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題名 | 植體周圍炎的處置:病例報告及文獻回顧=Management of Peri-Implantitis: Case Reports and a Literature Review |
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作者姓名(中文) | 胡舜閔; 蔡昆哲; 傅鍔; 江正陽; 邱賢忠; | 書刊名 | 臺灣牙周病醫學會雜誌 |
卷期 | 20:2 2015.06[民104.06] |
頁次 | 頁159-166 |
分類號 | 416.96 |
關鍵詞 | 植體周圍炎; 手術; Peri-implantitis; Surgery; |
語文 | 中文(Chinese) |
中文摘要 | 植體周圍炎是植牙後很常見的併發症,植體周圍骨頭修復的機轉與自然牙不同,針對螺紋部分也很難徹底清創,一旦周圍組織開始發炎便很容易加速其破壞。所以目前還沒有一致的標準來處理植體周圍炎,本文中分享兩個病例以手術方式介入治療植體周圍炎。兩名患者於植體接出後2~3年內發生植體周圍炎:一位以切除性手術的方式修整植體周圍骨頭的形態;另一位以再生性手術治療骨缺損。術後6~8個月兩位病人植牙周圍皆有探測深度改善,囊袋探測出血及化膿的現象皆有改善,伴隨牙齦萎縮及螺紋露出,發炎得到控制。對於植體周圍炎的病人,以手術方式積極介入可以早期解決局部性發炎的狀況,可以控制疾病的進展,但因螺紋露出造成清潔上的不容易,需要監控病人的口腔清潔及長期追蹤。 |
英文摘要 | Peri-implantitis is a common complication after implantation. The histology and repair mechanisms of peri-implant tissue are different to those of natural teeth. Once the peri-implant tissue inflamed, it is not easy to halt the breakdown of peri-implant tissue; furthermore, the threads of the implant are also difficult to debride thoroughly. This article reports two cases where management of peri-implantitis by surgical intervention was carried out. We preformed osseous resective surgery on one case and carried out regenerative surgery on the other case. After 6 to 8 months, the clinical parameters and inflammatory signs of the patients had improved and this was accompanied by receded gingiva and the exposure of the threads. In those patient whose peri-implantitis cannot be controlled after initial therapy, surgical intervention seems to be a predictable option when managing peri-implant problems and controlling inflammation. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。