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Diagnostic measures for monitoring and follow‐up in periodontology and implant dentistry
Periodontology 2000 ( IF 17.5 ) Pub Date : 2024-07-02 , DOI: 10.1111/prd.12588
Christoph A. Ramseier 1
Affiliation  

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.

中文翻译:


牙周病学和种植牙病学监测和随访的诊断措施



本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。经过积极治疗后,这些情况需要定期监测牙齿和牙种植体的支撑结构,以评估骨骼和软组织随着时间的推移的健康状况。已经制定了多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诊、探诊出血、口内放射线照相、生物标志物分析和微生物检测。本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。除了客观测量外,还考虑患者风险因素。牙周和种植体周围维护的目标是通过支持性护理(包括随访时的诊断措施)控制疾病活动并稳定组织。这使得临床医生能够监测治疗结果,评估健康状况,并通过常规评估及早发现复发或进展,从而允许采取额外的干预措施,包括调整支持治疗间隔,以进一步改善和维持牙周和种植体周围的稳定性。
更新日期:2024-07-02
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