loss similar to teeth. However, it is unclear how important this cause is as a source of implant failure compared with other factors, such as inadequate bone healing, unfavorable quantity and quality of bone, or (bio)mechanical and functional problems. It is also not understood if peri-implant epithelium and connective tissue are equally needed and/or qualified to slow down or prevent tissue breakdown as their periodontal counterparts. The scientific work focusing on peri-implant soft tissues has dramatically increased in the past few years. Most studies to date have examined and described their structure but little data exist on their true biologic function. This review analyzes the current understanding of morphologic and clinical features of the peri-implant soft tissues. Furthermore, evidence shall be provided that peri-implant soft tissues do not interfere with the current favorable results obtained when treating the edentulous patient with osseointegrated implants.
机译：在完全缺牙的患者中使用牙种植体已成为口腔/牙齿康复的重要补充。这些植入物穿透口腔粘膜的事实可能导致这样的假设，即与牙周组织类似的植入物周围组织正在发挥重要作用，作为保护下方骨固定的屏障。已经表明，斑块去除不充分可能导致植入物周围组织疾病，其骨丢失类似于牙齿。但是，与其他因素（例如骨骼愈合不足，骨骼的数量和质量不良或（生物）机械和功能问题）相比，尚不清楚该原因作为植入失败的根源有多重要。还不清楚是否需要和/或有资格像它们的牙周对应物一样，和/或使植入物上皮和结缔组织具有减慢或预防组织破裂的能力。在过去的几年中，专注于植入物周围软组织的科研工作大大增加。迄今为止，大多数研究已经检查并描述了它们的结构，但是关于其真正生物学功能的数据很少。这篇综述分析了目前对植入物周围软组织的形态和临床特征的了解。此外，应提供证据，即种植体周围软组织不会干扰目前使用骨整合种植体治疗无牙患者的有利结果。

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