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題名 | 牙周病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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作者姓名(中文) | 顏瑞瑩; 賴玉玲; 謝依蓁; 陳柏堅; 林怡君; | 書刊名 | 臺灣牙周病醫學會雜誌 |
卷期 | 15:1 2010.03[民99.03] |
頁次 | 頁11-28 |
分類號 | 416.946 |
關鍵詞 | 慢性牙周炎; 牙周治療; 病理性牙齒位移; 骨內缺損; 生物活性玻璃; 引道組織再生手術; Chronic periodontitis; Periodontal treatment; Pathologic tooth migration; Intrabony defects; Bioactive glass; Guided tissue regeneration; |
語文 | 中文(Chinese) |
中文摘要 | 牙周病造成牙齒移位、動搖及齒齦腫痛會影響美觀及咀嚼功能,經過牙周治療能使患齒複位、恢復牙周健康及咬合功能。臨床上,除牙周基本治療外,手術於牙周骨缺損中運用骨移植或是合併使用再生膜皆爲證實是有效的牙周重建方法。本文提出一慢性牙周炎合併上顎前牙區病理性牙齒位移的牙周整體治療病例,經牙周初期治療後,於下顎後牙區之骨內缺損,合併使用生物活性玻璃及聚合物可吸收再生膜進行引導組織再生。治療後一年的臨床結果顯示上顎前牙區經非手術牙周治療後,原先1.5毫米牙齒間隙自動閉合,且有3~6毫米的附連獲得,上顎前牙區及下顎後牙區的骨缺損中均有放射線骨充填,全口牙周探測99 %的牙周探測深度改善至3毫米以下,35%有1~2毫米及6%有3~6毫米的附連獲得。本報告除了詳細介紹患者的治療經過,並進一步針對病理性牙齒位移的治療方式及生物活性玻璃應用於骨內缺損的臨床效果做探討,冀望藉由以上的文獻回顧在臨床治療時可提供參考,並提升治療的可預測性。 |
英文摘要 | Periodontal disease results in tooth displacement, tooth mobility and gingival swelling affecting esthetics and chewing function. Pathologically migrated teeth will reposition, damaged periodontium will recover and impaired chewing function will restore through periodontal treatment. In addition to periodontal basic therapy, osseous grafting procedure and guided tissue regeneration have been verified to be an effective way to reestablish healthy periodontium. This article presents a chronic periodontitis patient who was bothered about pathologic tooth migration over maxillary anterior region. The intrabony defects treated with bioactive glass as an osseous graft and combined with copolymer absorbable membranes over bilaterally mandibular posterior region. Diastema of maxillary pathologically migrated incisors was spontaneous closed completely after non-surgical periodontal treatment. Clinical improvement with radiographic bone fill over bony defect area and probing depth of 99% sites reduced below 3 mm was demonstrated one year following periodontal therapy. This paper will describe the treatment courses and further review the current literatures to introduce therapy of pathologic tooth migration, compare the clinical efficacy of different regenerative materials including bioactive glass or barrier membranes for the periodontal intrabony defects. Through understanding different kinds of treatment outcomes of different procedures, the clinicians can provide well-rounded treatment modalities for periodontal patients and improve the predictability of their treatment outcome. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。