牙周炎整體治療－病例報告

Comprehensive Treatment for Periodontitis: A Case Report

劉宥孛(You-Bo Liu)

《北市醫學雜誌》 14卷4期 (2017/12) Pp. 528-538

https://doi.org/10.6200/TCMJ.2017.14.4.14

摘要

38 歲女性患有廣泛性牙齦發炎，牙周探測深度達3到9毫米，探測出血指數88%，數顆牙有不完整根管治療、根尖病灶及不密合之固定式牙冠。診斷為廣泛性慢性牙周炎及根尖周圍炎。於右上、左上、左下、右下及上顎前牙區進行骨修整手術合併自體骨移植術，重新根管治療及置換不密合之固定式牙冠牙橋。一年後，全口牙周探測深度均在4毫米以內，探測出血指數降低至18%，有明顯地獲得臨床附連增加，放射線追蹤檢查可看出根叉侵犯處及骨內缺損處有明顯骨充填與骨密度增加，整體牙周預後良好且治療結果穩定。

關鍵字

慢性牙周炎 ； 骨修整手術 ； 自體骨移植術

並列摘要

I reported a 38-year-old female patient with generalized gingivitis. Periodontal examination revealed 88% bleeding at probe sites, periodontal pocket depths ranging from 3 to 9 mm, incomplete previous endodontic treatments in several teeth, apical periodontitis, and poor marginal adaptation in dental prosthesis. The patient was diagnosed with generalized chronic periodontitis and periapical periodontitis. Osteoplasty with autogenous bone grafting and endodontic treatments were conducted at the concerned sites in the upper right, upper left, upper anterior, lower right, and lower left sextants. Also, the improper fit dental prosthesis was replaced. One-year after treatment, the periodontal pocket depths decreased to less than 4 mm and the bleeding at probe sites decreased to 18%, and significant gain in clinical attachment was observed. Also, radiograph examination showed significant increase of bone fill and bone density in the affected furcation sites and bone defects. A ＂Good＂ level of overall periodontal prognosis was achieved.

並列關鍵字

Chronic periodontitis ； Osseous surgery ； Autogenous bone grafting