前牙不良修复体的再次修复与牙周治疗对策  

Strategy on restorative and periodontal treatment of failure restorations in the anterior segment

作　　者：殷家悦[1] 

机构地区：[1]中国医科大学口腔医学院.附属口腔医院修复一科,辽宁沈阳110002

出　　处：《中国实用口腔科杂志》2017年第7期407-410,共4页Chinese Journal of Practical Stomatology

摘　　要：由于前牙不良修复体侵犯牙周生物学宽度引起的牙体-牙周联合病损是口腔修复学与牙周病学的共同难题,单纯恢复牙周健康,再次制作精良的修复体已不符合现代口腔医学的治疗理念。从美学角度出发进行修复设计,指导牙周手术,才能更有效、更可控地实现理想的治疗效果。同时,对口腔修复科医生、牙周科医生、技师的治疗团队提出了挑战。文章结合科学文献及作者所在团队的临床经验,对此类病损的治疗原则和操作流程进行总结。The dentogingival complex damages of anterior teeth with biological width infringed by unfitting restorations set difficuh problems for both the restorative dentists and the periodontal dentists.Periodontal treatment,crowns restored again,is not the right concept of restorative dentistry.Outcomes of periodontal surgery can be more predictable and effective based on esthetics.Meanwhile,a constant challenge for clinicians and technicians come out accordingly.In this study,therapeutic principle and operative procedure was summarized by combined scientific literature and the experience of our team.

关 键 词：美学 修复 生物学宽度 牙冠延长术 

分 类 号：R78[医药卫生—口腔医学]