牙周與矯正協同治療嚴重侵犯性牙周炎16年長期追蹤結果（II）：牙周引導組織再生與矯正之協同治療

16 Years Long-Term Result of Combined Periodontal and Orthodontic Treatment in a Case of Severe Aggressive Periodontitis (II): Interdisciplinary Treatment of Guided Tissue Regeneration and Orthodontic Therapy

郭博仁(Po-Jan Kuo) ； 林錦榮(John Jin-Jong Lin) ； 張迺旭(Nancy Nie-Shiuh Chang)

《臺灣牙周病醫學會雜誌》 18卷3期 (2013/09) Pp. 226-237

https://doi.org/10.6121/TAP.2013.18.3.06

摘要

病理性牙齒位移是牙周炎常見之併發症，強烈影響美觀與咀嚼功能，亦是患者求診之主訴，臨床上常需透過牙周、矯正跨科合作才能達到理想的治療結果；現今研究發現，引導組織再生手術能夠再次建立健康牙周附連、改善骨缺損，健康之牙周組織亦是矯正成功之基石。本病例報告一位廣泛型侵犯性牙周炎、前牙病理性位移之女性患者，經過牙周與矯正協同治療後配合適當牙周回診16年長期追蹤，臨床結果顯示適當的矯正應力不會影響牙周再生組織的健康，更能改善牙齒排列、促進齒間乳突再現，恢復齒列美觀與功能。

關鍵字

組織引導再生手術 ； 矯正治療 ； 長期追蹤

並列摘要

Pathologic tooth migration is a common complication in patient with severe periodontitits and results in not only severe dental disfiguration but also devastate a patient’s mastication. As a result, this problem is often the motivation for patients to seek dental therapy. In order to achieve better clinical outcome, there is a need for the interdisciplinary treatment of periodontal and orthodontic problems.A range of clinical studies was showed that guided tissue regeneration provide the potential for establishing a new connective tissue attachment and is able to reduce periodontal bony defect. At the same time, healthy periodotnal tissue is the key to obtaining a stable outcome when carrying out orthodontic treatment.This article presents a clinical report on a female patient who was affected by generalized and severe aggressive periodontitis together with pathologic migration of anterior teeth. This study affirms the possibility that a combined orthodontic-periodontal approach is able to prevent damaging to the regenerated apparatus and also produces aesthetic improvements as a result of realignments and enhancement of the papilla height after sixteen years of combined therapy.

並列關鍵字

guided tissue regeneration ； orthodontic treatment ； long-term follow-up