牙周整體治療合併牙釉基質蛋白之病例報告

Periodontal Treatment Combined with the Use of an Enamel Matrix Derivative: A Case Re

許根實(Ken-Shih Hsu) ； 黃良吉(Liang-Gie Huang) ； 張雅婷(Ya-Ting Chang) ； 唐正(Ching Tong)

《臺灣牙周病醫學會雜誌》 21卷1期 (2016/03) Pp. 109-122

https://doi.org/10.6121/TAP.2016.21.1.11

摘要

牙周病的發生，常常伴隨著不同程度的軟硬組織破壞，而在進行了包含口腔衛教以及 牙根整平術的牙周基本治療後，便面臨了後續更進一步的處理。面對硬組織的破壞，也就是骨內的缺損，引導組織再生手術或其他再生方式就可能是治療的選項之一。此次的病例報告在於提出使用牙釉基質蛋白參與牙周再生治療：兩處牙周缺損都有5毫米以上的牙周探測深度以及放射線下可見之骨內缺損，在進行牙周基本治療後，經使用牙釉基質蛋白來 參與牙周再生治療，術後一年的追蹤，患區都有探測深度的降低，放射線檢查狀況提升，顯示牙周狀況經合併牙釉基質治療後有明顯的改善。(臺灣牙周醫誌，21(1):109-122, 2016)

關鍵字

牙周病 ； 牙周再生 ； 牙周支持性治療

並列摘要

This case report describes a 54 years old female patient who was suffering from localized chronic periodontitis. Her chief complain was gum swelling and bleeding when her teeth were being brushed. A clinical examination showed several tooth sites had gingival inflammation and a clinical probing depth of ＞ 5 mm. A radiographic examination revealed intrabony defects. Non-surgical phase I treatment was provided, including oral-hygiene instruction, scaling, root planing and then, after a full mouth periodontal re-evaluation, surgical treatment was also carried out that involved the use of a combination of freeze-dried bone allografts with enamel matrix derivatives. After one year of follow up, 99.8% of the periodontal probing depths were ＜ 4 mm, and 85% of teeth showed a 0 ~ 2 mm attachment level gain. Furthermore, radiographic examination also indicated an improvement in bone density and a refilling of the surgical sites. After periodontal treatment, the patient had more motivation to maintain her teeth and also happily underwent regular periodontal maintenance therapy. (J Taiwan Periodontol, 21(1):109-122, 2016)

並列關鍵字

Periodontitis ； regenerative treatment ； supportive treatment