牙周組織再生治療：歷史性回顧與評估

Introduction of Periodontal regeneration

董醒任(Tony Shing-Zeng Dung)

《中華民國牙周病醫學會雜誌》 5卷2期 (2000/06) Pp. 59-71

摘要

二十一新世紀的來臨是吾人對牙周治療做一歷史性回顧與再評估的絕佳時刻。由於牙周組織再生的發明，牙周治療已不再只是消極的扼止病情只求牙齒歹活，更有起死回春之效。拜牙周組織再生及材料研究之賜，引導骨再生治療的發展更使許多顏面骨及植體周圍骨缺損於口腔復健的應用上大放光彩。本專題討論將回顧並評估：1.不同牙周手術治療的演進，2.不同牙周治療的癒合機轉，3.牙周組織再生治療的歷史背景與臨床發展，4.引導骨再生治療的歷史背景與臨床發展，5.牙周組織再生的未來發展。最後將討論如何將人文與科技結合，依民眾需求為先，以提高醫療品質。

關鍵字

牙周組織再生 ； 歷史 ； 臨床應用

並列摘要

It is great timing for us to reevaluate periodontal therapy at the turn of the twenty-first century. There have been tremendous advancement in periodontal regenerative therapy, guided bone regeneration, endosseous dental implant, and plastic periodontal therapy in the last twenty years. Due to the demanding of modern people on esthetic, function, healthy, and quality of life, periodontal therapy has become the first line of oral care and plays a major role in oral environmental protection. As the invention of periodontal regeneration, the goal of periodontal therapy is not only to maintain teeth but also to regenerate and revive the lost periodontium and function. Moreover, based on the concept of guided tissue regeneration and the advanced development of biomaterial science, guided bone regeneration has made the reconstruction of oral and maxillofacial defects feasible. The purposes of this paper are to discuss 1) the development of periodontal surgery, 2) wound healing following various periodontal therapy, 3) the history and development of periodontal regeneration, 4) the history and development of guided bone regeneration, and 5) the future of periodontal reconstruction.

並列關鍵字

periodontal regeneration ； history ； clinical application