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來源資料
頁籤選單縮合
題 名 | 咬合創傷的牙周病因學--文獻回顧=Role of Trauma from Occlusion in the Etiology of Periodontal Disease--Review of Literatures |
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作 者 | 鄭文彥; 林世榮; 侯連團; | 書刊名 | 中華牙醫學雜誌 |
卷 期 | 20:1 2001.03[民90.03] |
頁 次 | 頁55-65 |
分類號 | 416.92 |
關鍵詞 | 咬合創傷; 咬合調整; 往復力量; 磨牙症; 功能過度; Trauma from occlusion; Occlusal adjustment; Jiggling force; Bruxism; Hyperfunction; |
語 文 | 中文(Chinese) |
中文摘要 | 咬合創傷(trauma from occlusion)因理論基礎的爭議,多年來造成治療上的無所 適從,主要導因於(1)缺乏對於咬合創傷是牙周炎的原因和病理變化根源之共識;(2) 尚無辨識咬合創傷病變的統一標準(然而 Ramfjord and Ash 在結合臨床和研究經驗上,已 發展出咬合調整病變的觀念可以給予臨床醫師在咬合治療一些指引方向);(3)咬合治療 在牙周治療之長期效益的文獻報告很少。本文回顧相關的文獻報導,從早期的共識與爭論, 再從咬合的觀點及臨床與組織學上的變化來回顧並比較各學說及其論點,期望能從各種學說 之理論著眼點,實驗設計和所選用之實驗動物和實際發生在人類臨床病變的關連性作對照分 析,希望可以作為提供臨床醫師在治療咬合創傷時之參考。經過長時間的人體與動物研究所 獲得的證據,對於牙周炎與咬合創傷的關係,我們可以歸納出:(1)在正常健康的牙周組 織下,往復力量( jiggling force )所造成的咬合創傷並不會造成牙齦病變與附連喪失; (2)單獨的咬合調整而不去除牙菌斑是無法控制及治療牙周炎;(3)過度動搖的牙齒會 改變牙周組織的結構;(4)牙周治療配合適當的咬合調整似乎可以得到更理想的治療效果 。 |
英文摘要 | Owing to the controversy regarding the theoretical background of trauma from occlusion, there have been no conclusions leading to useful clinical guidelines for occlusal treatment. The controversy arises from (1) the lack of consensus regarding the etiology and pathologic changes of trauma from occlusion associated with human periodontitis; (2) limited definite criteria exist that to specifically identify the pathologic changes of trauma from occlusion; and (3) little literature describing the long-term efficacy of occlusal therapy in periodontal treatment. This article reviews and compares relevant literture reports, starting with the early consensus and debate over trauma from occlusion, current views of occlusion, and histologic changes seen in various experiments that elucidate the biological bases of each theory. Findings based on detailed comparison and analysis of trauma from occlusion in animal and human studies should serve to enlighten clinical management of this disease entity. Using the evidence derived from long-term human and animal studies, as well as recent clinical trials, we can now make tentative conclusions about the relationship between periodontitis and trauma from occlusion: (1) trauma from occlusion resulting from jiggling forces will not elicit pathologic gingival changes and attachment loss in normal periodontium; (2) occlusal adjustment only without removal of dental plaque is inadequate for control and management of periodontitis; (3) hypermobile teeth induce changes to the structural composition of the periodontium; and (4) periodontal therapy combined with proper occlusal adjustment seem achieve better treatment results. |
本系統中英文摘要資訊取自各篇刊載內容。