伴贫血的Ⅳ期C级牙周炎序列治疗引发的思考  

Reflections on the Systemic Treatment of StageⅣClass C Periodontitis with Anemia

作　　者：郑琪凡 赵佳慧 罗诗音 应悦 刘楠[1] 王柳[1] 徐桐[1] 姜艾佳 潘亚萍[1] 张冬梅[1] Qifan Zheng;Jiahui Zhao;Shiyin Luo;Yue Ying;Nan Liu;Liu Wang;Tong Xu;Aijia Jiang;Yaping Pan;Dongmei Zhang(Department of Periodontics,School and Hospital of Stomatology,China Medical University,Liaoning Provincial Key Laboratory of Oral Disease,Shenyang,Liaoning Province,P.R.China;Department of Oral Mucosiology,School and Hospital of Stomatology,China Medical University,Liaoning Provincial Key Laboratory of Oral Disease,Shenyang,Liaoning Province,P.R.China)

机构地区：[1]中国医科大学附属口腔医院牙周病科,辽宁省口腔疾病重点实验室,辽宁省沈阳市110002 [2]中国医科大学附属口腔医院综合急诊·黏膜病科,辽宁省口腔疾病重点实验室

出　　处：《中国口腔医学继续教育杂志》2024年第4期306-315,339,共11页Chinese Journal of Stomatologial Continuing Education

基　　金：国家重点研发计划多模态牙周炎患病风险和治疗有效性预测模型的建立(项目编号:2023YFC2506302)。

摘　　要：目的:本文通过报道伴缺铁性贫血Ⅳ期C级牙周炎的序列治疗过程,旨在为伴全身疾病的复杂的牙周序列治疗提供临床经验。诊治经过:该病例为后牙区牙槽骨破坏严重并伴随缺铁性贫血的年轻女性。考虑到全身状况对牙周炎的影响,口腔医师为其制定了个性化的牙周序列治疗方案,并与内科医师同步进行治疗。结果:治疗后患者牙周炎症及贫血状况得到了明显控制,取得了良好的临床效果。结论:缺铁性贫血是牙周炎的潜在全身危险因素,且重度牙周炎患者存在炎症性贫血的倾向,二者互相影响。因此,在牙周炎诊疗过程中应该重视贫血等全身危险因素对牙周炎的影响。Objective:This case report reported the sequential treatment process of stageⅣclass C periodontitis with iron deficiency anemia.It aimed to provide clinical experience in treating complex periodontitis with systemic diseases.Diagnosis and treatment:This case was a young woman with severe alveolar bone destruction accompanied by moderate iron deficiency anemia.Considering the influence of systemic conditions on periodontitis,the dentist formulated a personalized periodontal sequential treatment plan and carried out the treatment simultaneously with the physician.Results:The periodontal inflammation and anemia of the patient were significantly controlled after treatment and good clinical results were achieved.Conclusions:Iron deficiency anemia is a potential systemic risk factor for periodontitis,and patients with severe periodontitis tend to have inflammatory anemia,and the two affect each other.Therefore,it is important to emphasize the impact of anemia and other systemic risk factors on the diagnosis and treatment of periodontitis.

关 键 词：缺铁性贫血 牙周炎 序列治疗 炎症性贫血 多学科联合治疗 

分 类 号：R781.4[医药卫生—口腔医学]