牙周治療之牙齒固定：文獻回顧

Splinting of Teeth as a Therapy During Periodontal Treatment - A Literature Review

連襄(Shine Lien) ； 唐正(Ching Tong) ； 黃良吉(Liang-Gie Huang)

《臺灣牙周病醫學會雜誌》 22卷4期 (2017/12) Pp. 329-336

https://doi.org/10.6121/TAP.201712_22(4).0006

摘要

牙周治療中牙齒固定治療（splinting）是輔助治療的一種方式。臨床上常用於固定搖動的牙齒。本文回顧文獻牙周治療中牙齒固定治療的定義、目的及適應症，並藉由其在咬合治療中的角色，探討固定治療後咬合調整的重要性。針對不同的治療目的，並評估影響固定治療的因素，了解臨床上如何選擇牙齒固定治療的形式、材料及方法。當牙周治療中有牙齒固定治療時，患者對口腔衛生維持的困難度提升，因此加強輔助工具很重要。固定牙齒在牙周治療中固然是一種必要手段，但需謹慎評估其風險，並應在固定牙齒後釐清其原因，去除發炎感染為當務之急。

關鍵字

固定 ； 牙周固定 ； 咬合調整 ； 口腔衛生維持

並列摘要

Splinting of teeth as a therapy, when part of adjunctive therapy during periodontal treatment, is usually used on teeth that show mobility. This article introduces a definition of splinting therapy, describes the purpose of the therapy and pinpoints the indications for when to use this therapy during periodontal treatment. Tooth splinting is a part of occlusal therapy and we will also discuss the importance of occlusal adjustment after tooth splinting. Factors that affect tooth splinting treatment, as well as the materials and methods used during the splinting treatment are also evaluated in terms of various different treatment goals. When tooth splinting treatment is performed, there can be difficulty maintaining oral hygiene and this can give rise to clinical problems. This article also introduces various adjuvant tools that can be used to maintain oral hygiene when there are splinted teeth. There needs to be careful risk assessment before splinting therapy is begun. However, the most important aspect of the use of tooth splinting is that inflammation and other etiological factors need to be controlled after therapy.

並列關鍵字

splinting ； stabilization ； periodontal splinting ； occlusal adjustment ； oral hygiene instruction