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題 名 | 矯正治療合併引導組織再生術於全口重建中的跨科整合治療:病例報告=Interdisciplinary Treatment Approach that Combines GTR with Orthodontic Treatment during Full Mouth Rehabilitation: A Case Report |
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作 者 | 楊子萱; 曾于娟; 杜哲光; 王薰儀; 鄭裕民; 胡愷芳; 傅柏松; 何坤炎; 周郁翔; | 書刊名 | 臺灣牙周病醫學會雜誌 |
卷 期 | 19:4 2014.12[民103.12] |
頁 次 | 頁334-347 |
分類號 | 416.97 |
關鍵詞 | 組織引導再生術; 牙釉基質蛋白; 同種異體移植骨; 矯正治療; 跨科整合治療; Guided tissue regeneration; Enamel matrix protein; Allograft; Orthodontics; Interdisciplinary treatment; |
語 文 | 中文(Chinese) |
中文摘要 | 矯正治療對需要重建理想咬合及美觀的牙周病患者相當重要。引導組織再生術已廣泛運用於牙周病治療,且臨床上證實對骨內缺損,可顯著減少牙周囊袋探測深度以及增加附連高度,本篇提出一牙周矯正協同治療慢性牙周炎與病理性牙齒位移。牙周初期治療後,下顎後牙之骨內缺損使用冷凍乾燥同種異體移植骨合併牙釉基質蛋白進行引導組織再生術;待牙周健康狀況改善穩定後,藉矯正治療關閉前牙縫隙,並整平及扶正下顎後牙,重建咬合。經此牙周及矯正協同治療,病患整體牙周及咬合狀況改善,並維持穩定。 |
英文摘要 | Orthodontic treatment may contribute significantly to the rehabilitation of dentition to a healthy and stable state, and improve the esthetics of periodontally compromised patients. In addition, guided tissue regeneration (GTR) has become an indispensable treatment option in dentistry. Several studies have shown the benefits of GTR in terms of reducing probing depth and increasing attachment level. This article presents the interdisciplinary treatment of a female patient with chronic periodontitis and pathological tooth migration. Following initial periodontal therapy, GTR was performed using a freeze-dried bone allograft and enamel matrix protein over an intrabony defect that was affecting the mandibular molar. Once the periodontium had improved, orthodontic treatment was used to close the spacing, retracted the tilting teeth and established therapeutic occlusion. By means of an interdisciplinary approach to treatment, the patient was provided with an enhanced periodontium and stable occlusion. |
本系統中英文摘要資訊取自各篇刊載內容。