The anatomical structure of the gingival papilla around the implant is special, and it is difficult to recover after injury. The reduction of its height will have a negative impact on function and esthetics, and it is one of the many problems in implant treatment at present. This paper analyzes the influencing factors of implant gingival papilla height from three aspects: anatomical factors, implant surgical design and implant restorative design, including the classical influencing factors such as the shape of natural teeth, interproximal distance between the implant and the adjacent tooth, soft tissue grafting, and contour of implant restorations, as well as the hot and controversial influencing factors in recent years such as the thickness of soft tissues around the implant, the implant surgical timing, the flap design, and the surgical incision, in order to provide reference for clinicians in the process of implant treatment for gingival papilla preservation and reconstruction.
种植体周围龈乳头解剖结构特殊,损伤后恢复难度大,其高度的降低对种植体功能及美学效果均可产生不利影响,是目前种植治疗领域面临的难题。本文从解剖因素、种植手术设计和修复设计三方面对种植体龈乳头高度的影响因素进行分析,内容包括天然牙外形、种植体间距、软组织移植、种植穿龈轮廓等经典影响因素,及种植体周围软组织厚度、种植手术时机、翻瓣设计和手术切口等近年研究热点以及有争议的影响因素,以期为临床种植治疗中龈乳头的保存及重建提供参考。.