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題名 | 牙周病整體治療病例報告=Comprehensive Periodontal Therapy: A Case Report |
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作者姓名(中文) | 陳敏傑; 陳朝寶; 辜彥誠; 鄺亮權; 杜裕康; | 書刊名 | 臺灣牙周病醫學會雜誌 |
卷期 | 14:4 2009.12[民98.12] |
頁次 | 頁249-264 |
分類號 | 416.946 |
關鍵詞 | 慢性牙周炎; 牙周治療; 骨內缺損; 引導組織再生手術; 牙釉質基質蛋白衍生物; Chronic periodontitis; Periodontal treatment; Intrabony defects; Guided tissue regeneration; Enamel matrix derivatives; |
語文 | 中文(Chinese) |
中文摘要 | 本文提出一位廣泛性中度及局部性重度慢性牙周炎患者的完整治療病例報告。在牙周治療前可見廣泛的牙周囊袋深度達5~7mm、齒槽膿腫。經牙周基本治療、後牙區之骨內缺損牙周再生手術治療,包括,分別合併使用自體骨骨移植與膠原蛋白再生膜、合併使用自體骨骨移植與牙釉質基質蛋白衍生物及合併使用大孔雙相性磷酸鈣與膠原蛋白再生膜治療。患者術後一年牙周狀況穩定,全口牙周囊袋深度都在4毫米以內,且放射線檢查顯示進行再生手術處有骨增生。牙菌斑指數及牙齦探測流血均有明顯改善。 |
英文摘要 | This article reports a patient with moderate to severe chronic periodontitis who presented generalized periodontal destruction with angular bone destruction over posterior teeth. Periodontal probing pocket depths ranged from 5 to 7 mm. After phase I therapy, including oral hygiene instruction, scaling and root planing, all posterior areas were treated surgically. Regeneration therapies including the use of autogenous bone grafts and collagen membrane, autogenous bone grafts and enamel matrix derivatives, macroporous biphasic calcium phosphate (MBCP) and collagen membranes were performed in the intrabony defects of posterior regions. One-year postoperative results, showed that probing depths in general were within 4 mm, and radiographic findings showed bone fill in areas using regeneration therapies. The periodontal condition of this patient was stable, with significant improvement in plaque index and bleeding on probing. |
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