关键词: dental radiography diagnostic measures periodontal probing periodontitis peri‐implant probing peri‐implantitis supportive periodontal care supportive periodontal therapy

来  源:   DOI:10.1111/prd.12588

Abstract:
This review discusses the role of diagnostic measures in the lifelong management of periodontal disease and peri-implant complications. After active treatment, these conditions require regular monitoring of the supporting structures of teeth and dental implants to assess bone and soft tissue health over time. Several clinical measures have been developed for the routine assessment of periodontal and peri-implant tissues, including periodontal and peri-implant probing, bleeding on probing, intraoral radiography, biomarker analysis, and microbiological testing. This review highlights the evolution of diagnostic practices, integrating traditional methods with emerging technologies such as resonance frequency analysis and ultrasound imaging to provide a holistic view of peri-implant health assessment. In addition to objective measurements, patient risk factors are considered. The goals of periodontal and peri-implant maintenance are to control disease activity and stabilize tissues through supportive care, which includes diagnostic measures at follow-up visits. This enables clinicians to monitor treatment outcomes, assess health status, and detect recurrence or progression early through routine evaluation, allowing additional interventions, including adjustment of supportive therapy intervals, to further improve and maintain periodontal and peri-implant stability over time.
摘要:
这篇综述讨论了诊断措施在牙周病和种植体周围并发症的终身管理中的作用。积极治疗后,这些情况需要定期监测牙齿和牙种植体的支撑结构,以评估随着时间的推移骨骼和软组织的健康状况。已经开发了几种临床措施用于牙周和种植体周围组织的常规评估,包括牙周和种植体周围探查,探查时出血,口腔内射线照相术,生物标志物分析,和微生物测试。这篇综述强调了诊断实践的演变,将传统方法与共振频率分析和超声成像等新兴技术相结合,以提供种植体周围健康评估的整体视图。除了客观测量,考虑患者的危险因素。牙周和种植体周围维护的目标是通过支持性护理控制疾病活动和稳定组织,其中包括随访时的诊断措施。这使临床医生能够监测治疗结果,评估健康状况,并通过常规评估早期发现复发或进展,允许额外的干预措施,包括调整支持性治疗间隔,随着时间的推移,进一步改善和维持牙周和种植体周围的稳定性。
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