牙周非手术治疗1例慢性牙周炎伴畸形根面沟病例的6年维护效果评价  

The supportive outcome of periodontal non-surgical therapy to severe chronic periodontitis accompanied with malformed lingual groove in lateral incisor for 6 years:A case report

作　　者：李峥[1] 康军[2] 

机构地区：[1]北京大学第三医院口腔科,北京100191 [2]北京大学口腔医院牙周科,北京100081

出　　处：《华西口腔医学杂志》2011年第3期327-329,共3页West China Journal of Stomatology

摘　　要：追踪1例慢性牙周炎伴右上侧切牙畸形根面沟病变的发生、发展以及对牙周非手术治疗、定期维护治疗反应的转归过程。6年前初诊为轻度慢性牙周炎,给予常规牙周基础治疗并维护1次;2年后复诊时牙周破坏显著加重,上下磨牙区出现深牙周袋同时伴右上侧切牙畸形根面沟周围骨质重度破坏至根尖区,再次对全口牙周袋进行龈下刮治及根面平整,期间完成右上侧切牙根管治疗及舌侧根面沟开敞成形术;以3个月、6个月至1年左右间隔定期进行牙周非手术维护治疗。目前,牙周组织健康,右上侧切牙无松动,功能良好,周围骨质显著恢复,患者对美观及功能均满意。To track the initiating and developing process of one case diagnosed as chronic periodontitis accom-panied with malformed lingual groove in maxillary lateral incisor and report the long-term prognosis to the periodontal conservative and supportive therapy.The patient was diagnosed with mild chronic periodontitis 6 years ago and acce-pted routine periodontal scaling and root planning（SRP） plus supportive periodontal therapy（SPT） one time.Two years later the periodontal condition deteriorated by deep pockets in molars and severe bone destruction around the maxi-llary lateral incisor with malformed lingual groove.After SRP in sites which pocket depth more than 4 mm plus root ca-nal therapy and lingual groove plasty of maxillary right lateral incisor,the SPT regularly proceeded at 3rd,6th and 12th month.At present the whole periodontal tissue was healthy,the bone lesion around maxillary lateral incisor recovered well,the tooth had no mobile,the cosmetic effect and tooth function was in good state,and the patient was very satisfied.

关 键 词：畸形根面沟 牙周炎 牙周非手术治疗 牙周维护治疗 

分 类 号：R781.42[医药卫生—口腔医学]