牙周病復發之整體治療與維護

完整的牙周治療為病人改善疼痛及促進齒列健康，但更重要的目標是長期口腔健康的維護以遠離疾病復發。本病例報告提出一位42歲罹患慢性牙周炎的男性，其雖曾在早期做過牙周治療，但因缺乏適當的治療後的維護而導致牙周問題復發。在牙周治療方面包括基本的全口牙齦下刮除與針對臼齒區角狀骨缺損進行的骨移植手術。在口衛指導與疾病預防方面包含加強牙菌斑控制、戒除吸菸與積極定期回診。治療完成一年後的追蹤可見口腔清潔已有大幅改善，整體牙齦外觀較為健康，全口探測深度幾乎都維持在3毫米以內，而先前施予再生手術的骨缺損在放射線檢查中亦可見有增加放射線不透性。目前病患對術後維護的觀念也較為積極；藉完整治療與定期監控，使病人的牙周健康狀態獲得長期的穩定。

關鍵字

慢性牙周炎；骨內缺損；牙周再生治療；支持性治療

並列摘要

Periodontal treatment ameliorates patient discomfort and improves the health of dentition; however, it is also important to develop the oral health of patients in such a way that recurrence of disease is avoided in the long term. This case report presents a 42 year-old male patient who was diagnosed with generalized moderate and localized severe chronic periodontitis. Although he had received periodontal treatment around 10 years earlier, unfortunately the periodontitis had relapsed due to improper post-treatment maintenance. The current treatment included, briefly, full mouth subgingival scaling and root planing together with bone grafting surgery to repair angular bony defects in the area of the molars. In terms of oral hygiene instruction and the prevention of illness, we focus on reinforcement of oral hygiene, suggesting that the patient cease smoking and that regular follow-up examination be carried out. During the follow-up examination at 1 year after the active treatment, his oral hygiene status has improved greatly. Generally, the gingival tissue had become healthier and almost all the measurements of probing depth were within 3 mm. In terms of the results of the surgical treatments, images of the angular bony defects showed enhancement radio-opacity. Currently, the patient has become more active and supportive of periodontal treatment too. By means of the comprehensive treatment, along with regular periodontal surveillance, our patient seems to become able to maintain a healthy periodontal status in the long term.

並列關鍵字

chronic periodontitis ； intrabony defects ； periodontal treatment ； periodontal supportive treatment

國際替代計量

牙周病復發之整體治療與維護

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