임플란트 주위염의 비외과적 치료 방법과 예후
Nonsurgical interventions for treating peri-implantitis and prognosis
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초록
임플란트 주위의 염증성 질환은 임플란트 주위골의소실 여부에 따라 임플란트 주위 점막염(periimplantmucositis)과 임플란트 주위염(periimplantitis)으로 구분할 수 있다. 이러한 임플란트주위의 염증성 질환은 치주질환과 마찬가지로 세균과숙주인자들 간의 복잡한 상호작용의 결과이며, 세균감염과 생역학적 하중이 골 파괴의 중요한 원인 요소로 알려져 있다. 임플란트 주위염으로 인한 골 파괴가지속되면 임플란트 상실과 같은 결과를 가져올 수 있기 때문에 임플란트 주위염이 발생할 경우 치과의사의적절한 개입은 임플란트 보철물의 수명을 연장 시킬수 있는 중요한 치료 과정이라 할 수 있다.
Abstract
Peri-implantitis is an inflammatory disease of the peri-implant tissue by bacterial infection or other factors, which results in peri-implant bone loss. Many nonsurgical treatments were tried on initial to moderate peri-implantitis lesion to reduce the inflammation. Some of these treatments made effective results, however, they were not definitively predictable. To prevent periimplantitis and further peri-implant bone loss, early intervention is the most important. Early detection of peri-implant infection through the regular maintenance care can make it possible to do early nonsurgical intervention. Nonsurgical intervention is effective on peri-implant mucositis and can also be effective on initial peri-implantitis lesion. If the peri-implantitis is not resolves by nonsurgical treatment, surgical approach should be considered.
참고문헌 (14)
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