ISSN : 0376-4672
제 6차 유럽 치주학 워크숍(The 6th EuropeanWorkshop on Periodontology)에서 정의한 임플란트 주위염(peri-implantitis)이란 임플란트 주위를 둘러싸고 있는 조직(tissues)에 생긴 염증반응들(inflammatory reactions)을 통틀어서 일컫는 용어이다. 즉 임플란트 주위염은 임플란트 점막에 국한된 염증인 임플란트 점 막 염 (peri-implantmucositis)과 더불어서 임프란트 주변 지지골의 상실을 동반하게 된다. 임플란트 점막염은 가역성인질환으로 그 진단과 병인론은 치은염(gingivitis)와크게 다르지 않다. 한편 임플란트 주위염은 원인이되는 많은 요소를 가지고 있는 질환이다. 임상적인 양상과 원인에 있어서는 치주염과 비슷한 것으로 알려져있다.
Recently, more and more clinical cases of peri-implantitis for which surgical therapy is indicated have been reported. Ideal diagnostic modalities, prevelance, indicated therapy, and prognosis for peri-implantitis are still investigated. Scientific evidence of surgical therapy for peri-implantitis are not enough for now, and should be obtained from well-designed, long-term clinical studies in the future. When the surgical approach is applied for peri-implantitis, long-term prognosis of the surgical therapy should be kept in mind and importance of maintenance therapy also have to be emphasized.
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