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題名 | 牙周病整體治療病例報告=Periodontal Full Treatment Case Report |
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作者 | 林宏達; 陳玄祐; 楊岳炤; | 書刊名 | 臺灣牙周病醫學會雜誌 |
卷期 | 13:2 2008.06[民97.06] |
頁次 | 頁109-126 |
分類號 | 416.946 |
關鍵詞 | 慢性牙周炎; 牙周治療; 骨內缺損; 牙周再生手術; Chronic periodontitis; Periodontal treatment; Intrabony defect; Guide tissue regeneration; |
語文 | 中文(Chinese) |
中文摘要 | 本文提出一位慢性牙周炎患者接受牙周病整體治療的病例報告,患者在治療前有廣泛性牙齦發炎,口內有5到9毫米之牙周探測深度、探測出血指數69%,牙菌斑指數爲46%,牙齦指數爲75%,齒槽骨高度破壞爲30%到60%,經過牙周基本治療及牙周手術治療包括翻瓣刮除術、牙周再生術包括放置脫鈣冷凍乾燥異體移植骨或合併可吸收再生膜引導牙周再生手術,一年後全口牙周囊袋深度都在4毫米以內,探測出血指數、牙菌斑指數都有降低,有明顯的獲得臨床附連及放射線檢查可看出有骨內缺損處骨充填。 |
英文摘要 | This is a case of a 32-year-old male who suffered from chronic periodontitis. Before periodontal treatment, he had generalized mild gingival inflammation, but periodontal pocket depth ranged from 5 to 9 mm at multiple area of dentition. He received initial periodontal therapy first. After evaluation of phase I therapy, the surgical therapy including flap surgery alone and guided tissue regeneration, using Biomend membrane combined demineralized freeze-dried bone allograft over class II furcation involved teeth. One-year postoperatively, the full mouth probing depth were ≤4 mm, and the radiography showed multiple intrabony defects had bone fill. The treatment response is good and the periodontal condition of this patient is stable. |
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