合併非手術牙周病治療及補綴重建的跨科整合病例報告及文獻回顧

本文提出一位58歲女性，罹患全口廣泛性重度慢性牙周炎合併咬合高度喪失，同時有糖尿病和第三期慢性腎臟病，經非手術性牙周病治療合併贋復補綴之病例報告。患者治療前，全口26顆牙齒中，有19顆牙齒的齒槽骨高度剩下不到50%，牙周探測深度介於2 mm到13 mm不等，經過非手術性牙周病治療合併過渡性補綴物之咬合治療，再評估後觀察一年，全口牙周探測深度皆小於5 mm，並且多數牙齒有牙周附連增加，由放射線檢查亦可發現有放射線骨充填。經由非手術性治療及贋復物之重建，病患整體牙周狀況改善，且治療效果穩定。

關鍵字

慢性牙周炎；垂直高度喪失；非手術性牙周病治療；跨科整合治療

並列摘要

A 58-year-old female patient who was diagnosed with generalized chronic periodontitis and posterior bite collapse underwent non-surgical periodontal treatment, which was followed by prosthodontic reconstruction. The patient also had diabetes mellitus and type Ⅲ chronic kidney disease. Prior to treatment, among twenty-six teeth, probing depths ranging from 2 mm to 13 mm were found for nineteen teeth. After non-surgical periodontal treatment and provisional prosthesis reconstruction, the probing depth of all teeth was less than 5 mm at the one-year follow-up. Furthermore, there were significant improvements in clinical attachment level for most teeth based on enhanced radiographic bone-like images. In terms of clinical outcome, the patient's periodontium was found to have improved or to be stably maintained after interdisciplinary treatment that combined non-surgical periodontal therapy with prosthetic reconstruction.

並列關鍵字

chronic periodontitis ； posterior bite collapse ； non-surgical periodontal treatment ； interdisciplinary treatment

國際替代計量

合併非手術牙周病治療及補綴重建的跨科整合病例報告及文獻回顧

全文下載

主題瀏覽