中国实用口腔科杂志

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Ⅱ期牙周炎的临床诊断与治疗

徐桐张冬梅   

  1. 中国医科大学口腔医学院·附属口腔医院牙周病科,辽宁省口腔疾病重点实验室,辽宁  沈阳  110002
  • 出版日期:2021-01-30 发布日期:2021-02-08
  • 作者简介:张冬梅,教授、主任医师、硕士研究生导师。现任职于中国医科大学口腔医学院·附属口腔医院牙周病科。兼任中华口腔医学会牙周病学专业委员会委员,辽宁省口腔医学会牙周病学专业委员副主任委员、口腔生物学与病理学专业委员会委员。作为第一负责人主持国家自然科学基金项目2项、省部级课题项目3项。作为主要参与者获教育部科技进步奖二等奖1项、辽宁省科技进步奖二等奖1项及辽宁省医学科技奖一等奖1项。近年来作为第一作者及通信作者发表学术论文20余篇,其中SCI收录10篇。参编、参译著作4部。
  • 基金资助:
    辽宁省兴辽英才计划项目(XLYC1802129)

  • Online:2021-01-30 Published:2021-02-08

摘要: 2018年公布的牙周病和植体周病国际新分类对比1999年的牙周病分类系统有许多改变。旧分类系统中的“侵袭性牙周炎”和“慢性牙周炎”被归于一个类别(即牙周炎),并进行多维的分期分级描述。目前这种新分类已引入临床以指导实践,但许多口腔医生尚不熟悉。其中Ⅱ期牙周炎是中度牙周炎,此阶段炎症已对牙周组织造成一定损坏,若能早诊断、早干预,可有效阻止炎症进一步发展,获得良好预后。文章通过结合国内外文献和笔者经验,对Ⅱ期牙周炎的诊断和治疗做一概述。

关键词: 牙周病新分类, Ⅱ期牙周炎, 牙周炎分期

Abstract: The new international classification of periodontal and peri-implant disease published in 2018 has made many changes compared with the previous classification system of periodontal disease in 1999. The "aggressive periodontitis" and "chronic periodontitis" in the old system are grouped under a single category("periodontitis")and are further described based on a multidimensional staging and grading system. Currently this new classification has been introduced into clinical practice,but many dentists are not familiar with it. Stage Ⅱ periodontitis is classified as moderate periodontitis. At this stage,the inflammation has caused certain damage to the periodontal tissue. Early diagnosis and intervention can effectively prevent the further development of inflammation and obtain a good prognosis. This article summarized some views on the diagnosis and treatment of stage Ⅱ periodontitis based on domestic and foreign literature as well as the author′s experience.

Key words: new classification of periodontal disease, stage Ⅱ periodontitis, periodontitis staging