Diagnostic Principles of Peri-Implantitis: a Systematic Review and Guidelines for Peri-Implantitis Diagnosis Proposal.
Diagnostic Principles of Peri-Implantitis: a Systematic Review and Guidelines for Peri-Implantitis Diagnosis Proposal.
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DOI：
10.5037/jomr.2016.7308
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发表时间：
2016-07
期刊：
影响因子：
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通讯作者：
Juodzbalys G
中科院分区：
文献类型：
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作者：
Ramanauskaite A;Juodzbalys G
回顾和总结有关种植体周围炎诊断参数的文献，并提出种植体周围炎诊断指南。对MEDLINE(OVID)和EMBASE数据库进行了电子文献搜索，查找2011至2016年间发表的文章。进行了标题/摘要和全文的顺序筛选。对提出分类或建议种植体周围炎诊断参数的英语共识会议的系统评价/指南也包括在内。这项审查被记录在普罗斯佩罗系统上，代码为CRD42016033287。搜索的结果是10篇符合纳入标准的文章。四篇来自共识会议的论文，两篇推荐的诊断指南，三篇建议的种植体周围炎分类，一篇建议种植成功的指标。建议使用以下参数诊断种植体周围炎：疼痛、活动度、探诊时出血、探诊深度、化脓液/渗出液和放射学骨丢失。在所有的论文中，使用了不同的种植体周围炎或种植体成功的定义，以及上述临床和放射学参数的不同阈值。目前对种植体周围炎的诊断和基于软组织状况和骨丢失量的连续评估进行分类的证据理论被提出。目前，对于种植体周围炎或应使用的参数没有统一的定义。对种植体周围炎的诊断和预后以及疾病的分类提出了理论依据。
To review and summarize the literature concerning peri-implantitis diagnostic parameters and to propose guidelines for peri-implantitis diagnosis. An electronic literature search was conducted of the MEDLINE (Ovid) and EMBASE databases for articles published between 2011 and 2016. Sequential screening at the title/abstract and full-text levels was performed. Systematic reviews/guidelines of consensus conferences proposing classification or suggesting diagnostic parameters for peri-implantitis in the English language were included. The review was recorded on PROSPERO system with the code CRD42016033287. The search resulted in 10 articles that met the inclusion criteria. Four were papers from consensus conferences, two recommended diagnostic guidelines, three proposed classification of peri-implantitis, and one suggested an index for implant success. The following parameters were suggested to be used for peri-implantitis diagnosis: pain, mobility, bleeding on probing, probing depth, suppuration/exudate, and radiographic bone loss. In all of the papers, different definitions of peri-implantitis or implant success, as well as different thresholds for the above mentioned clinical and radiographical parameters, were used. Current evidence rationale for the diagnosis of peri-implantitis and classification based on consecutive evaluation of soft-tissue conditions and the amount of bone loss were suggested. Currently there is no single uniform definition of peri-implantitis or the parameters that should be used. Rationale for diagnosis and prognosis of peri-implantitis as well as classification of the disease is proposed.