应用牙周特色治疗恢复侵袭性牙周炎患者的牙周健康、功能和美观(附1例3年随访报告)  

Restoration of the periodontal health,function and esthetics of a patient with aggressive periodontitis by characteristic periodontal therapy:a 3-year follow-up case report

作　　者：刘倩[1,2] 冯向辉[1] 于晓潜[1] 胡文杰[1] LIU Qian;FENG Xiang-hui;YU Xiao-qian;HU Wen-jie(Department of Periodontology,Peking University School and Hospital of Stomatology,Beijing 100081,China;Department of Periodontology&Oral Mucosal Diseases,Shenyang Stomatological Hospital,Shenyang 110002,China;不详)

机构地区：[1]北京大学口腔医学院·口腔医院牙周科,北京100081 [2]沈阳市口腔医院牙周黏膜科,辽宁沈阳110002

出　　处：《中国实用口腔科杂志》2020年第9期523-528,共6页Chinese Journal of Practical Stomatology

摘　　要：侵袭性牙周炎由于发病年龄早、进展速度快,经常在早期就出现牙齿松动、移位甚至脱落。早诊断、早治疗对于侵袭性牙周炎的治疗效果至关重要。很多侵袭性牙周炎患者在一些牙位会形成骨下缺损,引导性组织再生术联合植骨术是治疗骨下缺损最常用的方法。因重度牙周炎而缺失的患牙在种植治疗设计时有其特殊的考量。文章展示了1例年轻侵袭性牙周炎病例,经过规范的牙周基础治疗控制炎症,通过引导性组织再生术联合植骨术获得骨充填,因重度牙周炎缺失的下颌中切牙通过种植修复重建了功能和美观。Aggressive periodontitis often leads to early teeth loose,displaced or even teeth loss due to early onset and rapid progress.Early diagnosis and treatment are very important for the treatment effect.Many patients with aggressive periodontitis are commonly characterized by formation of intrabony defects at some sites,and guided tissue regeneration(GTR)combined with bone grafting is the most commonly used method to treat intrabony defects.There are special considerations in the design of implant treatment for missing teeth due to severe periodontitis.This paper presented a young patient with aggressive periodontitis who controlled inflammation by standardized periodontal initial therapy,obtained bone filling through guided tissue regeneration combined with bone grafting,and reconstructed the function and esthetics of a mandibular central incisor with severe periodontitis through implantation.

关 键 词：侵袭性牙周炎 引导性组织再生术 种植体 

分 类 号：R78[医药卫生—口腔医学]