中国口腔医学继续教育杂志 ›› 2023, Vol. 26 ›› Issue (4): 308-323.DOI: 10.12337/zgkqjxjyzz.2023.04.009

• 病例报告 • 上一篇    下一篇

广泛型牙周炎Ⅲ期C级口腔综合治疗1例

谢雨航1,2, 杨莉莉3, 彭艺2,3, 吴剑花2,3, 徐杰3, 张艺龄4, 李艳苹1, 鲁少文3,*   

  1. 1昆明医科大学附属口腔医院第二门诊部;
    2云南省口腔医学重点实验室;
    3昆明医科大学附属口腔医院牙周病科;
    4云南省中医医院口腔科
  • 出版日期:2023-07-31 发布日期:2023-11-29
  • 通讯作者: *鲁少文,联系方式:0871-65330099,电子邮箱:1134107398@qq.com,通讯地址:云南省昆明市五华区海源中路1088号昆明医科大学附属口腔医院,650106
  • 基金资助:
    北京市卫生健康委员会2021年住院医师规范化培训质量提高项目·住培2021071

Generalized Periodontitis at Stage III Grade C Treated with Combined Modality Therapy

Yuhang Xie1,2, Lili Yang3, Yi Peng2,3, Jianhua Wu2,3, Jie Xu3, Yiling Zhang4, Yanping Li1, Shaowen Lu3,*   

  1. 1Department of the Second Outpatient, Kunming Medical University School & Hospital of Stomatology, Kunming, Yunnan Province, P.R. China;
    2Yunnan Key Laboratory of Stomatology, Kunming, Yunnan Province, P.R. China;
    3Department of Periodontology, Kunming Medical University School & Hospital of Stomatology, Kunming ,Yunnan Province, P.R. China;
    4Department of the Stomatology, Yunnan Provincal Hospital of Traditional Chinese Medicine, Kunming, Yunnan Province, P.R. China
  • Online:2023-07-31 Published:2023-11-29
  • Contact: Shaowen Lu. Tel: 0871-65330099. Email: 1134107398@qq.com. Address: No.1088, Haiyuan Middle Road,Wuhua District, Kunming 650106, Yunnan Province, P.R. China
  • Supported by:
    Bejing Municipal Health Commission 2021 Residency Training Quality Improvement Program Residency Training 2021071

摘要: 目的: 本病例报道1例广泛型牙周炎Ⅲ期C级患者的多学科联合治疗及4年随访。诊治经过: 52岁男性患者,进行牙周基础治疗、牙体根管治疗、正畸治疗及种植修复的联合治疗,并接受牙周维护治疗及4年长期随访。结果: 经过4年的多学科联合治疗,患者牙周炎症处于静止期,全口咬合趋于协调稳定,缺失牙得到修复。结论: 牙周基础治疗和维护治疗对于控制牙周炎症具有重要作用,牙周联合正畸和种植治疗使患者前牙的美观性和后牙的功能性均得到提高,其远期预后较好。

关键词: 牙周炎, 正畸学, 种植治疗, 综合治疗, 根管治疗

Abstract: Objective: This case reports the multidisciplinary combination treatment of generalized periodontitis at stage III grade C and followed up for 4 years. Diagnosis and treatment: A 52-year-old male patient with a chief complaint of multiple teeth mobility was diagnosed with generalized periodontitis by clinical and radio graphic examinations. With the informed consent of the patient, the patient received periodontal initial therapy, root canal treatment, orthodontic treatment, implant surgery, and supportive periodontal therapy for 4 years. Results: After 4 years of multidisciplinary treatment, the patient's periodontal condition is stable. The occlusion tend to be coordinated and stable, and the missing teeth are restored. Conclusions: Initial and supportive periodontal therapy plays an important role in eliminating periodontal inflammation. Periodontal therapy combined with orthodontic and implant therapy are extremely useful to improve function and aesthetic.

Key words: periodontitis, orthodontics, dental implantation, combined modality therapy, root canal therapy