口腔医学 ›› 2023, Vol. 43 ›› Issue (2): 145-152.doi: 10.13591/j.cnki.kqyx.2023.02.010

• 病案分析 • 上一篇    下一篇

1例Ⅳ期C级广泛型牙周炎牙周序列治疗7年的纵向观察

戴安娜,丁佩惠()   

  1. 浙江大学医学院附属口腔医院,浙江大学口腔医学院,浙江省口腔疾病临床医学研究中心,浙江省口腔生物医学研究重点实验室,浙江大学癌症研究院,浙江杭州(310000)
  • 修回日期:2022-10-22 出版日期:2023-02-28 发布日期:2023-03-02
  • 通讯作者: 丁佩惠 E-mail:phding@zju.edu.cn
  • 基金资助:
    国家自然科学基金(81870765);国家自然科学基金(82170953)

Periodontal therapy for stage Ⅳ grade C generalized periodontitis: A case report of 7-year follow-up

DAI Anna,DING Peihui()   

  1. Stomatology Hospital, School of Stomatology, Zhejiang University School of Medicine, Clinical Research for Oral Diseases of Zhejiang Province, Key Laboratory of Oral Biomedical Research of Zhejiang Province, Cancer Center of Zhejiang University, Hangzhou 310000, China
  • Revised:2022-10-22 Online:2023-02-28 Published:2023-03-02
  • Contact: DING Peihui E-mail:phding@zju.edu.cn

摘要:

牙周病具有个体特异性和牙位特异性,因此牙周序列治疗计划不仅要根据患者病情与进展情况开展个性化设计,同时针对患牙的局部条件进行预后评估,从而制定个性化的治疗方案。本文报道了1例Ⅳ期C级广泛型牙周炎年轻患者牙周序列治疗的全过程,纵向观察7年,从个体特异性和位点特异性角度分析了重度牙周炎患牙“拔”与“留”的考量,探讨了种植体周角化黏膜的重要性,以期为牙周炎的序列治疗提供参考。

关键词: 牙周炎, 牙周序列治疗, 种植体周角化黏膜

Abstract:

Periodontal disease is individual-specific and site-specific. Therefore, the periodontal sequence treatment plan should not only base on the patient's condition and disease progression, but also take local conditions into account. This paper reports the whole periodontal therapy of a young patient with stage Ⅳ grade C generalized periodontitis with longitude observation of 7 years. We analyze the factors between extraction and maintenance of hopeless teeth from individual-specific and site-specific perspectives. We also discuss the importance of keratinized mucosa around implants in order to provide reference for the treatment of periodontitis.

Key words: periodontitis, periodontal sequence treatment, keratinized mucosa around implants

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