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頁籤選單縮合
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 | 魏郁如; 林怡君; 張瀞文; 董醒任; 賴玉玲; | 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69-88 |
分類號 | 416.946 |
關鍵詞 | 骨內缺損; 自體移植骨; 生物活性玻璃; 牙釉基質蛋白; 牙齦退縮; 隧道穿通術; Intrabony defect; Autogenous bone graft; Bioactive glass; Enamel matrix protein; Gingival recession; Tunnel technique; |
語 文 | 中文(Chinese) |
中文摘要 | 牙周破壞不僅會造成牙周喪失和骨喪失,也會引起牙齦退縮,而上皮下結締組織移植體手術是一個有效覆蓋牙根的術式;然而多顆下顎前牙的牙齦退縮問題,無法預期有良好的牙根覆蓋效果。本病例報告文將提出一位廣泛型慢性牙周炎的牙周整體治療病患,此病患多顆牙齒有5毫米以上的牙周探測深度,且下顎右側門齒區有牙齦退縮問題;經過牙周基本治療,牙周手術包含後牙區之骨內缺損,使用自體移植骨、生物活性玻璃移植體合併牙釉基質蛋白,而下顎前牙區以隧道穿通術(tunnel technique)合併上皮下結締組織移植體作牙根覆蓋術。術後一年的臨床檢查顯示全口牙周探測深度爲4毫米以下,放置骨移植體手術區域有明顯附連增加,而下顎右側正中門齒有完全牙根覆蓋且牙齦厚度增加,在術後一年放射線檢查也發現左側後牙區有明顯骨充填。經由完整的牙周病治療,病患整體牙周狀況改善且治療效果穩定。 |
英文摘要 | Periodontal destruction not only causes the periodontal and bone loss, but also may result in gingival recession. For the coverage of denuded root surface, subepithelial connective tissue grafting has been shown to be an effective technique. However, the root coverage for the multiple gingival recession in the mandibular anterior region is unpredictable. This case report will present a generalized chronic periodontitis patient who had multiple teeth with probing depth greater than 5 mm. The thin and receded gingiva around the mandibular right incisors was also noted. Following the periodontal initial therapy, the periodontal surgeries including autogenous bone graft, combination therapy with bioactive glass and enamel matrix protein in the area of posterior teeth, and tunnel technique root coverage over mandibular incisor area were employed. One-year postoperative examination revealed the full mouth probing depth was less than 4 mm and significant clinical attachment gain on the osseous grafting sites. Mandibular right central incisors had complete root coverage and the gingival thickness was increased. One-year postoperative radiograph showed the osseous grafting sites in the left posterior teeth had obvious bone fill. The overall periodontal condition of this patient was improved and stable following comprehensive periodontal therapy. |
本系統中英文摘要資訊取自各篇刊載內容。