基于2018年牙周病国际新分类的重度牙周炎临床应用实践  

The S3 Level Clinical Diagnosis and Practice Guideline of StageⅣSevere Periodontitis Based on 2018 EFP/AAP Classification

作　　者：曹正国[1,2] 高雅 曾宇 CAO Zhengguo;GAO Ya;ZENG Yu(State Key Laboratory of Oral&Maxillofacial Reconstruction and Regeneration,Key Laboratory of Oral Biomedicine Ministry of Education,Hubei Key Laboratory of Stomatology,School&Hospital of Stomatology,Wuhan University,Wuhan 430079,China;Department of Periodontology,School&Hospital of Stomatology,Wuhan University,Wuhan 430079,China;Department of Periodontology,Dongguan Jianli Stomatological Hospital,Dongguan 523001,China)

机构地区：[1]口颌系统重建与再生全国重点实验室,口腔生物医学教育部重点实验室,口腔医学湖北省重点实验室,武汉大学口腔医学院,湖北武汉430079 [2]武汉大学口腔医院牙周科,湖北武汉430079 [3]东莞健力口腔医院牙周科,广东东莞523001

出　　处：《口腔医学研究》2023年第11期943-951,共9页Journal of Oral Science Research

摘　　要：牙周炎患病率高,其早期症状不明显,后期则往往伴有严重的牙槽骨破坏,牙齿松动、移位甚至脱落,给国家、社会及患者造成极大的负担。2018年,美国牙周病学会和欧洲牙周病学联合会共同发布了牙周病与植体周病新分类相关共识报告,将牙周炎分为4期3级。随后,EFP先后发布Ⅰ~Ⅲ期与Ⅳ期牙周炎治疗S3级临床指南,制订了相应的综合治疗方案。本文基于2018年牙周病国际新分类,通过对1例Ⅳ期C级牙周炎病例总结分析,从诊断和分期分级、风险评估和预后判断,临床治疗决策方面阐述新的重度牙周炎临床应用实践。The early symptoms of periodontitis are not obvious,while it always accompanied by severe alveolar ridge defects,tooth drifting,flaring,and even tooth loss in advanced stage.It leads to a heavy burden on the country,society,and patients themselves with high prevalence.In 2018,consensus reports on the Classification of Periodontal and Peri-implant Diseases and Conditions were published by the American Academy of Periodontology(AAP)and European Federation of Periodontology(EFP),which divided periodontitis into four stages and three grades.Subsequently,the EFP has published S3-level clinical guidelines for the treatment of stageⅠ-Ⅲand stageⅣperiodontitis.This article will discuss the clinical diagnosis and treatment practice of severe periodontitis based on the 2018 Classification with a case of periodontitis(stageⅣ,grade C).

关 键 词：新分类 重度牙周炎 分期 分级 临床诊疗 

分 类 号：R781.42[医药卫生—口腔医学]