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摘要


牙周病是口腔最常見的疾病,佔成年人的90%,疾病範圍包括牙齦、齒槽骨及牙周韌帶,致病因素包含局部及全身性因素,治療以清潔、矯正及手術為主。以中醫觀點而言,疾病早期以「胃熱上蒸」證型為多,晚期則多見「腎元虧虛」之證,臨床上以合併中西醫治療預後最佳。本案例屬「脾胃濕熱」證,以甘露消毒丹合真人活命飲為主方,意於清熱利濕、消腫止痛、經4週治療後,牙齦腫痛症狀明顯改善,且免除全口拔牙之命運。

並列摘要


The periodontosis is the most common oral disease and the incidence of the disease is 90% in adults The scope of periodontosis includes the gums, alveolar bone and tooth ligaments The causes of the disease usually come from local and systemic factors The treatment includes cleaning, correction and operation In the view of Chinese medicine, the most common syndrome in early phase is ”weyzershanzen” and the ”shenyenkueshi” syndrome is often discovered, in later phase. The therapy with the best prognosis on clinic is to combine western and Chinese medical treatment This case presents ”piweszer” syndrome and mainly be treated with the ”GAN LUH SHIAU DWU DAN” and ”JEN REN HWO MINQ SAAN” to decrease fever, dehumidify, alleviate swelling and reduce the pain. After 4 weeks of treatment, the symptom of swelling and painful gums was obviously improved, and the patient avoided pulling out all teeth.

延伸閱讀


  • 董醒任(2001)。牙周感染與全身健康中華民國牙周病醫學會雜誌6(s),s111-s115。https://www.airitilibrary.com/Article/Detail?DocID=10279962-2001xx-6-s-s111-s115-a
  • 董醒任(1999)。牙周感染與全身健康中華民國牙周病醫學會雜誌4(3),206-211。https://www.airitilibrary.com/Article/Detail?DocID=a0000071-199909-201212250008-201212250008-206-211
  • 孫安迪(1990)。認識牙周病及其預防和治療健康世界(169),97-101。https://doi.org/10.6454/HW.199001.0097
  • 鍾漢程(2019)。Periodontal Prosthesis: Report of 9 cases〔碩士論文,高雄醫學大學〕。華藝線上圖書館。https://doi.org/10.6832/KMU.2008.00133
  • 王研力、潘惠玲、朱毓仁、陳朝寶(2010)。Periodontal Full Treatment Case Report臺灣牙周病醫學會雜誌15(2),123-141。https://www.airitilibrary.com/Article/Detail?DocID=10279962-201006-201009060041-201009060041-123-141

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