全口重建之牙周補綴治療病例報告集

Full-mouth rehabilitation in periodontal prosthesis ---Cases report

曾令澍(Ling-Shu Tseng)

指導教授 ： 蔡吉政 ； 周肇茂

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(2009年)

https://doi.org/10.6832/KMU.2009.00072

摘要

牙周補綴一詞依1974年Amsterdam 所下的定義為：「牙周補綴即在嚴重牙周病治療當中，全然的復形與補綴，其所應用的醫療觀念、原則與技術，亦適用於自然齒列的補綴或牙齒的替換」。在重度牙周侵犯的齒列中，因深度牙周囊袋、牙齒搖動及缺牙，經常引起牙齒病理性位移，中心關係位置偏位。針對患者之牙周疾病治療，須以個案方式為之處理，常需要牙體復形、牙髓治療、牙周治療、口腔外科、矯正及補綴治療等各科的合作，才能達到良好的治療結果。本論文共提出十一個牙周補綴全口重建的病例報告，採用不同的補綴物設計和牙周手術治療；手術性治療包括：結締組織移植術、牙根切除術、牙冠增長術、引導骨再生手術；三個病例合併矯正治療，最終補綴物包含固定式及可撤式二種；固定式義齒包括：傳統固定式義齒、植體支持式固定義齒；可撤式義齒包括：可撤式義齒合併磁性附連體、könus 雙重冠可撤式義齒、套筒薄冠蓋套疊可撤式義齒、覆蓋式義齒。經由專業性及整合性的牙周補綴治療才能為患者提供健康的牙周環境，以方便口腔衛生的維護，同時滿足患者對咀嚼功能、發音及美觀的要求。

關鍵字

牙周補綴 ； k&ouml ； nus 雙重冠可撤式義齒 ； 套筒薄冠蓋套疊可撤式義齒 ； 覆蓋式義齒 ； 磁性附連體

並列摘要

The definition of periodontal prosthesis from the 1974 Amsterdam emphasized the periodontal-prosthetic therapy and defined it as “Those restorative prosthetic endeavors are absolutely essential in the treatment of advanced periodontal disease. Where as specifically it refers to the treatment of the dentition mutilated by the ravages of periodontal disease, in general ,its concepts, principles and techniques may be employed in any restorative or tooth replacement service involving the nature dentition.＂These periodontally compromised dentitions involve the deep pocket,tooth mobility,missing teeth and lead to pathological migration,central relation discrepancy,we need the cooperation of different specialized fields such as operative dentistry, endodontic therapy, periodontal treatment,oral surgery, orthodontics and prosthodontics .The dentist must evaluate the practical need, financial capabilities and personal characteristics of the patient to select the most appropriate treatment plan.
In this thesis, eleven cases of the full mouth
rehabilitation were presented. These cases applied with the
different prosthetic designs and the periodontal therapies .The surgical treatment included connective tissue graft, furcation involvement therapy, crown lengthening, and guided bone regeneration. The orthodontic treatment was used in three cases. The definite prosthesis are fixed or removable partial denture, including conventional fixed prosthesis, implant-supported fixed prosthesis,conventional removable prosthesis, könuskrone telescopic denture,crown sleeve-coping telescopic denture, and overdenture.
By the integrated multidisciplinary approaches of treatment,patients have healthy periodontal condition for good oral hygiene control, performance of the normal chewing function,pronunciation and satisfaction of the esthetic appearance.

並列關鍵字

periodontal prosthesis ； k&ouml ； nuskrone telescopic denture ； crown and sleeve-coping telescopic denture ； overdenture ； magnetic attachmen

參考文獻

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