稳态咬合与种植体长期稳定性的关系初探

doi:10.7518/hxkq.2025.2025232

华西口腔医学杂志 ›› 2025, Vol. 43 ›› Issue (6): 749-754.doi: 10.7518/hxkq.2025.2025232

• 口腔种植学专栏 • 下一篇

稳态咬合与种植体长期稳定性的关系初探

陈江¹^,²(), 吴玲¹^,²

^1.福建省口腔疾病研究重点实验室，福建省口腔生物材料工程技术研究中心，福建省高校口腔医学重点实验室，福建医科大学口腔医学院/附属口腔医院，福州 350001
^2.福建医科大学口腔医学院·附属口腔医院种植科，福州 350001

收稿日期:2025-06-03 修回日期:2025-10-19 出版日期:2025-12-01 发布日期:2025-11-27
通讯作者: 陈江 E-mail:jiangchen@fjmu.edu.cn
作者简介:陈江，博士，主任医师、教授、博士研究生导师。国际牙医师学院院士、国务院政府特殊津贴获得者、全国优秀科技工作者、国家自然科学基金评审专家、福建省百千万人才工程人选、福建医科大学学科带头人、福建省闽江科学传播学者。中华口腔医学会常务理事，中华口腔医学会口腔美学专业委员会前任主任委员，中华口腔医学会口腔种植专业委员会候任主任委员，福建省口腔医学会会长。担任International Journal of Oral & Maxillofacial Implants（中文版）主编，Clin Oral Implant Res审稿专家，《中华口腔医学杂志》《华西口腔医学杂志》编委，《口腔医学研究》副主编。主持国家自然科学基金、福建省科技重大科研项目等国家级和省厅级课题10余项。主编、主译、参编学术专著8部。|陈江，教授，博士，E-mail：jiangchen@fjmu.edu.cn
基金资助:
国家自然科学基金(82371008)

Initial exploration of the relationship between homeostatic occlusion and long-term dental implant stability

Chen Jiang¹^,²(), Wu Ling¹^,²

^1.Fujian Provincial Key Laboratory of Stomatology, Fujian Provincial Engineering Technology Research Center for Oral Biomaterials, Fujian Provincial Higher Education Key Laboratory of Stomatology, School of Stomatology/Affiliated Stomatological Hospital, Fujian Medical University, Fuzhou 350001, China
^2.Dept. of Dental Implantology, School of Stomatology/Affiliated Stomatological Hospital, Fujian Medical University, Fuzhou 350001, China

Received:2025-06-03 Revised:2025-10-19 Online:2025-12-01 Published:2025-11-27
Contact: Chen Jiang E-mail:jiangchen@fjmu.edu.cn
Supported by:
National Natural Science Foundation of China(82371008)

摘要/Abstract

摘要：

种植体长期稳定性受多重因素协同调控，咬合参数与骨丧失进程尤为关键。后者通过削弱机械固位增加松动风险，直接威胁种植体长期存续。近年研究证实，稳态咬合失衡（如咬合负载过大、咬合接触异常、功能引导异常等）可显著升高种植体周围骨丧失发生率，进而破坏生物力学稳定。因此，本文聚焦于稳态咬合失衡对种植体周围骨丧失的作用，以及基于稳态咬合设计的骨丧失防控策略，旨在提升种植体长期稳定性。

关键词: 稳态咬合, 种植体, 周围骨丧失, 咬合设计, 长期稳定性

Abstract:

Long-term dental implant stability is governed by the synergistic regulation of multiple factors, with occlusal parameters and marginal bone loss (MBL) progression being of paramount importance. Progressive MBL undermines mechanical retention, predisposing implants to micromotion and jeopardizing their long-term survival. Accumulating evidence has revealed that homeostatic occlusion imbalance, characterized by excessive occlusal loading, aberrant occlusal contacts, and dysfunctional guidance, significantly increases the incidence of peri-implant bone loss, thereby disrupting biomechanical homeostasis. Therefore, this manuscript delineates the mechanistic role of steady-state occlusal imbalance in driving peri-implant MBL and proposes a homeostatic occlusion-based strategy for preventing and controlling such bone loss, aiming to enhance the long-term stability of dental implants.

Key words: homeostatic occlusion, implant, marginal bone loss, occlusal scheme, long-term stability

中图分类号:

R783

陈江, 吴玲. 稳态咬合与种植体长期稳定性的关系初探[J]. 华西口腔医学杂志, 2025, 43(6): 749-754.

Chen Jiang, Wu Ling. Initial exploration of the relationship between homeostatic occlusion and long-term dental implant stability[J]. West China Journal of Stomatology, 2025, 43(6): 749-754.

参考文献 37

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稳态咬合与种植体长期稳定性的关系初探

Initial exploration of the relationship between homeostatic occlusion and long-term dental implant stability

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