多学科联合治疗老年口腔疾患1例  

Multi-discipline Dental treatment of An Elder Patient:A Case Report

作　　者：谢克贤[1] 李维嘉 陈博然 Kexian Xie*;Weijia Li;Boran Chen(Department of Stomatology,Peking University Third Hospital,Beijing,P.R.China)

机构地区：[1]北京大学第三医院口腔科

出　　处：《中国口腔医学继续教育杂志》2023年第4期324-333,共10页Chinese Journal of Stomatologial Continuing Education

基　　金：北京市卫生健康委员会2021年住院医师规范化培训质量提高项目·住培2021071。

摘　　要：目的:本病例将报告1例老年患者的口腔全科诊疗病例,涉及牙体牙髓病、牙周病、口腔颌面外科和口腔修复科四个口腔医学亚专业的多学科联合诊治。诊治经过:患者来诊时前牙重度磨耗、反,后牙咬合支持丧失,垂直高度变小。经过重新确立垂直高度,诊断模型上架,雕刻诊断蜡型,最终判断此垂直高度下修复是可行的。通过翻模制作备牙导板指导牙体预备,制作硅胶模板用于制作临时冠,确保了最终垂直高度与治疗设计阶段确定的垂直高度一致。制作临时胶连义齿并戴用一段时间帮助患者适应新垂直高度。在适应新垂直高度后再制作终义齿。结果:患者义齿戴用舒适,很好地改善了反。结论:本病例通过多学科联合治疗,获得了良好的治疗效果,患者口腔健康得到了恢复。Objective:This case reports the multi-discipline treatment of an elder patient.The disciplines involved in this case were restorative dentistry,endodontics,periodontics,oral surgery and prosthodontics.Diagnosis and treatment:The patient had cross-bite,severe attrition of anterior teeth and loss of occlusal support of posterior teeth.He had loss of vertical dimension.The correct vertical dimension was determined,and the diagnostic casts were mounted based on this vertical dimension.Diagnostic wax-up was created to assess the restorability of the dentition on this vertical dimension.Clear acrylic prep-guide was made to guide tooth preparation.Silicone index was used to make temporary crowns.This was to make sure the final vertical dimension was consistent with the diagnostic vertical dimension.Temporary wire retained acrylic dentures were made.The patient wore the temporary dentures for two months to become accustomed to the temporary dentures.The final dentures were made to this vertical dimension.Results:The cross-bite was corrected,and the dentures were comfortable.Conclusion:Through the multi-discipline approach,the treatment results were good.Oral health of the patient was restored.

关 键 词：多学科联合诊疗 老年患者 垂直高度 可摘局部义齿 树脂直接粘接修复 

分 类 号：R78[医药卫生—口腔医学]