中国实用口腔科杂志

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重度牙周炎治疗

章锦才   

  1. 广东省口腔医院
  • 收稿日期:2009-03-06 修回日期:1900-01-01 出版日期:2009-04-15 发布日期:2009-04-15

  • Received:2009-03-06 Revised:1900-01-01 Online:2009-04-15 Published:2009-04-15

摘要:

重度牙周炎的治疗首先要在全面了解牙周病变状况的基础上作出正确的预后判断,需要考虑牙周炎的类型、牙周支持组织的破坏程度、牙松动情况、余留牙的数量、局部因素的消除情况、患者的依从性、危险因素评估、环境因素、全身状况等。重度牙周炎的治疗除常规牙周基础治疗外,要把握好重度牙周炎患牙拔除的指征、松动牙固定的方法和时机、重度牙周炎患牙行根管治疗的指征,要把对重度牙周炎患者牙列的修复作为治疗计划的重要部分。

关键词: 牙周炎, 牙周治疗, 松牙固定, 牙周牙髓联合病变, 牙列修复

Abstract:

The treatment for advanced periodontitis requires the appropriate judgement of the prognosis based on the complete evaluation of the periodontal status.The prognosis of periodontitis depends on the type of periodontitis, the destruction of periodontal tissues, the mobility of the diseased teeth, the number of the remained teeth, the removal of the local irritants, the compliance of the patient, the risk factors of the patient, the environmental factors and the systemic conditions, etc. The extraction of the hopeless teeth, fixation of the loose teeth, combined treatment of the endodontically involved teeth, as well as scaling and root planning are all indispensable for the managements of the advanced periodontitis, and also the restorative procedure is the important part of the plan.

Key words: periodontitis, periodontal treatment, stabilization of the loose teeth, perio-endodontics, perio-prosthetics