上顎前牙牙骨質撕裂及牙周病整體治療－病例報告

Periodontitis with Cemental Tear in Upper Right Central Incisor: A Case Report

林子軒(Tzu-Hsuan Lin) ； 江正陽(Cheng-Yang Chiang)

《中華民國家庭牙醫學雜誌》 17卷1期 (2022/06) Pp. 25-32

https://doi.org/10.6566/JFD.202206_17(1).0004

摘要

本病例報告提出一位65歲罹患慢性牙周炎的男性合併上顎右側正中門齒牙骨質撕裂。牙周治療方面包含基本的全口牙齦下刮除及牙周翻瓣清創與牙周再生手術。在口衛指導與疾病預防方面包含加強牙菌斑控制及定期回診追蹤。治療完成一年後的追蹤可見口腔清潔大幅改善，整體牙齦外觀恢復健康，全口探測深度皆低於5毫米。先前施予再生手術的骨缺損處在放射線檢查中亦可見有增加放射線不透性。牙骨質撕裂處經過移除斷片並施予牙周再生手術後也已降低搖動度，恢復正常功能。

關鍵字

牙骨質撕裂 ； 牙周再生治療 ； 慢性牙周炎

並列摘要

This case report presents a 65 years-old male patient who was diagnosed with chronic periodontitis combined with upper right central incisor cemental tear. The treatments including full mouth subgingival scaling and root planing together with open flap debridement or periodontal regeneration surgery to repair angular bony defects. In terms of oral hygiene instruction and the prevention of illness, we focus on reinforcement of oral hygiene and regular follow-up examination. During one-year follow up, his oral hygiene status has improved greatly. Generally, the gingival tissue had become healthier and all the measurements of probing depthwere less than 5 mm. Radiographic assessment of the angular bony defect of upper right central incisor showed enhancement radiopacity. After cemental tear segment removal combined with periodontal regeneration surgery, the mobility of upper right central incisor was reduced and occlusal function was improved.

並列關鍵字

cemental tear ； periodontal regeneration ； chronic periodontitis