Ⅳ期牙周炎的临床诊断与治疗  

Clinical diagnosis and treatment of stage Ⅳ periodontitis

作　　者：陈双双 唐晓琳[1] CHEN Shuang-shuang;TANG Xiao-lin(Department of Periodontics,School and Hospital o f Stomatology,China Medical University,Liaoning Provincial Key Lxiboratory of Oral Diseases,Shenyang 110002,China)

机构地区：[1]中国医科大学口腔医学院·附属口腔医院牙周病科,辽宁省口腔疾病重点实验室,辽宁沈阳110002

出　　处：《中国实用口腔科杂志》2021年第1期21-25,共5页Chinese Journal of Practical Stomatology

基　　金：辽宁省兴辽英才计划项目(XLYC1802129);中国医科大学2019年医疗新技术国际水平项目(2019-22)。

摘　　要：期牙周炎以严重的牙周破坏和咬合紊乱为主要临床表现,并存在多种危险因素。通过病史回顾、临床检查、影像学检查即可鉴别Ⅲ期与Ⅳ期牙周炎。针对Ⅳ期牙周炎的临床特点,应强调多学科合作,并且在各个牙周治疗阶段注重咬合调整和咬合重建,以达到消除炎症、修复缺失牙、稳定咬合的治疗目标。文章围绕Ⅳ期牙周炎的临床特征、诊断与鉴别诊断和治疗计划加以概述。In the new classification of periodontitis,severe periodontal destruction and occlusal disorder are the main clinical manifestations of stage Ⅳ periodontitis. There are many risk factors for stage Ⅳ periodontitis. Stage Ⅲ and stage Ⅳ periodontitis could be distinguished by clinical examination,imaging examination and history review. According to the clinical characteristics of stage Ⅳ periodontitis,multidisciplinary cooperation should be emphasized in the treatment plan. And the occlusal adjustment and reconstruction should be emphasized in each phase of periodontal therapies. Only in this way can we achieve the goal of eliminating inflammation,repairing the missing teeth and stabilizing the bite. This paper reviews the clinical features,diagnosis,differential diagnosis and treatment plan of stage Ⅳ periodontitis.

关 键 词：期牙周炎 咬合紊乱 多学科合作 咬合调整 咬合重建 

分 类 号：R781.42[医药卫生—口腔医学]