IV期C级牙周炎的口腔综合治疗1例

doi:10.12337/zgkqjxjyzz.2023.04.008

中国口腔医学继续教育杂志 ›› 2023, Vol. 26 ›› Issue (4): 294-307.DOI: 10.12337/zgkqjxjyzz.2023.04.008

IV期C级牙周炎的口腔综合治疗1例

高展翼^1,*, 白艳杰¹, 王京旗^1,2, 邹士琦¹, 冯敏¹, 王霄¹

¹北京大学第三医院口腔科;
²海南医学院第二附属医院口腔科

出版日期:2023-07-31 发布日期:2023-11-29
通讯作者: *高展翼,联系方式：010-82266329,电子邮箱：wings513@126.com,通讯地址：北京市海淀区花园北路49号,100191
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

Comprehensive Dental Care of Stage IV Grade C Periodontitis: A Case Report

Zhanyi Gao^1,*, Yanjie Bai¹, Jingqi Wang^1,2, Shiqi Zou¹, Min Feng¹, Xiao Wang¹

¹Department of Stomatology, Peking University Third Hospital, Beijing, P.R.China;
²Department of Stomatology, The Second Affiliated Hospital of Hainan Medical University, Haikou, P.R. China

Online:2023-07-31 Published:2023-11-29
Contact: Zhanyi Gao. Tel:010-82266329. E-mail: wings513@126.com. Address: No.49 North Garden Road, Haidian District, Beijing 100191, P.R.China
Supported by:
Bejing Municipal Health Commission 2021 Residency Training Quality Improvement Program Residency Training 2021071

摘要/Abstract

摘要： 目的: 本文通过展示一例Ⅳ期C级牙周炎的牙周-牙体-牙槽外科-正畸-修复联合治疗,为重度牙周炎患者治疗计划的制定及实施提供思路。诊治经过： 患者因重度牙周炎导致前牙移位,多牙松动,个别后牙缺失,并伴有个别牙龋坏及下颌阻生第三磨牙。经过医患沟通,临床治疗过程依次为：牙周基础治疗,充填治疗、根管治疗,预后无望的松动牙及阻生第三磨牙的拔除,牙周手术治疗,正畸治疗,缺失牙的种植修复以及牙周维护治疗。结果： 经过上述综合治疗,患者牙周情况恢复健康,前牙间隙关闭,咬合关系改善,牙列完整性得到恢复。结论： 重度牙周炎患者的诊疗需要综合考量,通过多学科配合可达到良好的治疗效果。

关键词: 牙周炎, 牙周手术, 正畸治疗, 口腔综合治疗

Abstract: Objective: This article aims to provide treatment plans for patients with severe periodontitis of stageⅣ grade C, which combined periodontal, endodontic treatment, alveolar surgery, orthodontics, and restorative treatment. Diagnosis and treatment: The patient suffered from severe periodontitis, resulting in anterior teeth displacement, multiple teeth loosening, and individual posterior teeth loss, accompanied by individual tooth decay and mandibular impacted wisdom teeth. After adequate communication, the clinical treatment process includes periodontal basic therapy, filling and root canal treatment of decayed teeth, extraction of severely loose teeth and impacted wisdom teeth, periodontal surgery, orthodontic treatment, implant restoration, and periodontal maintenance treatment. Results: Through these comprehensive oral treatment, the patient's periodontal condition returned to health, the anterior interdental space was closed, the occlusal relationship was improved, and the dentition integrity was restored. Conclusion: The diagnosis and treatment of patients with severe periodontitis requires comprehensive consideration, and good treatment results can be achieved through multidisciplinary cooperation.

Key words: periodontitis, periodontal surgery, orthodontic treatment, comprehensive dental care

高展翼, 白艳杰, 王京旗, 邹士琦, 冯敏, 王霄. IV期C级牙周炎的口腔综合治疗1例[J]. 中国口腔医学继续教育杂志, 2023, 26(4): 294-307.

Zhanyi Gao, Yanjie Bai, Jingqi Wang, Shiqi Zou, Min Feng, Xiao Wang. Comprehensive Dental Care of Stage IV Grade C Periodontitis: A Case Report[J]. Chinese Journal of Stomatological Continuing Education, 2023, 26(4): 294-307.

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IV期C级牙周炎的口腔综合治疗1例

Comprehensive Dental Care of Stage IV Grade C Periodontitis: A Case Report

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