Oral Implants: The Paradigm Shift in Restorative Dentistry
Oral Implants: The Paradigm Shift in Restorative Dentistry
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DOI：
10.1177/0022034519853574
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发表时间：
2019-11-01
影响因子：
7.6
通讯作者：
Lang, N. P.
中科院分区：
文献类型：
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作者：
Lang, N. P.
“骨整合”或功能性关节强直现象的发现导致了具有高临床性能的口腔种植体的发展。因此，钛种植体的放置已经改变了牙科修复的范例。种植体用于防止将重建锚定在天然牙齿上，当这些牙齿是重要的和完整的。此外，种植体适合于改善主观咀嚼功能，并取代缺失的和战略上重要的基台。骨整合过程的特征在于可预测的愈合事件序列，包括编织骨、平行纤维和板层骨的形成，并导致在整个生命周期中重塑的全功能骨。虽然骨整合促进了种植体作为修复基台的使用，但必须记住，种植体周围软组织可能会发生生物学并发症。反过来，这可能导致感染过程，这将危及骨整合。因此，监测种植体周围组织是一个重要方面，并且在种植体周围粘膜炎的情况下进行早期干预对于预防种植体周围炎是强制性的。因此，很明显，口腔种植体需要终身维护护理，如果他们的寿命得到保证。
The discovery of the phenomenon "osseointegration," or functional ankylosis, has led to the development of oral implants with high clinical performance. Consequently, the placement of titanium implants has changed the paradigms of restorative dentistry. Implants are used to prevent placing reconstructions anchored on natural teeth when these are vital and intact. Furthermore, implants are suitable to improve subjective chewing function and to replace missing and strategically important abutments. The osseointegration process is characterized by a predictable sequence of healing events that encompass the formation of woven bone, parallel fibers, and lamellar bone and result in fully functional bone that will remodel throughout life. While the osseointegration facilitates the use of implants as prosthetic abutments, it has to be kept in mind that the peri-implant soft tissue may be subject to biological complications. This, in turn, may result in an infectious process that will jeopardize the osseointegration. Consequently, the monitoring of the peri-implant tissues is an important aspect, and early intervention in situations with peri-implant mucositis is mandatory for the prevention of peri-implantitis. Hence, it is evident that oral implants need lifelong maintenance care if their longevity is to be assured.