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首页> 外文期刊>The International journal of oral & maxillofacial implants >International Brainstorming Meeting on Etiologic and Risk Factors of Peri-implantitis, Montegrotto (Padua, Italy), August 2014
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International Brainstorming Meeting on Etiologic and Risk Factors of Peri-implantitis, Montegrotto (Padua, Italy), August 2014

机译：2014年8月，蒙特格罗托（意大利帕多瓦），关于种植体周围炎的病因和危险因素国际集思广益会议

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The emerging literature has recently reported an alarming increase in peri-implantitis. This disease is typically described as the result of an imbalance between host response and bacterial load, supported by gram-negative anaerobic microflora. The current literature on the prevention and treatment of peri-implantitis does not allow for the extraction of applicable clinical information. In fact, the lack of efficacy of the current treatment methods may be a result of insufficient understanding of the biology. The aim of this position paper was to try to re-evaluate the etiopathogenesis of peri-implantitis, highlighting the principal clinically induced triggering factors of the disease. The consensus conference provided strong evidence to suggest that a different microbiologic flora (slightly different from that collected around teeth affected by periodontitis) could support peri-implantitis. However, the evidence to support a consensus statement regarding clinically triggering factors (surgical, prosthetic, and biomechanical) for peri-implantitis is only of moderate strength (cohort studies or consistent results from long-term, well-populated case series). Expert opinion led the consensus group to support the following: rectifying the number of peri-implant inflammatory situations caused by surgical, restorative, or material complications may lower the number of infections to a more realistic figure and may suggest different and more appropriate treatment plans. At the same time, it can be stated that implant material, shape and surface characteristics, procedures and biomaterials used for bone augmentation, and incorrect prosthetic procedures and biomechanical plans could also be risk factors for the occurrence and progression of peri-implantitis.
机译：新兴文献最近报道了种植体周围炎的惊人增加。这种疾病通常被描述为宿主反应和细菌载量之间不平衡的结果，这由革兰氏阴性厌氧菌群支持。当前关于预防和治疗种植体周围炎的文献不允许提取适用的临床信息。实际上，当前治疗方法缺乏功效可能是由于对生物学的了解不足。该立场文件的目的是尝试重新评估种植体周围炎的病因，强调该疾病的主要临床诱发因素。共识会议提供了强有力的证据，表明不同的微生物菌群（与牙周炎影响的牙齿周围收集的菌群稍有不同）可以支持种植体周围炎。但是，支持有关植入物周围炎的临床触发因素（手术，修复和生物力学）的共识性陈述的证据仅具有中等强度（队列研究或长期，人群广泛的病例系列的一致结果）。专家的意见促使共识小组支持以下内容：纠正由手术，修复或实质性并发症引起的植入物周围炎性情况的数量，可能会将感染的数量降低至更实际的数字，并可能提出不同且更合适的治疗计划。同时，可以说植入物的材料，形状和表面特征，用于骨增大的程序和生物材料以及不正确的修复程序和生物力学计划也可能是植入物周围炎发生和发展的危险因素。

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