- 期刊
增加植體周圍角質化黏膜寬度的方法與介入時間點：文獻回顧
Methods and Intervention Strategies for Increasing the Width of Keratinized Mucosa around Dental Implants: A Literature Review
摘要
植體周圍角質化黏膜寬度與維持植體周圍組織健康有關，當角質化黏膜寬度不足時，如何增加角質化黏膜以及何時增加角質化黏膜是個不容輕忽的課題。本文獻回顧有三個主題：第一部分整理相關增加植體周圍角質化黏膜寬度的方法，並且探討其優缺點。大範圍全口重建的病人，常常因為齒槽骨條件差而需要進行多次的硬組織和軟組織手術，所以，如何減少手術次數和患者疼痛感，對於手術成功及提供以病人為中心的醫療上至關重要，文獻回顧第二部分探討游離角質化黏膜移植手術進行的時間點，進而檢視階段進行游離角質化黏膜移植(free keratinized mucosal grafting (FKMG) by staged approach)或同時進行游離角質化黏膜移植的利弊。最後第三部分，綜合比較不同形式的黏膜移植體和不同時間點做手術對角質化黏膜長期的影響。
並列摘要
The width of the keratinized mucosa around dental implants is related to peri-implant health. How to increase keratinized mucosa and when is the correct intervention time are fundamental to dental implant health. In this literature review, we focus on three topics. Firstly, the methods that can be used to increase the width of keratinized mucosa around dental implants. Furthermore, we also discuss the advantages and disadvantages of the various different methods available to increase keratinization of the mucosa, together with approaches that help to reduce the time needed for treatment and the discomfort felt by the patient. The latter are very important when patients need full mouth rehabilitation because, due to poor bony quality and quantity, these patients often need a lot of hard tissue and soft tissue surgery. Secondly, we explore the timing of intervention with respect to free keratinized mucosal grafting (FKMG). Specifically, we review the positives and negatives of free keratinized mucosal grafting by either the staged or the simultaneous approach. Finally, we examine the changes that occur after grafting into keratinized mucosa with respect to different surgical methods, intervention strategies and long term follow up.