中国实用口腔科杂志 ›› 2010, Vol. 3 ›› Issue (01): 4-7.

• 专题笔谈 • 上一篇    下一篇

牙周病松牙固定治疗

  

  1. 浙江大学医学院附属第二医院口腔科,杭州  310009
  • 收稿日期:2009-11-30 出版日期:2010-01-15 发布日期:2010-05-13
  • 作者简介:陈莉丽,主任医师、博士研究生导师。现任浙江大学医学院附属第二医院口腔科副主任。兼任中华口腔医学会牙周病专业委员会常务委员,浙江省口腔医学会口腔内科专业委员会副主任委员,《中华口腔医学杂志》特约评审专家,《口腔医学杂志》编委,国家自然科学基金同行评议专家。主要研究方向为牙周病发病机制及综合治疗。先后承担了国家自然科学基金课题、浙江省自然科学基金课题、卫生部优秀青年人才专项基金项目、浙江省科技厅重点项目。发表学术论文70余篇;主编专著1部,参编3部。曾获得浙江省政府科技进步奖二等奖2项、三等奖1项。为国务院政府特殊津贴获得者,浙江省跨世纪“151”人才。

  • Received:2009-11-30 Online:2010-01-15 Published:2010-05-13

摘要:

提要:牙齿松动是牙周病主要的临床症状之一。如何治疗松动牙、防止牙周炎进行性加重、尽可能地保存牙齿、促进牙周组织的重建再生,是牙周科医生致力于解决的主要问题。经牙周基础治疗、去除危险因素、消除牙周组织炎症并建立平衡牙合后,多数患牙的松动度可不同程度减轻。而松动度较大的患牙经牙周治疗也很难恢复正常,并影响咀嚼功能,产生继发性牙合创伤,使得牙周组织破坏、吸收加剧。对动度较大的松动牙进行固定,消除其创伤,减轻牙合力负担,使之行使正常咬合功能,牙周膜接受功能性刺激,从而促进牙周组织的修复和愈合。因此,松牙固定是牙周治疗的必要措施。牙周炎的松牙固定是将单根或多根患牙与健康牙通过夹板连接成一个稳固的“多根牙”,建立起一个新的咀嚼单位。本文对牙周病的松动牙固定、各类牙周夹板在临床上的使用及夹板固定技术做一介绍。

关键词: 牙周病, 牙周夹板, 松牙固定

Abstract:

Summary:Tooth mobility is one of the main clinical symptoms of periodontal disease. How to treat tooth mobility, prevent progression of periodontitis, conserve teeth as many as possible, and promote the regeneration of periodontal tissue, are the major problems that periodontitis are working at. When performing initial periodontal therapy, removing periodontal risk factors, eliminating the inflammation and establishing balanced occlusion are done; most of tooth mobility reduces. However, it is difficult for teeth with high level of mobility to recover even after those treatments. It affects mastication, cause secondary occlusal trauma, and aggravate periodontal tissue destruction. Stabilization of tooth mobility can not only reduce occlusal trauma and burden, but also improve their occlusal function to get beneficial functional stimulation, thus promote periodontal repair and healing. So it is the necessary measure in periodontal treatment. The diseased teeth and healthy ones with single or multiple roots are joined together to establish a new masticatory unit by means of splint, forming a fixed "multi-root tooth". In this paper, various types of periodontal splints, their clinical applications and features are reviewed.

Key words: periodontal disease;periodontal splint ; stabilization of tooth mobility