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牙周病的預後與治療計畫

Periodontal Prognosis and Treatment Plan

摘要


對罹患牙周病之牙齒及全口齒列預後之評估,臨床上可助醫師在替病患選擇適當治療之指引,至於判定預後所考慮的因素,主要是由臨床經驗及一些長期治療追蹤結果中獲得,並沒有一可靠之統計模式,計算出那些臨床的因素,對預後判定之預測性較可靠。本文乃探討一般應用在臨床上用以考量預後之因素。至於完善治療計畫之擬定,要依照對病患之正確診斷,檢查可能致病原因,預後之評估,配合醫師本身牙周病之知識與技術,病患之經濟、時間、配合度等條件,才能達到控制疾病之目的。

關鍵字

預後 危險因子 治療計畫 牙周病

並列摘要


To determine the prognosis of the overall dentition and of individual teeth will help the clinician in making a proper treatment plan for the patient. However, few studies really evaluate the effectiveness of those current clinical factors for assigning accurate prognosis. There is also no effective method which can assign the prognosis based on a clear, objective, clinical criteria. This article is a review of the current factors which can be considered in determining the periodontal prognosis. Based on the diagnosis, etiology, disease severity and the prognosis, a well planned periodontal treatment can then be established. The treatment plan will encompass different therapeutic objectives for each patient according to his or her needs in order to create a well-functioning healthy dentition.

延伸閱讀


  • 侯桂林、蔡吉政(1986)。牙周病的成因與預防臺灣齒科醫學會雜誌9(2),145-164。https://www.airitilibrary.com/Article/Detail?DocID=a0000129-198610-9-2-145-164-a
  • 張博鈞(2022)。牙周病防治之現況與策略建議台灣公共衛生雜誌41(4),359-360。https://doi.org/10.6288/TJPH.202208_41(4).PF04
  • 鄭國良、黃仁勇、邱賢忠、沈一慶、傅鍔、江正陽(2014)。牙周病復發之整體治療與維護臺灣牙周病醫學會雜誌19(1),88-103。https://doi.org/10.6121/TAP.2013.19.1.07
  • 林世榮(2022)。牙周病的治療消費者報導雜誌(493),22-23。https://www.airitilibrary.com/Article/Detail?DocID=P20180921002-202205-202205050013-202205050013-22-23
  • 蔡吉政、吳逸民(1997)。Antibiotics in the Treatment of Periodontal Disease中華民國牙周病醫學會雜誌2(1),1-7。https://www.airitilibrary.com/Article/Detail?DocID=a0000071-199703-201301020006-201301020006-1-7