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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 | 黃郁珊; 林怡君; 謝依蓁; 陳柏堅; 賴玉玲; Huang, Yu-shan; Lin, Yi-chun; Hsieh, Yi-chen; Chen, Bor-jian; Lai, Yu-lin; |
期刊 | 臺灣牙周病醫學會雜誌 |
出版日期 | 20090600 |
卷期 | 14:2 2009.06[民98.06] |
頁次 | 頁93-112 |
分類號 | 416.946 |
語文 | chi |
關鍵詞 | 慢性牙周炎; 牙周治療; 骨內缺損; 移植骨; 引導組織再生手術; Chronic periodontitis; Periodontal treatment; Intrabony defects; Guided tissue regeneration; Bone grafts; |
中文摘要 | 牙周再生一直是牙周病治療的理想目標,臨床上無論採用骨移植或是合併使用再生膜都被證實是有效的牙周重建方法,並且廣泛地應用在牙周缺損上。本文提出一慢性牙周炎病例,於其後牙區之骨內缺損,分別使用自體骨、冷凍去礦化異體移植骨及合併使用自體骨與膠原蛋白再生膜治療。術後一年的臨床結果顯示骨缺損中均有骨充填,99%以上的牙位探測深度改善至3毫米以下。本報告除了詳細介紹患者的治療經過,並進一步針對不同移植骨、不同再生膜應用於骨內缺損的臨床效果做文獻回顧,希望藉由移植骨及再生膜治療結果的分析,爲臨床治療提供決策參考,並提升治療的可預測性。 |
英文摘要 | The regeneration of the periodontal supporting tissue for the patients is an ultimate goal in periodontics. Osseous grafting procedures and guided tissue regeneration with barrier membranes have been shown to be effective treatment modalities of periodontal reconstructive surgery and widely applied in periodontal defects. This article present a chronic periodontitis patient who received autogenous osseous graft, demineralized freeze-dried bone allograft as well as combination therapy with autograft and collagen membrane placement in the intrabony defects of posterior teeth regions. Clinical improvement with bone fill over bony defect area and probing depth of 99% tooth sites reduced below 3 mm was demonstrated one year following periodontal therapy. This paper will present the treatment courses and further review the current literatures to compare the clinical efficacy of different regenerative materials including various osseous grafting material or barrier membranes for the periodontal intrabony defects. Understanding the treatment outcomes of various surgical approaches with different periodontal materials will help the decision making of the clinicians and improve the predictability of periodontal treatment for the periodontal patients. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。