牙周病暨植牙整體治療病例報告

Comprehensive Periodontal & Implant Treatment: A Case Report

葉立維(Li-Wei Yeh) ； 林保瑩(Paul P. Lin) ； 王敏瑩(Man-Ying Wong)

《臺灣牙周病醫學會雜誌》 17卷3期 (2012/09) Pp. 219-234

https://doi.org/10.6121/TAP.2012.17.3.03

摘要

本文提出一位廣泛性重度慢性牙周炎患者的完整治療病例報告，牙周整體治療包括初期牙周治療，上顎前牙及後牙區分別利用不同材料進行牙周再生手術，下顎左側臼齒區進行牙周翻瓣手術。另外患者34伴有嚴重牙周牙髓合併病灶，經根尖切除術後追蹤，骨缺損部位有明顯癒合。最後患者分別接受46、26區域人工植牙手術及固定牙冠贋復。術後一年追蹤檢查，全口牙周狀況恢復良好。

關鍵字

慢性牙周炎 ； 牙周再生手術 ； 牙周牙髓合併病灶 ； 人工植牙

並列摘要

This case report demonstrated that a patient who had suffered from recurrent generalized advanced chronic periodontitis and had received a full mouth comprehensive periodontal and implant treatment. The treatment included initial phase I therapy and subsequent phase II therapy. Periodontal regenerative surgery was performed at maxillary anterior teeth and posterior teeth with different materials. Periodontal flap surgery was performed over mandibular left molars. Moreover, periodontal-endodontic lesion was found over mandibular left first premolar. After root canal treatment and apicoectomy, bone fill was obviously found on radiographic examination. Finally the patient received maxillary left first molar and mandibular right first molar implantation and fixed partial denture over other natural teeth. At one-year postoperative follow-up, the overall periodontal status improved and remained stable.

並列關鍵字

chronic periodontitis ； regenerative periodontal surgery ； perio-endo combined lesion ； implant therapy

參考文獻

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