中国实用口腔科杂志

中国实用口腔科杂志

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运用多种牙周手术技术创造功能恢复和美学效果修复条件研究（附1例报告）

徐涛a，刘云松b，胡文杰a，张豪b   

  1. 作者单位：北京大学口腔医学院·口腔医院a牙周科，b修复科，北京100081
  • 出版日期:2014-07-15 发布日期:2014-07-09
  • 通讯作者: 胡文杰
  • 基金资助:

    首都临床应用特色研究资助（Z131107002213174）；

Applying a variety of periodontal surgeries for functional and aesthetic result of final restoration.

XU Tao**，LIU Yun-song，HU Wen-jie，ZHANG Hao   

  1. *Department of Periodontics，Peking University School and Hospital of Stomatology，Beijing 100081，China
  • Online:2014-07-15 Published:2014-07-09

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摘要：

本研究的目的是展示不同牙周手术技术在解决不同临床问题时的选择。患者的双侧后牙区同时存在修复的需求，但局部牙体组织剩余的量不同。为了迅速恢复患者牙列的功能与美观，在牙体组织剩余量较多的一侧采用了冠延长术的方法，而另一侧则因牙体组织缺损量多以及无法治愈的根尖病变而拔除患牙，并择期进行了种植。在种植手术中，还同时完成了软硬组织的增量。最终修复效果良好，患者满意。牙周手术技术在多学科治疗中扮演了重要的角色，因此在整体治疗设计中应严格谨慎全面地掌握其适应证。

关键词: 牙周手术, 美学, 种植, 牙冠延长术

Abstract:

Abstract：The purpose of the present study was to show the different choices of periodontal surgeries in resolving various clinical problems. There were both demands of restoration in bilateral posterior areas of the patient，but their remaining of local dental tissue was different. In order to immediately restore the function and esthetic of the patient's dentition，the crown-lengthening surgery was applied on the side of more dental tissue available；the tooth was extracted on the other side of less dental tissue available and cureless apical lesion；also，implant surgery was applied electively. Soft and hard tissue augmentation was finished in implantation synchronously. The effect of final restorations was good and the patient was satisfied. The periodontal surgery played the key role in multidisciplinary treatment，therefore，its indications should be carefully and comprehensively chosen in overall treatment design.

Key words: periodontal surgery, esthetics, implantation, crown-lengthening surgery

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