一步一步做好舒适化牙周基础治疗  

Comfortable initial periodontal therapy:step by step

作　　者：邵金龙[1] 吕春旭[1] 于洋 葛少华[1] Shao Jinlong;Lyu Chunxu;Yu Yang;Ge Shaohua(Department of Periodontology,School and Hospital of Stomatology,Shandong University&Shandong Key Laboratory of Oral Tissue Regeneration&Shandong Engineering Research Center of Dental Materials and Oral Tissue Regeneration&Shandong Provincial Clinical Research Center for Oral Diseases,Jinan 250012,China)

机构地区：[1]山东大学口腔医学院·口腔医院牙周科、山东省口腔组织再生重点实验室、口腔生物材料与组织再生山东省工程研究中心、山东省口腔疾病临床医学研究中心,济南250012

出　　处：《中华口腔医学杂志》2024年第5期523-527,共5页Chinese Journal of Stomatology

基　　金：国家临床重点专科能力建设项目(2023);山东省重大科技创新工程(2021SFGC0502);中华口腔医学会青年临床科研基金(CSA-SIS2022-03)。

摘　　要：随着医学模式由传统的生物医学模式向社会-心理-生物医学模式转变,口腔操作的舒适化、无痛化、微创化和可视化成为现代医学发展的趋势和要求,人们对舒适化口腔治疗的需求也越来越高。牙周基础治疗操作中常伴随着疼痛,患者对疼痛的反应从紧张到牙科恐惧症不等,可出现烦躁不安、过度换气甚至恶心呕吐、拒绝合作等表现,使治疗的实施变得困难甚至无法实施。本文从治疗前诊室布置、患者信任的获取和预防性镇静的实施,治疗过程中的舒适化操作及护理、心理干预措施、局部麻醉和镇静技术的使用,以及治疗后的健康教育和随访等方面,阐述如何一步一步做好舒适化牙周基础治疗。With the transition of the medical model from the traditional biomedical model to the biopsychosocial one,there is a growing trend and requirement for oral operations that prioritize comfort,pain management,minimally invasive techniques,and visualization.Consequently,demands for comfortable dental treatments among individuals are increasing.However,initial periodontal therapy is often accompanied by pain,and patients′reactions to pain range from nervousness to dental fear,such as irritability,hyperventilation,even nausea,vomiting,and refusal to cooperate,which make the implementation of initial periodontal therapy difficult or even impossible.This article will focus on three key steps:firstly,the preparation of the clinic,the acquisition of patients′trust and the implementation of preventive sedation before treatment;secondly,the use of comfort operation and nursing,psychological intervention measures,local anesthesia,and sedation techniques during treatment;thirdly,the health education and follow-up after treatment.By addressing these aspects,we aim to clarify how to perform comfortable initial periodontal therapy step by step.

关 键 词：镇痛 麻醉 牙科 舒适化 牙周基础治疗 牙科恐惧症 镇静 

分 类 号：R781.4[医药卫生—口腔医学]