覆蓋義齒與人工植牙在中重度牙周炎之臨床應用

Overdenture and Implant in Moderate and Severe Chronic Periodontitis

吳慶源(Ching-Yuan Wu)

指導教授 ： 何坤炎

高雄醫學大學/口腔醫學院/牙醫學研究所碩士在職專班/碩士(2007年)

https://doi.org/10.6832/KMU.2007.00076

摘要

牙周病的治療常因齒列的喪失而在治療期間或完成後需要補綴治療介入，尤其是中、重度牙周炎患者的治療更是如此。誠如Dr.A在1974為「牙周補綴」一詞，定義為中度至重度牙周炎之患者所作的整合式牙科治療。
治療牙周病期間常因牙冠與牙根比例不當、牙齒病理性移位、後牙咬合崩塌、咬合不正、次級咬合創傷、甚至有顳顎關節症狀等問題而需牙周手術、根管治療、矯正、植牙手術等，來穩定牙齒和其周邊支持的軟硬組織的健康，同時在治療期間到完成提供患者發音、咀嚼、美觀等功能外，亦能提供患者一個容易清潔和維護的口腔環境，且定期回診以達到長久的療效和成功。
本論文提出九個中、重度牙周補綴病例報告，內含全口重建與局部重建病例，從治療開始到補綴物完成，皆是考量患者口腔牙周情形綜合患者經濟、時間與需求等因素，量身訂做一個適合患者的治療計畫，來創造出患者易清潔的口腔環境，並請患者定期回診以確保良好預後。

關鍵字

牙周補綴 ； 植牙 ； 牙周手術 ； 咬合崩塌 ； 咬合創傷 ； 全口重建

並列摘要

The treatment of periodontal diseases often needs the intervention of prosthetic therapy due to tooth loss, especially for patients with moderate to severe periodontitis. In 1974, Dr. Amsterdam pointed out that the term “Periodontal-prosthesis” means the comprehensive dental treatment designed by patients with moderate to severe periodontitis.
There are some conditions that occurs in periodontal patients, such as improper crown to root ratio, pathological tooth migration, posterior bite collapse, malocclusion, secondary trauma from occlusion, and temporomandibular joint disorders. These can be treated by periodontal surgery, root canal therapy, orthodontic treatment, and implant placement to maintain the health of teeth and the supporting tissues and provide patients with the functions such as phonation, mastication and esthetics during and after the treatment courses. These treatments also provide patients with an oral environment that is easy to clean and maintain. Periodic recall visits is important to achieve successful outcome on the long-term basis.
This thesis presents 9 patients with moderate to severe periodontitis that were full mouth rehabilitated or partially treated. The treatment plans from the beginning of the therapy to the accomplishment of prostheses were customized for each patient according to their oral contitious, periodontal status, economic situation, time availability and demands, aiming at creating an oral environment that is easy to maintain oral hygiene by patients. The assurance of long-term success is based on periodic recall visits.

並列關鍵字

Periodontal-prosthesis ； periodontal surgery ； implant placement ； posterior bite collapse ； secondary trauma from occlusion ； full mouth rehabilitated

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