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ENGLISH ABSTRACT
种植体周角化黏膜宽度临床意义的相关研究进展
韩子瑶
危伊萍
胡文杰
作者及单位信息
·
DOI： 10.3760/cma.j.cn112144-20241119-00437
Research progress in the clinical significance of peri-implant keratinized mucosa width
Han Ziyao
Wei Yiping
Hu Wenjie
Authors Info & Affiliations
Han Ziyao
Department of Periodontology, Peking University School and Hospital of Stomatology & National Center for Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Research Center of Oral Biomaterials and Digital Medical Devices & Beijing Key Laboratory of Digital Stomatology, Beijing 100081, China
Wei Yiping
Department of Periodontology, Peking University School and Hospital of Stomatology & National Center for Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Research Center of Oral Biomaterials and Digital Medical Devices & Beijing Key Laboratory of Digital Stomatology, Beijing 100081, China
Hu Wenjie
Department of Periodontology, Peking University School and Hospital of Stomatology & National Center for Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Research Center of Oral Biomaterials and Digital Medical Devices & Beijing Key Laboratory of Digital Stomatology, Beijing 100081, China
·
DOI： 10.3760/cma.j.cn112144-20241119-00437
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摘要

种植体周角化黏膜宽度（KMW）是种植体周表型的主要组成部分之一。KMW的充足与否对种植体周软硬组织健康的影响是近年来牙周与种植界关注的焦点问题。本文回顾了评价种植体周KMW临床意义的相关研究进展。最新证据显示，种植体周KMW较窄与更显著的菌斑堆积、种植体周软硬组织炎症及患者不适均相关。临床医师应更好地认识种植体周KMW与种植体周健康状况之间的关系，在进行种植治疗设计时兼顾软组织考量，制订更全面的以生物学为导向的种植治疗方案，对KMW不足的位点及时进行干预，从而维护种植体周组织的长期健康与稳定。

牙种植体;种植体周表型;种植体周健康;角化黏膜;种植体周软组织;种植体周病
ABSTRACT

Keratinized mucosa width (KMW) is one of the main components of peri-implant phenotype. The impact of KMW adequacy on peri-implant soft and hard tissues health has been a focus question among periodontology and implantology in recent years. The present article reviewed the research progress on the clinical significance of peri-implant KMW. Recent evidence has indicated that a narrow band of peri-implant KMW was associated with more significant plaque accumulation, peri-implant soft and hard tissues inflammations and patient discomfort. Clinicians should enhance their understanding on the relationship between peri-implant KMW and peri-implant health. Soft tissue considerations should be integrated in implant treatment designing to develop a more comprehensive, biologically oriented treatment plan, and timely interventions for sites with insufficient KMW is essential to maintain the long-term health and stability of peri-implant tissues.

Dental implants;Peri-implant phenotype;Peri-implant health;Keratinized mucosa;Peri-implant soft tissue;Peri-implant diseases
Hu Wenjie, Email: nc.defudabe.umjb.ssukpeijnewuh, Tel: 0086-10-82195368
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引用本文

韩子瑶,危伊萍,胡文杰. 种植体周角化黏膜宽度临床意义的相关研究进展[J]. 中华口腔医学杂志,2025,60(04)：425-430.

DOI:10.3760/cma.j.cn112144-20241119-00437

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目前，口腔种植已成为牙列缺损或牙列缺失的临床常用修复手段之一。随着种植治疗的广泛开展和相关研究的不断深入，种植治疗的理念也逐渐从以解剖为导向、修复为导向更迭到以生物学为导向 ［ 1 ］ 。种植体的长期健康与种植治疗效果的长期稳定依赖于种植位点良好的软硬组织条件，如何创造理想的种植条件是当下临床医师关注的焦点。
随着对种植体周软组织与种植体周健康之间关系的研究不断深入，牙周与口腔种植学界对种植体周角化黏膜宽度（keratinized mucosa width，KMW）临床意义的认识也在不断更新。2022年，德国口腔种植学会、西班牙牙周病学和骨整合学会以及骨科基金会联合发表系统评价，再次强调种植体周KMW对维护种植体周健康的重要性 ［ 2 ］ 。本文回顾了种植体周KMW临床意义的最新研究进展，同时对种植体周KMW不足的治疗手段进行简要介绍，以期为临床实践提供参考。
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备注信息
A
胡文杰，Email： nc.defudabe.umjb.ssukpeijnewuh，电话：010-82195368
B

韩子瑶：查阅文献、文章撰写和文章修改；危伊萍：文章撰写、文章修改；胡文杰：综述选题、文章修改

C
韩子瑶, 危伊萍, 胡文杰. 种植体周角化黏膜宽度临床意义的相关研究进展[J]. 中华口腔医学杂志, 2025, 60(4): 425-430. DOI: 10.3760/cma.j.cn112144-20241119-00437.
D
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E
国家自然科学基金 (82173647)
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