Peri-implant diseases and conditions: Consensus report of workgroup 4 of the 2017 World Workshop on the Classification of Periodontal and Peri-Implant Diseases and Conditions

被引：1288

作者：

Berglundh, Tord ^{[1
]}

Armitage, Gary ^{[2
]}

Araujo, Mauricio G. ^{[3
]}

Avila-Ortiz, Gustavo ^{[4
]}

Blanco, Juan ^{[5
]}

Camargo, Paulo M. ^{[6
]}

Chen, Stephen ^{[7
]}

Cochran, David ^{[8
]}

Derks, Jan ^{[1
]}

Figuero, Elena ^{[9
]}

Hammerle, Christoph H. F. ^{[10
]}

Heitz-Mayfield, Lisa J. A. ^{[11
]}

Guy Huynh-Ba ^{[8
]}

Iacono, Vincent ^{[12
]}

Koo, Ki-Tae ^{[13
]}

Lambert, France ^{[14
]}

McCauley, Laurie ^{[15
]}

Quirynen, Marc ^{[16
]}

Renvert, Stefan ^{[17
]}

Salvi, Giovanni E. ^{[18
]}

Schwarz, Frank ^{[19
]}

Tarnow, Dennis ^{[20
]}

Tomasi, Cristiano ^{[1
]}

Wang, Hom-Lay ^{[15
]}

Zitzmann, Nicola ^{[21
]}

机构：

[1] Univ Gothenburg, Sahlgrenska Acad, Inst Odontol, Dept Periodontol, POB 450, S-40530 Gothenburg, Sweden

[2] Univ Calif San Francisco, San Francisco, CA 94143 USA

[3] Univ Estadual Maringa, Maringa, Parana, Brazil

[4] Univ Iowa, Iowa City, IA USA

[5] Univ Santiago de Compostela, Santiago, Spain

[6] Univ Calif Los Angeles, Los Angeles, CA USA

[7] Univ Melbourne, Melbourne, Vic, Australia

[8] Univ Texas Hlth Sci Ctr San Antonio, San Antonio, TX 78229 USA

[9] Univ Complutense, Madrid, Spain

[10] Univ Zurich, Clin Fixed & Removable Prosthodont & Dent Mat Sci, Zurich, Switzerland

[11] Univ Sydney, Sydney, NSW, Australia

[12] SUNY Stony Brook, Stony Brook, NY 11794 USA

[13] Seoul Natl Univ, Seoul, South Korea

[14] Univ Liege, Dept Periodontol & Oral Surg, Liege, Belgium

[15] Univ Michigan, Sch Dent, Ann Arbor, MI 48109 USA

[16] Leuven Univ, Flanders, Belgium

[17] Kristianstad Univ, Kristianstad, Sweden

[18] Univ Bern, Dept Periodontol, Bern, Switzerland

[19] Goethe Univ, Dept Oral Surg & Implantol, Carolinum, Frankfurt, Germany

[20] Columbia Univ, New York, NY USA

[21] Univ Basel, Dept Reconstruct Dent, Basel, Switzerland

来源：

JOURNAL OF CLINICAL PERIODONTOLOGY | 2018年 / 45卷

关键词：

case definition; dental implant; hard tissue deficiencies; peri-implant mucositis; peri-implant tissues; peri-implantitis; soft tissue deficiencies;

D O I：

10.1111/jcpe.12957

中图分类号：

R78 [口腔科学];

学科分类号：

100302 [口腔临床医学];

摘要：

A classification for peri-implant diseases and conditions was presented. Focused questions on the characteristics of peri-implant health, peri-implant mucositis, peri-implantitis, and soft- and hard-tissue deficiencies were addressed. Peri-implant health is characterized by the absence of erythema, bleeding on probing, swelling, and suppuration. It is not possible to define a range of probing depths compatible with health; Peri-implant health can exist around implants with reduced bone support. The main clinical characteristic of peri-implant mucositis is bleeding on gentle probing. Erythema, swelling, and/or suppuration may also be present. An increase in probing depth is often observed in the presence of peri-implant mucositis due to swelling or decrease in probing resistance. There is strong evidence from animal and human experimental studies that plaque is the etiological factor for peri-implant mucositis. Peri-implantitis is a plaque-associated pathological condition occurring in tissues around dental implants, characterized by inflammation in the peri-implant mucosa and subsequent progressive loss of supporting bone. Peri-implantitis sites exhibit clinical signs of inflammation, bleeding on probing, and/or suppuration, increased probing depths and/or recession of the mucosal margin in addition to radiographic bone loss. The evidence is equivocal regarding the effect of keratinized mucosa on the long-term health of the peri-implant tissue. It appears, however, that keratinized mucosa may have advantages regarding patient comfort and ease of plaque removal. Case definitions in day-to-day clinical practice and in epidemiological or disease-surveillance studies for peri-implant health, peri-implant mucositis, and peri-implantitis were introduced. The proposed case definitions should be viewed within the context that there is no generic implant and that there are numerous implant designs with different surface characteristics, surgical and loading protocols. It is recommended that the clinician obtain baseline radiographic and probing measurements following the completion of the implant-supported prosthesis.

引用

页码：S286 / S291

页数：6

共 5 条

[1]

Peri-implant health [J].