牙周病暨植牙患者整體治療之病例報告

Comprehensive Periodontal and Implant Treatment - A Case Report

韓燕婷(Yen-Ting Han)

《中華民國家庭牙醫學雜誌》 17卷3期 (2022/12) Pp. 27-34

https://doi.org/10.6566/JFD.202212_17(3).0004

摘要

本案例為一52歲男性診斷為廣泛型stage III grade B牙周炎。治療前口內軟組織多處紅腫，牙齒表面牙菌斑與牙結石堆積，檢查有多顆牙大於5毫米之探測深度且伴隨骨缺損。經牙周基本治療，且進行牙周手術與植牙重建。術後一年追蹤，牙周狀況穩定，牙菌斑與出血指數分別為14%與7%，探測深度100%為3毫米以下，86%的位置有附連獲得。手術區域有放射線骨密度增加，植牙處也無周圍骨喪失。定期牙周支持性治療且整體預後良好。

關鍵字

慢性牙周炎 ； 牙周再生手術 ； 牙周翻瓣手術 ； 植牙

並列摘要

This case report is a 52 y/o male diagnosed with generalized stage III grade B periodontitis. Many sites were noted with gingival inflammation before treatment. The teeth were also with plaque and calculus deposition. Multiple teeth lost attachments and had bony defects. He received non-surgical treatment and also had periodontal surgeries and implant therapy. One year follow-up after all the treatments, the periodontal condition was stable. The plaque and bleeding index was individually 14% and 7%. The probing depth of all the sites were within 3mm, and 86% sites had attachment gain. Radiographic bone gains were noted at the surgical sites, and there was no bone loss around implant. The patient received regularly supportive periodontal treatment and the overall prognosis was good.

並列關鍵字

chronic periodontitis ； guided tissue regeneration ； periodontal flap surgery ； implant