慢性牙周炎伴前牙病理性移位的多学科联合治疗1例  

Multi-disciplinary treatment on pathological tooth migration(PTM)of anterior teeth in patients with periodontitis accompanied by protrusive interference caused by the third molar:a case report

作　　者：谢成佳 姚卜瑜 张广灿 王喜军 葛少华 Chengjia Xie;Buyu Yao;Guangcan Zhang;Xijun Wang;Shaohua Ge(Department of Periodontology,School and Hospital of Stomatology,Cheeloo College of Medicine,Shandong University&Shandong Key Laboratory of Oral Tissue Regeneration&Shandong Engineering Laboratory for Dental Materials and Oral Tissue Regeneration&Shandong Provincial Clinical Research Center for Oral Diseases,Jinan,Shandong Province,P.R.China;Department of prosthodontics,School and Hospital of Stomatology,Cheeloo College of Medicine,Shandong University,Jinan,Shandong Province,P.R.China)

机构地区：[1]山东大学齐鲁医学院口腔医学院·口腔医院牙周科,山东省口腔组织再生重点实验室,山东省口腔生物材料与组织再生工程实验室,山东省口腔疾病临床医学研究中心 [2]山东大学齐鲁医学院口腔医学院·口腔医院修复科

出　　处：《中国口腔医学继续教育杂志》2023年第1期73-79,84,共8页Chinese Journal of Stomatologial Continuing Education

基　　金：山东省重大科技创新工程(2021SFGC0502)。

摘　　要：目的本文通过报道Ⅲ期B级牙周炎伴前牙病理性移位(pathological tooth migration,PTM)的治疗过程1例,希望为PTM的临床诊治提供一定参考。诊治经过:患者女性,28岁,哺乳期;因孕期牙缝逐渐变大影响美观,分娩后就诊。对本病例采用牙周序列治疗+多学科联合治疗。结果牙周序列治疗后,牙周恢复健康稳定,修复治疗后患者对美观和功能较为满意,且修复体设计利于牙周长期稳定。结论PTM患牙应综合多因素进行病因分析,根据不同的病因制定诊疗方案。Objective:This case report presented the treatment of a patient with stageⅢgrade B peridontitis accompanied with PTM of anterior tooth,hoping to provide a reference for the treatment of PTM.Diagnosis and treatment:Female,lactation,28 years old.Due to the gradual enlargement of the anterior teeth interdental gap,the patient visited our department after delivery.This case was treated with sequential periodontal therapy and muti-disciplinary treatment.Results:After sequential periodontal treatment,the periodontal condition returned to be stable and healthy,and the patients were satisfied with the appearance and function after restoration treatment.Besides,the design of the prosthesis is conducive to the long-term periodontal stability.Conclusion:It is necessary to comprehensively analyze the etiology of PTM and make a diagnosis and treatment plan.

关 键 词：慢性牙周炎 前牙病理性牙移位 多学科治疗 牙周基础治疗 咬合干扰 

分 类 号：R78[医药卫生—口腔医学]