影响植入周围骨代谢的新兴因素
Angel Insua1, Pablo Galindo-Moreno1,2, Richard J Miron3
1Department of Periodontology and Oral Medicine, University of Michigan, Ann Arbor, Michigan, USA.
Periodontology 2000
|October 31, 2023
概括
植入式牙科的成功取决于骨代谢. 吸烟,某些药物和植入物材料等因素会影响骨质整合,增加失败风险. 解决这些问题是稳定的围部植入器骨的关键.
科学领域:
- 牙科植入物学 牙科植入物学
- 生物材料科学 生物材料科学
- 骨的新陈代谢 骨的新陈代谢
背景情况:
- 植入式牙科由于材料科学的进步,已经实现了可预测的骨质整合.
- 然而,早期的植入失败仍然存在,通常与影响骨代谢的因素有关.
- 吸烟者表现出受损的骨代谢,增加了植入物失败和并发症的风险.
研究的目的:
- 审查各种因素对骨代谢和无菌周植入物骨损失的影响.
- 突出影响骨整合的关键因素,超出标准植入物表面技术.
- 为周植入炎的预防和管理策略提供信息.
主要方法:
- 对影响骨代谢的植入相关,外科,药物和宿主因素的文献综述.
- 分析有关骨质整合和植入周围骨稳定性的新兴数据.
- 综合有关早期植入失败和晚期并发症风险因素的信息.
主要成果:
- 植入物表面特征和颗粒的释放可能会影响骨质整合.
- 手术技术 (例如,骨质强化) 和生物材料发挥着作用.
- 药物 (SSRI,PPI,抗高血压剂,NSAID,他类药物),吸烟,饮食和代谢综合征显著影响骨代谢和围部植入物骨健康.
结论:
- 有效预防和管理周植入炎需要调查植入物,手术,药物和宿主相关因素.
- 了解这些因素对于保持植入周边骨稳定性和长期植入成功至关重要.
- 虽然感染导致植入周炎,但潜在的代谢和系统因素对预防至关重要.
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