Bone stability around dental implants: Treatment related factors
Bone stability around dental implants: Treatment related factors
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DOI：
10.1016/j.aanat.2015.02.004
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发表时间：
2015-01-01
影响因子：
2.2
通讯作者：
Mundt, Torsten
中科院分区：
文献类型：
--
作者：
Heinemann, Friedhelm;Hasan, Istabrak;Mundt, Torsten
牙科植入物周围的骨床受植入物和增强材料以及所使用的插入技术的影响。主要影响因素包括牙科植入物设计，增强技术，治疗方案和手术程序。除了这些与治疗相关的因素外，在文献中，局部和全身因素与植入物周围的骨稳定性有关。BONE是一种动态器官，根据其上方的加载条件来优化自身。骨骼通过重塑过程实现了这种优化。几项研究已经证实了植入物设计和施加力在植入物系统上的重要性。应达到同等分散的菌株和生理范围内的应力，以确保植入物治疗的成功。如果患者希望加速治疗时间，则可以选择不同的方案。但是，每个人都必须考虑可用局部骨骼的数量和质量。只有在拔牙后可以从插座中的残留骨头提供植入物的主要稳定性时，立即植入才能成功。立即加载需要高主要的稳定性，有时通过夹板甚至通过插入额外的植入物来确保其成功材料来分配咀嚼力。特别是，吸收时间和稳定性会影响不同情况下的有用性。因此，治疗方案可以优化同时植入物放置的时间或优化植入物放置的随访时间。 （c）2015 Elsevier GmbH。版权所有。
The bone bed around dental implants is influenced by implant and augmentation materials, as well as the insertion technique used. The primary influencing factors include the dental implant design, augmentation technique, treatment protocol, and surgical procedure. In addition to these treatment-related factors, in the literature, local and systemic factors have been found to be related to the bone stability around implants.Bone is a dynamic organ that optimises itself depending on the loading condition above it. Bone achieves this optimisation through the remodelling process. Several studies have confirmed the importance of the implant design and direction of the applied force on the implant system. Equally dispersed strains and stresses in the physiological range should be achieved to ensure the success of an implant treatment.If a patient wishes to accelerate the treatment time, different protocols can be chosen. However, each one must consider the amount and quality of the available local bone. Immediate implantation is only successful if the primary stability of the implant can be provided from residual bone in the socket after tooth extraction. Immediate loading demands high primary stability and, sometimes, the distribution of mastication forces by splinting or even by inserting additional implants to ensure their success.Augmentation materials with various properties have been developed in recent years. In particular, resorption time and stableness affect the usefulness in different situations. Hence, treatment protocols can optimise the time for simultaneous implant placements or optimise the follow-up time for implant placement. (C) 2015 Elsevier GmbH. All rights reserved.