Diagnosis and Treatment Modalities of Periodontitis and Peri-implantitis

牙周病與人工種植體周圍炎的診斷與治療

葉惠津(Hwey-Chin Yeh)

《中華民國牙周病醫學會雜誌》 9卷附冊 (2004/07) Pp. s33-s48

摘要

牙齒是人體中唯一貫穿表皮而部分裸露於體表的鈣化結構，牙周組織因而有著非常特殊的結構與抵抗疾病的能力。牙科人工種植體為取代自然牙齒而產生，其周圍組織的特殊性質能否與牙周組織有同工異曲之處，仍待牙醫界努力追求探討。已知當這些組織發生疾病時，也就是罹患所謂的牙周病或植體周圍病變時，二者確實有許多相似之處，因此希望能藉由對牙周疾病的認知，進而學習對植體周圍病變控制的方法。本文比較牙周病與人工種植體周圍炎之異同，並分別討論兩種疾病的分類、以細菌為致病原的證據、臨床診斷的準則、以及疾病之治療方式，以為臨床上診斷與治療之參考。

關鍵字

植體周圍炎 ； 牙周炎

並列摘要

A tooth is an unusual mineralized structure, passing through the integument of human body, partly exposed to the external environment while partly within the connective tissue. Periodontal tissues thus possess specific anatomic structures to cope with disease invasions. A dental implant is a replacing material to restore the function and esthetics of a missing tooth. Whether the pen-implant tissue contains similar abilities as periodontal tissues, it remains further investigations in dentistry. Nowadays we realize when tissue adjacent to these structures was infected or ill, i.e., periodontal disease or pen- implant lesion, there are similarities noted. This paper discusses the classifications, bacterial etiology, diagnostic parameters and treatments of periodontal diseases and pen-implant lesions. By knowing periodontitis, it provides a precious experience for clinicians to diagnose and treat peri-implantitits.

並列關鍵字

peri-implantitits ； periodontitis