- 期刊
應用引導組織再生術重建牙周骨內缺損之牙周病整體治療病例報告
The Application of Guided Tissue Regeneration to Periodontal Intrabony Defect Reconstruction: A Periodontal Comprehensive Treatment Case Report
摘要
牙周基本治療後若仍有較深的探測深度與骨內缺損，臨床上常利用引導組織再生手術作治療。本病例報告提出一位罹患慢性牙周炎的女性，此病患多顆牙齒有5毫米以上的牙周探測深度，右側犬齒與側門齒有病理性位移，且左下顎第一大臼齒缺牙區有牙嵴塌陷合併無角質化牙齦的問題。經過牙周基本治療，牙周手術包含使用可吸收再生膜合併移植骨進行引導組織再生手術，左下顎後牙缺牙區以游離牙齦移植體作軟組織增進手術。術後一年的追蹤顯示全口牙周探測深度為3毫米以下，再生手術區域有顯著臨床附連獲得與骨充填，左下顎第一大臼齒區頰側軟組織豐隆度顯著增加，並且有4毫米的角質化牙齦。經由完整的牙周病治療，病患整體牙周狀況改善，且治療效果穩定。
並列摘要
Guided tissue regeneration has been widely applied to improve residual deep probing depth and intrabony defects after initial periodontal therapy. This paper reports the management of chronic periodontitis in a female patient who had multiple teeth with a probing depth of greater than 5 mm and pathological tooth migration of maxillary right canine and lateral incisor combined with alveolar ridge atrophy with the absence of keratinized gingiva over the mandibular left first molar edentulous site. Following initial periodontal therapy, surgery was carried out and included guided tissue regeneration using a resorbable membrane, which was combined with an osseous graft. Furthermore, a free gingival graft was applied to the mandibular left first molar edentulous site. The postoperative one-year examination revealed that the full mouth probing depth was now less than 3 mm. Furthermore, there had been significant clinical attachment level gain and bone fill over the grafting sites. The mandibular left first molar site showed increased soft tissue volume and the width of the keratinized gingiva was now 4 mm. The patient's overall periodontal health had improved and was able to be stably maintained following the above comprehensive periodontal therapy.