内窥镜辅助龈下刮治、根面平整治疗牙周炎III期C级1例  

Endoscope-assisted Subgingival Scaling and Root Planing in The Treatment of Stage III Grade C Periodontitis: A Case Report

作　　者：张佳喻 刘娜 石旭妍 陈悦[1] Jiayu Zhang;Na Liu;Xvyan Shi;Yue Chen(Department of Periodontolog,College of Stomatology,Xi'an Jiaotong University,Xi'an,Shaanxi Province,P.R.China)

机构地区：[1]西安交通大学口腔医院牙周病科,陕西省西安市710004

出　　处：《中国口腔医学继续教育杂志》2024年第4期282-293,共12页Chinese Journal of Stomatologial Continuing Education

摘　　要：目的:本文报道内窥镜辅助龈下刮治、根面平整治疗牙周炎Ⅲ期C级1例,为重度牙周炎患者提供更多的治疗选择。诊治经过:女性患者,23岁,牙周炎Ⅲ期C级,口内多颗牙齿松动,伴咀嚼无力及牙龈出血,上前牙牙齿移位出现间隙,影响患者生活质量及美观程度。牙周病科医师通过内窥镜辅助龈下刮治、根面平整进行牙周炎症的控制。结果:经过前期部分牙周基础治疗,患者在未进行手术治疗的情况下,重度牙周炎症得到有效控制,为后续的多学科联合治疗奠定良好的牙周基础。结论:内窥镜辅助龈下刮治、根面平整可为重度牙周炎患者提供理想且更加微创的治疗效果,具有良好的临床应用前景。Objective:A case of stageⅢgrade C periodontitis was treated by endoscope-assisted subgingival scaling and root planing,which provided more treatment options for patients with severe periodontitis.Diagnosis and treatment:A 23-year-old female patient with stageⅢgrade C periodontitis suffered from teeth loose,masticatory weakness,and gingival bleeding.There were also displacements and gaps in her upper anterior teeth,which affected the life quality and the aesthetics of the patient.Periodontists controlled the periodontal inflammation by endoscope-assisted subgingival scaling and root planing.Results:After the above periodontal basic treatment,the patient with severe periodontal inflammation achieved ideal curative effect without surgical treatment,laying a good periodontal foundation for the follow-up multidisciplinary treatment.Conclusion:Endoscopy-assisted subgingival scaling and root planing can provide an ideal and more minimally invasive treatment effect for patients with severe periodontitis,which has a good clinical application prospect.

关 键 词：重度牙周炎 牙周内窥镜 龈下刮治 微创 牙周再生手术 

分 类 号：R781.4[医药卫生—口腔医学]