Decontamination of titanium implant surface and re-osseointegration to treat peri-implantitis: a literature review.
Decontamination of titanium implant surface and re-osseointegration to treat peri-implantitis: a literature review.
复制标题
钛种植体表面净化和骨整合治疗种植体周围炎：文献综述。
DOI：
--
复制
发表时间：
2012
期刊：
影响因子：
--
通讯作者：
D. Wismeijer
中科院分区：
文献类型：
--
作者：
K. Subramani;D. Wismeijer
目的
回顾种植体周围炎后钛种植体表面去污的文献，以及各种清洁方法对重新骨整合的影响。
材料和方法
对1966年至2010年10月期间发表的研究在PubMed上进行了文献电子检索。包括体外、动物和临床研究。
结果
在检索到的597项研究中，选择了74篇手稿进行综述。已经提出了使用各种化学和机械试剂的各种种植体表面去污方法，用于种植体周围炎后的治疗和重新骨整合。已经证明，污染的种植体表面的重新骨整合是可能的;这在很大程度上取决于种植体的表面和去污技术的类型以及所使用的骨再生材料。仅通过表面去污无法实现完全的重新骨整合。通过使用洗必泰和生理盐水浸泡的纱布或用这些溶液反复冲洗，可以有效地对钛等离子喷涂或喷砂和酸蚀刻表面的钛植入物进行去污。
结论
机械和化学去污技术应与再生外科手术一起应用，以获得最佳的重新骨整合并成功治疗种植体周围炎。近年来，激光和光动力疗法显示出较小的有益效果，这需要通过具有可比性的长期临床研究来证实。
PURPOSE
To review the literature on decontamination of titanium implant surfaces following peri-implantitis and the effect of various cleaning methods on re-osseointegration.
MATERIALS AND METHODS
An electronic search of the literature at PubMed was conducted on the studies published between 1966 and October 2010. In vitro, animal, and clinical studies were included.
RESULTS
Of 597 studies retrieved, 74 manuscripts were selected for the review. Various implant surface decontamination methods using various chemical and mechanical agents have been suggested for treatment and re-osseointegration following periimplantitis. It has been shown that re-osseointegration of contaminated implant surfaces is possible; this largely depends upon the surface of the implant and the types of decontamination techniques and bone regenerative materials used. Complete re-osseointegration cannot be achieved by surface decontamination alone. Titanium implants with titanium plasma-sprayed or sandblasted and acid-etched surfaces may be effectively decontaminated by applying chlorhexidine and saline-soaked gauze or by repeated rinsing with these solutions.
CONCLUSIONS
Both mechanical and chemical decontamination techniques should be applied alongside regenerative surgical procedures to obtain optimum re-osseointegration and successfully treat peri-implantitis. In recent years, lasers and photodynamic therapy have shown minor beneficial results, which need to be confirmed by long-term clinical studies with comparable groups.