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題名 | 輕度智能遲滯合併重度牙科恐懼症患者的全口重建--治療考量與病例報告=Full Mouth Rehabilitation in a Patient with Mild Mental Retardation and Severe Dentophobia: Treatment Considerations and Case Report |
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作者 | 余青芸; Yu, Ching-yun; |
期刊 | 中華民國家庭牙醫學雜誌 |
出版日期 | 20120900 |
卷期 | 7:2 2012.09[民101.09] |
頁次 | 頁24-32 |
分類號 | 416.96 |
語文 | chi |
關鍵詞 | 輕度智能遲滯; 重度牙科恐懼症; 瀰漫性齲齒; 高齲齒率; 上顎及下顎一級活動義齒合併樹脂建立舌側隆突鉤座; Mild mental retardation; Severe dentophobia; Rampant caries; High caries rate; Maxillary and mandibular class I RPD with resin-bonded cingulum rest seats; |
中文摘要 | 本病例報告要討論的是一位68歲女性患者,有重度牙科恐懼症,合併瀰漫性齲齒及輕度智能遲滯等問題,患者由其年邁的母親帶來本院牙科門診,希望本院為患者做全口治療以改善其疼痛與咀嚼的問題。檢查過程發現,病患對於醫師感到相當的排斥與恐懼,甚至懷疑醫師要傷害她的牙齒,口內剩餘牙齒多為殘根或是齒頸部環狀齲齒,僅前牙處有對咬。經過循序漸進的治療與長期的醫病相處,患者逐漸可以做到良好的口腔清潔並能接受較費時的根管治療及補綴物製作。補綴物適應能力上,一開始對於活動義齒所帶來的異物感感到痛苦,但於復體交付三個月後已可自然進食。安排病人每三個月回診追蹤,合併使用氟膠,距今復體交付已滿一年,支柱牙與活動義齒皆穩定。 |
英文摘要 | A 68 years old female with severe dentophobia, rampant caries came to our OPD with her senile mother and sought for dental treatment. The patient felt generalized soreness around the teeth. Her mother asked us to resolve the dental illness and reconstructed the chewing function of her daughter. She rejected dental treatment very much and thought that the dentists were going to hurt her teeth. After check-up, we found that only the anterior teeth had chewing function and most of the remaining teeth were either retained roots or with circumferential cervical caries. Through step-by-step treatment and long term relationship establishment, the patient can do the oral hygiene care properly and accepted time-consuming endodontic and prosthetic treatment. Although the patient can't adapt to the denture at first, she got used to it in 3 months after denture delivery. With the use of fluoride gel, every 3-months follow-up is arranged. At the appointment of 1 year follow-up, the abutment teeth and removable prostheses were still stable. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。