Ⅲ/Ⅳ期牙周炎的临床诊治决策进展  

Progress of diagnosis and treatment decisions in stageⅢ/Ⅳperiodontitis

作　　者：陈旭[1,2,3] 李璐 王晓茜[1,2,3] 王天尧 徐艳[1,2,3] CHEN Xu;LI Lu;WANG Xiaoqian;WANG Tianyao;XU Yan(Department of Periodontology,The Affiliated Stomatological Hospital of Nanjing Medical University,Nanjing 210029,China)

机构地区：[1]南京医科大学附属口腔医院牙周病科,江苏南京210029 [2]口腔疾病研究与防治国家级重点实验室培育建设点,江苏南京210029 [3]江苏省口腔转化医学工程研究中心,江苏南京210029

出　　处：《口腔医学》2025年第1期13-17,共5页Stomatology

基　　金：国家自然科学基金(82370961,82170962);江苏省卫健委重点项目(ZD2021025);江苏省干部保健科研课题(BJ19033);江苏省科教能力提升工程——江苏省研究型医院(YJXYYJSDW4);江苏省医学创新中心(CXZX202227)。

摘　　要：2018年,美国牙周病学会和欧洲牙周病学联盟共同发布了牙周病与植体周病国际新分类相关共识,将牙周炎分为Ⅰ~Ⅳ期。其中,Ⅲ/Ⅳ期牙周炎的诊断和治疗是临床的重点和难点。制定规范的牙周炎临床诊疗决策有助于Ⅲ/Ⅳ期牙周炎患者更好地控制菌斑、维持牙周健康状态、恢复咀嚼功能和美观。本文基于欧洲牙周病学联盟发布的Ⅰ~Ⅲ期与Ⅳ期牙周炎治疗的S3级临床指南,结合2018年牙周病与植体周病国际新分类及2017年我国重度牙周炎诊断标准的专家共识,对Ⅲ/Ⅳ期牙周炎(重度牙周炎)的临床诊断和治疗决策进行阐述,旨在为临床应用实践提供参考。In 2018,a consensus on the new international classification of periodontal diseases and peri-implant diseases was jointly published by the American Academy of Periodontology(AAP)and European Federation of Periodontology(EFP),which divided periodontitis into stagesⅠ-Ⅳ.The diagnosis and treatment of stageⅢ/Ⅳperiodontitis are the focus and difficulty in clinical practice.Developing standardized clinical decision-making for the diagnosis and treatment of stageⅢ/Ⅳperiodontitis can help patients with this condition achieve better plaque control,maintain healthy periodontal status and restore chewing function and aesthetics.Based on the EFP S3 level clinical guidelines for the treatment of stageⅠ-Ⅲand stageⅣperiodontitis,combined with the new international classi-fication of periodontal diseases and periimplant diseases in 2018 and the Chinese expert consensus on the diagnosis of severe periodon-titis in 2017,this article elaborates clinical diagnosis and treatment decisions for stageⅢ/Ⅳperiodontitis,aiming to provide reference for clinical application practice.

关 键 词：Ⅲ/Ⅳ期牙周炎 重度牙周炎 诊疗决策 

分 类 号：R781.4[医药卫生—口腔医学]