牙周病整體治療病例報告

Comprehensive Periodontal Treatment: Case Report

高珮琪(Pei-Chi Kao) ； 林世榮(Shih-Jung Lin)

《臺灣牙周病醫學會雜誌》 16卷4期 (2011/12) Pp. 239-255

摘要

本文提出一位局部性重度廣泛性中度慢性牙周炎患者的完整治療病例報告，牙周整體治療包括初期牙周治療，後牙四個區域並分別利用不同材料進行牙周再生手術，尤其患者在36、47區域伴有嚴重牙周牙髓合併病灶，經由非手術性根管治療和引導組織再生手術後，骨缺損部位有明顯的癒合。術後一年追蹤檢查，全口牙周狀況恢復良好。（台灣牙周醫誌16：239－255， 2011）

關鍵字

慢性牙周炎 ； 牙周牙髓合併病虹 ； 牙周再生手術

並列摘要

The present case report demonstrated that a patient who had generalized moderate and localized severe chronic periodontitis received a comprehensive periodontal treatment. The periodontal full treatment included in initial phase 1 therapy and periodontal regenerative surgeries performed at the posterior teeth region of four quadrants with different biomaterials. Particularly, severe bony destruction by perio-endo combined lesion was found at 36 and 47 teeth area. After non-surgical endodontic therapy and surgical treatment of guided tissue regeneration, radiographic findings showed obvious bone healing over the previous angular defects. One-year postoperative follow-up examination revealed the overall periodontal condition was improved and stable. (J Taiwan Periodontol 16:239-255, 2011)

並列關鍵字

chronic periodontitis ； perio-endo combined lesion ； regenerative periodontal surgery