- 期刊
侵犯性牙周炎的長期照護：一對姐妹的八年追蹤病例報告
Eight-year Maintenance of Aggressive Periodontitis in Siblings
摘要
侵犯型牙周炎(aggressive periodontitis)常被認為有家族聚集性(familial aggregation)。除了遺傳因子，家庭中的成員也暴露於相同的生活環境、習性與經濟社交圈中。本文記錄一對姐妹於三十歲前分別被診斷為重度侵犯型牙周炎，呈顎骨水平性喪失，牙齦紅腫以及深度囊袋。經過牙周病基本治療、牙周翻瓣清創手術與支持性牙周照護，由x光片及臨床觀察八年的追蹤結果，顯示全口顎骨水平高度(osseous level)與牙齒功能維持良好。兩位病患的背景和疾病表徵有其共同性，值得提出探討。藉由這樣的病例報告可以了解，侵犯型牙周炎接受完整的牙周病治療，加上定期的支持性牙周照護，得以長期維持牙周組織的健康。
並列摘要
There are reports in the literature on familial aggregation of periodontal disease. The familial nature of chronic forms of periodontitis is less frequent reported but that of aggressive periodontitis is consistent with a genetic predisposition. Familial aggregation may also reflect exposure to common environmental factors, such as education, life style and socioeconomic grouping. This report presented two cases from the same family, who was diagnosed as advanced aggressive periodontitis before age of 30. Patients were treated with conventional scaling and root planing, open flap debridement and then periodic supportive periodontal cares. The radiographic osseous level & dental function have been well maintained in eight years of maintenance, Discussion should be carried out regarding the similar clinical features in these two cases. It was then concluded that patients with aggressive periodontitis can be maintained in dental health when thorough periodontal treatment and supportive periodontal therapy were complied.