跨科性牙周補綴治療在牙周炎症患者之應用

Interdisplinary Perio-Prosthetic treatment in Patient with periodontitis

楊忠叡(Chung-Zay Yang)

指導教授 ： 李惠娥

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(2013年)

https://doi.org/10.6832/KMU.2013.00055

摘要

重症牙周炎患者，經侵襲破壞後，導致齒列牙周附連喪失，接踵而來的根叉病變，根冠比不良，病理性移位..等。造成了牙醫師棘手的臨床狀況。本論文報告共提出十例牙周補綴病例。其中5位男性，5位女性。平均年齡56歲。治療期間平均歷時1年4個月。病例資料收集包括主訴、病史、臨床檢查、診斷模型分析、放射線檢查。利用收集資料做出正確的診斷，訂定符合病患需求治療計畫。詳實溝通並同意後執行之。牙周治療包括非手術性牙周治療、再評估、牙周手術治療和維持期。牙周手術包括了翻瓣清創手術、牙周組織導引再生手術、植牙手術、牙冠增長術、游離牙齦移植手術。依據治療計畫病患接受齒顎矯正治療並製作臨時補綴物和最終補綴物。經由跨科全面性的牙周補綴治療方能解決牙周殘存齒列複雜的情況，以達到病患滿意的治療結果。

關鍵字

牙周補綴 ； 雙重套冠義齒 ； 牙科種植體 ； 全口重建

並列摘要

After periodontal invasion and destruction, the dental arch may present attachment loss、furcation involvement、poor crown/ratio and pathological migration. These complicated the clinical situation and treatment. This report shared 10 perio-prosthetic cases including 5 males and 5 females with average age 56 years old ranging from 25 to 84 years old.The mean treatment duration is 1 year and 4 months. Data collection include chief complain、history、clinical examination、study cast analysis and radiographic examination. By surveying above data, correction diagnosis was made and proper treatment plan was decided. The treatment plans were executed after agreement of the patients. The periodontal therapy involve nonsurgical periodontal treatment, re-evaluation, periodontal surgery and maintenance. The periodontal surgery include flap surgery, guided tissue regeneration surgery、implant surgery、crown lengthening procedure and free gingiva graft surgery. According to treatment, patients receive orthodontic treatment. Gradually, the transitional prosthesis and final prosthesis were made. By interdislplinary treatment, the situation of the complicated remaining periodontal arch will be solved to achieve the result meeting patient requirement and satisfaction.

並列關鍵字

Periodontal Prosthesis ； Telescope denture ； Dental implatnt ； Full mouth rehabilitation

參考文獻

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