Diagnosis of Periimplant Disease
Diagnosis of Periimplant Disease
复制标题
DOI：
10.1097/id.0000000000000868
复制
发表时间：
2019-04
影响因子：
--
通讯作者：
H. Hirooka;S. Renvert
中科院分区：
文献类型：
--
作者：
H. Hirooka;S. Renvert
目的：本综述的目的是描述目前种植体周围疾病的鉴别诊断指南。材料和方法：通过检索MEDLINE中截至2018年2月的电子文献，对种植体周围疾病的鉴别诊断进行简要综述。讨论：种植体周围粘膜炎的定义是在温和的探查中出现出血和/或化脓，与以前的检查相比，探查深度增加或不增加，以及在最初的骨重建引起的顶骨水平变化之外没有骨丢失。种植体周围炎的定义是在温和的探查中出现出血和/或化脓，与以前的检查相比，探查深度增加，并存在超过顶骨水平的骨丢失--最初的骨重建导致的骨水平变化。因此，结合临床记录(探诊袋深度、探诊出血和脓液的存在)和可能的骨丢失的放射征象进行鉴别诊断是必要的。结论：假体放置时准确的基线配准(探测袋深度和骨水平)和持续的年度监测对于诊断和适当的疾病处理至关重要。
Purpose: The aim of this review is to describe the current guidelines for the differential diagnosis of periimplant diseases. Materials and Methods: Synopsis reviews were conducted to define the differential diagnosis of periimplant disease through an electronic literature search in MEDLINE up to February 2018. Discussion: Periimplant mucositis is defined by the presence of bleeding and/or suppuration on gentle probing with or without an increased probing depth compared with previous examinations and by the absence of bone loss beyond crestal bone–level changes resulting from initial bone remodeling. Periimplantitis is defined by the presence of bleeding and/or suppuration on gentle probing with an increased probing depth compared with previous examinations and by the presence of bone loss beyond crestal bone–level changes resulting from initial bone remodeling. Thus, a combination of clinical registrations (probing pocket depth, bleeding on probing, and presence of pus) combined with radiographic signs of possible bone loss is needed for differential diagnosis. Conclusions: An accurate baseline registration at the time of placement of the prosthesis (probing pocket depth and bone level) with ongoing yearly monitoring is essential for diagnosis and appropriate disease management.