牙周補綴全口重建之病例報告-以人工植體支持之固定義齒及人工植體合併自然牙之Konus雙重套冠義齒病例為代表

患有牙周病的患者，常因牙周組織遭受破壞，使得牙齒病理性的位移、傾斜，若伴隨部分缺牙或失去咬合支持，則易產生咬合崩塌的情形。在治療與重建中，不僅僅是移除牙周侵犯的病因、恢復咬合功能，更必須考量到剩餘牙齒的狀況以及將來患者口腔的清潔與維護，因此，治療前的評估、各科的整合與介入、患者的預期等都是需要謹慎思考的。本論文提出九個病例，利用跨科性治療，以人工植牙增加支持，各種不同手術改善牙周狀況恢復健康，補綴物的設計提供穩定的咬合減少咬合創傷，矯正輔助以利美觀需求，進一步達成全口重建目標。然而除此之外，患者定期的回診追蹤及口腔衛生清潔與維護，才能提升治療的成功率。

關鍵字

咬合崩塌；人工植牙；全口重建

並列摘要

Patients with periodontitis often suffered from destruction of periodontal tissue, which leads to the pathological displacement or inclination of teeth. If combined with partial loss of teeth or loss of periodontal support, this situation will easily result in bite collapse. In addition to eradication of etiologies of periodontal destruction and reconstruction of the occlusal function, conditions of remaining teeth and maintenance of pateints’ oral hygiene should be brought in consideration. Therefore, the evaluation prior to treatment, the integration and intervention of different specialties, and the expectancy of the patient should all be prudently contemplated. In the present study of 9 cases, under cross-field full-treatment, with the use of dental implants to increase the periodontal support, selection of various periodontoal surgeries to improve the health of periodontium, provision of different designs of prostheses to stabilize occlusion and relieve trauma from occlusion, and with the help of orthodontic intervention to the meet the esthetic request, we can then step further to reach the goal of full-mouth rehabilitation. Besides, however, the periodically follow-ups and the maintenance of oral hygiene of the patients are the keys to promote the success rates of our treatments.