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引導組織再生術合併局部抗生素之使用

Guided Tissue Regeneration Combined with Local Antibiotics

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摘要


對特定種類的牙周骨質缺損而言,引導組織再生術已是一種可以信賴的再生療法。但常常再生膜過早暴露於口腔,引起細菌附著及穿透再生膜,影響再生手術治療結果。因此引導組織再生術合併使用抗生素,期解決細菌感染的問題。全身性抗生素易引起副作用,局部性抗生素為較理想的治療方式。局部使用抗生素的方式包括:凝膠塗抹、抗生素溶液沖洗或抗生素直接嵌附於再生膜以發揮藥效。不同的方法,其效果不一。本文目的:將探討引導組織再生術合併局部抗生素之治療。

並列摘要


Guided tissue regeneration (GTR) techniques have been show to be a predictable therapy for periodontal regeneration in certain kinds of periodontal bony defects. Premature exposure of the barrier happens commonly. Exposed barriers undergo bacterial adhesion and penetration, which cause wound infection and may jeopardize the wound healing. Therefore, GTR combined with the local antibiotics therapy may resolve the infection problem. The methods of using local antibiotics include irrigation、gel application and antibiotics incorporated on barrier membranes. The purpose of this article is to discuss the effect of combined use of barrier membranes and local antibiotics in the GTR procedure.

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