整體性牙周暨贋復治療之病例報告

Comprehensive Periodontal and Prosthesis Treatment: A Case Report

張雅婷(Ya-Ting Chang) ； 劉忠勳(Chung-Hsun Liu) ； 唐正(Ching Tong)

《臺灣牙周病醫學會雜誌》 19卷2期 (2014/06) Pp. 176-191

https://doi.org/10.6121/TAP.2014.19.2.09

摘要

本病例報告提出一位35歲女生，罹患廣泛型慢性牙周炎，牙周治療前有廣泛性牙齦發炎及出血，多顆牙有5毫米以上的牙周探測深度，及骨內缺損。患者接受牙周基本治療及牙周手術治療，包括後牙區之骨內缺損使用牙釉基質衍生物及冷凍異體移植骨合併膠原蛋白可吸收性再生膜。術後一年追蹤，臨床檢查結果顯示，全口99%牙周囊袋探測深度在4毫米以下，7%的區域得到3~5毫米之附連獲得，以及手術區在放射線影像下有骨充填。患者保持良好的口腔衛生並定期接受牙周支持性治療，整體的牙周狀況改善，病患得以重新贋復治療並預後可維持良好。

關鍵字

慢性牙周炎 ； 引導組織再生術 ； 牙釉基質衍生物

並列摘要

This article is a case report concerning a 35 y/o female patient who suffered from generalized chronic periodontitis. Clinical examination revealed generalized gingival inflammation with bleeding on probing and loss of attachments (probing depth ＞ 5 mm). Radiographic examination showed multiple regions of intrabony defects and furcation involvement. The patient underwent non-surgical periodontal treatment (scaling and root planing), followed by surgical treatment involving the use of enamel matrix derivatives, freeze-dried bone allografts, and bioresorbable collagen membrane. At the one year follow up, 99% of her periodontal pockets were ＜ 4 mm in depth, with a 3-4mm attachment gain at 7% of tooth sites. Radiographic examination showed bone re-fill at the surgical sites. After treatment, the patient maintained excellent oral hygiene and reported regularly for periodontal supportive care. Overall, there was an improvement in her periodontal health, which facilitated her prosthetic treatment and resulted in a good prognosis.

並列關鍵字

chronic periodontitis ； guided tissue regeneration ； enamel matrix derivatives