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題名 | 牙周整體治療病例報告及文獻回顧=Periodontal Full Treatment Case Report and Literature Review |
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作者 | 黃明霞; 李睿楷; 林怡君; 謝依蓁; 陳柏堅; 賴玉玲; | 書刊名 | 臺灣牙周病醫學會雜誌 |
卷期 | 13:3 2008.09[民97.09] |
頁次 | 頁189-208 |
分類號 | 416.946 |
關鍵詞 | 慢性牙周炎; 牙周治療; 引導組織再生術; 牙嵴增進術; Chronic periodontitis; Periodontal treatment; Guided tissue regeneration; Ridge augmentation; |
語文 | 中文(Chinese) |
中文摘要 | 本文提出一位元局部性重度廣泛性中度慢性牙周炎患者的完整治療病例報告,牙周整體治療包含初期牙周治療、翻瓣刮除術、引導組織再生術及牙周整形手術。患者在牙周治療前於後牙區有5-10毫米的牙周囊袋深度及角狀骨缺損,21受外傷後逐漸產生齦腫脹及化膿,並有10毫米的牙周囊袋深度及嚴重的齒槽骨破壞,因此病患接受完整牙周治療。經過牙周初期治療,21因癒後極差而拔除,拔除21後立即裝置臨時樹脂牙橋。安排牙周手術治療,包括27區域施行翻瓣刮除術合併自體移植骨放置,37區域施行引導組織再生術及21區域由於有嚴重牙嵴吸收故施行牙嵴增進術。一年後全口的牙周探測深度100%均在3毫米以內,牙周探測出血指數降至2%,並且全口有91%區域有0-6毫米的附連獲得。經由牙周整形手術顯著改善病患之前牙美觀,此外,27、37、46有骨充填。患者術後之牙周狀況穩定,術後追蹤檢查患者全口牙齒的預後均爲良好。 |
英文摘要 | This article reports a moderate to severe chronic periodontitis case who had a traumatic injury history of maxillary anterior area. Patient presented with generalized periodontal destruction with angular bone destruction over posterior teeth. Traumatized tooth 21 had gingival swelling, pus discharge, 10 mm probing depth and severe bone destruction. Patient received a comprehensive periodontal therapy. Following the periodontal initial treatment, tooth 21 was extracted due to poor response and immediate provisional bridge was installed. Periodontal surgeries consisted the open flap debridement combined with autogenous osseous grafting procedure over the tooth 27 area, guided tissue regeneration over the tooth 37 area, and ridge augmentation over the maxillary anterior region. One-year postoperative evaluation revealed the overall probing depth was within 3 mm and the periodontal bleeding index decreased to 2 %. In addition, 91% of tooth sites had 0-6 mm clinical attachment gain. The esthetics over maxillary anterior region was improved and the bone fill over 27, 37 and 46 area was achieved. The periodontal health was stable and the overall prognosis was good following the periodontal therapies. |
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