- 期刊
以牙周探測法評估牙周附連喪失的速度
Assessment of Clinical Attachment Loss Rate by Probing Method
摘要
牙周探針為臨床上最廣泛使用於探測牙周病之結締組織破壞的診斷工具。牙周囊袋深度的增加與臨床牙周附連的喪失乃是牙周病特有的特徵。因此，囊袋探測深度在牙周組織狀態與牙周治療成果的評估上佔有十分重要的角色。一般而言，牙周囊袋深度的減少與臨床牙周附連的增加可作為臨床上牙周疾病治療成功的指標。過去大部份以年齡所做的橫向研究顯示，牙周病乃屬一普遍性疾病，早期發生且隨年齡增加而有更加嚴重的趨勢。然而，由於缺乏長期的觀察，對於整個牙周病的病程發展是一個連續性亦或是所謂的插曲式針對特殊年齡或牙齒型態而有活動期或非活動期出現，都尚未有一明確的結論。況且橫向研究亦無法對各個年齡層產生附連喪失的速率提供確實的數字。因此，有一些研究便開始以縱向追蹤研究，也就是長期觀察的方式，試圖去了解牙周疾病的病程進行方式，發展型式以及產生臨床牙周附連喪失的量及速率等。 本文的目的乃是探討以牙周探測法評估臨床牙周附連每年平均破壞速率，以了解不同牙周炎或牙周狀況時，其臨床牙周附連喪失速率的變化，以作為牙周病診斷、預後與治療計劃時臨床應用的參考。
並列摘要
The most widely used diagnostic tool for the clinical assessment of connective tissue destruction in periodontitis is the periodontal probe. Increasing probing depth and loss of clinical attachment are pathognomonic for periodontal disease. Therefore, pocket probing is a crucial procedure in diagnosis of the periodontium and evaluation of periodontal therapy. Reduction of probing depth and gain of clinical attachment are the major clinical criteria used to determine success of treatment. Most cross-sectional data suggest that periodontal disease is universal, that it starts early in life and increase in severity with age. However, since no longitudinal studies on the life-time characteristics of periodontal disease have been made, it is not known to what extent the progress of the lesion is continuous or if the disease is characterized by intermittent periods of activity and inactivity (episodic) in people of different ages and around specific teeth. The cross-sectional studies also failed to provide accurate rate of the lesion progresses during different age periods. Therefore, some longitudinal studies were started and the investigators tried to describe the progression, growth pattern and attachment loss rate of periodontal disease. The purpose of this article was to review previous studies on the assessment of clinical attachment loss rate among different periodontal diseases using conventional probing method. In addition, to provide a meta-analysis data for periodontal evaluation of diagnosis, prognosis, and treatment plan in dental practice.