임프란트 주위염의 치료에 대한 문헌 고찰
Review of the Literature on the Treatment of Peri-Implantitis
오지수, 김수관, 김종운, 임채수, 문성용, 윤경호, 박노승, 박열수, 박승병, 김학균,
소속 상세정보
오지수 ( Oh Ji-Su ) - 조선대학교 치과대학 구강악안면외과학교실
김수관 ( Kim Su-Gwan ) - 조선대학교 치과대학 구강악안면외과학교실
김종운 ( Kim Jong-Woon ) - 조선대학교 치과대학 구강악안면외과학교실
임채수 ( Lim Chae-Su ) - 조선대학교 치과대학 구강악안면외과학교실
문성용 ( Moon Seong-Yong ) - 조선대학교 치과대학 구강악안면외과학교실
윤경호 ( Yun Kyeung-Ho ) - 조선대학교 치과대학 구강악안면외과학교실
박노승 ( Park No-Seung ) - 조선대학교 치과대학 구강악안면외과학교실
박열수 ( Park Yeol-Su ) - 조선대학교 치과대학 구강악안면외과학교실
박승병 ( Park Seng-Byung ) - 조선대학교 치과대학 구강악안면외과학교실
김학균 ( Kim Hak-Kyun ) - 조선대학교 치과대학 구강악안면외과학교실
KMID : 0602720070110030030
Abstract
The widespread use of implants in dentistry has led to an increasing number of implant failures, such as occurs with peri-implantitis. The term peri-implantitis was introduced in the 1980s to describe a destructive inflammatory process affecting the soft and hard tissues around osseointegrated implants, which leads to the formation of a periimplant pocket and the loss of supporting bone. This paper reviews peri-implantitis models described in the literature and the available information on the treatment of peri-implantitis. In almost all studies, plaque accumulation induced peri-implantitis; few attempts have been made to induce peri-implantitis using mechanical overload. Various therapies have been advocated for the resolution of peri-implantitis and the restoration of the peri-implant tissues, including access flap surgery, debridement of the implant surface, chemical conditioning of the implant surface, bone regenerative procedures, and topical/systemic antibiotic or antimicrobial therapy. Regenerative treatment methods include the membrane technique using non-resorbable membranes, augmentation with autogenous bone, augmentation with bone substitutes or recombinant human bone morphogenetic protein-2, and a combination of membrane and augmentation procedures. While all of the described methods have resulted in acceptable bone gain, it appears difficult to achieve new osseointegration of treated implants. To date, no data exist to support specific treatment protocols.
키워드
peri-implantitis; dental implants; peri-implant infection; treatment
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