- 期刊
化療後之牙周與植牙整體治療病例報告及文獻回顧
Periodontal and Implant Full Treatment Following Chemothereapy: A Case Report and Literature Review
摘要
本文提出一位曾患過第一期卵巢癌的患者，在化療結束四年後因為重度廣泛性復發慢性牙周炎來本院接受牙周病治療，患者治療前在口內有3到10毫米的牙周探測深度，齒槽骨剩下15%到90%，經過牙周基本治療及手術治療，包括引導組織再生手術、引導骨再生手術與植牙手術，術後一年追蹤觀察，發現牙周探測出血指數由原先42%降至8%，並且多數牙齒有附連獲得。手術後的區域臨床附連高度沒有進一步損失，囊袋探測深度下降，另外#26植牙部位也提供良好咀嚼功能並且沒有探測到牙周囊袋與發現骨喪失的放射線影像。經由牙周治療完成後，讓患者恢復整體牙周穩定及健康。
並列摘要
This article is a case report of a woman who had suffered from ovary cancer four years previously, and now suffered from generalized severe chronic periodontitis. She had a 3 mm to 10 mm deep probing depth and 15% to 90% alveolar bone level at her teeth before periodontal treatment. She received periodontal initial phase therapy together with surgical therapy, which included guided tissue regeneration, guided bone regeneration and dental implantation. After one year, her full mouth probing depth were almost under 3 mm. Furthermore, an initial 42% bleeding on probing had improved to 8%. Most of her teeth had an improved attachment level compared to before treatment. The #26 dental implant provided good functionality and there was no detectable bone loss by radiography. The patient's overall periodontal health was improved significantly.