中国实用口腔科杂志 ›› 2025, Vol. 18 ›› Issue (5): 536-541.DOI: 10.19538/j.kq.2025.05.005

• 指南(共识)解读 • 上一篇    下一篇

种植体周炎的非手术治疗:2023年版《种植体周围疾病的预防和治疗——欧洲牙周病学会S3级临床实践指南》解读

郑万鑫,田思睿,赵宝红   

  1. 中国医科大学口腔医学院口腔种植学教研室,辽宁省口腔医学研究所口腔种植研究室,辽宁省口腔疾病重点实验室,辽宁省口腔疾病转化医学研究中心,辽宁 沈阳 110002
  • 出版日期:2025-09-30 发布日期:2025-09-30
  • 通讯作者: 赵宝红
  • 基金资助:
    国家自然科学基金(82071151);辽宁省重点研发项目(2024JH2/102500011);辽宁省兴辽英才医学名家项目(CL001060)

  • Online:2025-09-30 Published:2025-09-30

摘要: 种植体周炎是种植体失败的主要原因之一,其非手术治疗在疾病早期干预和控制方面尤为重要。欧洲牙周病学会(European Federation of Periodontology,EFP)发布的S3级临床实践指南为种植体周炎的非手术治疗提供了明确的循证依据和操作规范。文章围绕指南中的核心内容,从治疗目标、机械清洁、生物膜管理、风险因素控制及疗效评估标准等方面展开系统性解读,重点分析各项治疗措施的循证支持及在临床中的应用价值。通过对指南的深入剖析,旨在帮助种植医生全面理解非手术治疗的实施要点,并提升其在实际诊疗中的操作规范与治疗效果。

关键词: 种植体周炎, 欧洲牙周病学会, 非手术治疗, 指南

Abstract: Peri-implantitis is one of the primary causes of implant failure,and non-surgical treatment plays a crucial role in the early intervention and control of the disease. The S3-level clinical practice guideline issued by the European Federation of Periodontology provides clear evidence-based recommendations and standardized protocols for the non-surgical treatment of peri-implantitis. This article systematically interprets the core content of the guideline,focusing on treatment objectives,mechanical debridement,biofilm management,risk factor control,and evaluation criteria for treatment outcome. It emphasizes the evidence-based support of various treatment measures and their clinical application values. By thoroughly analyzing the guideline,this article aims to assist implantologists in comprehensively understanding the key aspects of implementing non-surgical treatment and to improve their operational standardization and the therapeutic outcomes in clinical practice.

Key words: peri-implantitis, European Federation of Periodontology, non-surgical treatment, guideline