中国口腔医学继续教育杂志 ›› 2024, Vol. 27 ›› Issue (4): 294-305.DOI: 10.12337/zgkqjxjyzz.2024.04.006

• 病例分析 • 上一篇    下一篇

广泛型IV期C级牙周炎伴牙齿缺失的系统治疗1例

周安琪1, 杨刚1, 胡文杰1,*, 陈虎2   

  1. 1北京大学口腔医学院·口腔医院 牙周科,国家口腔医学中心,国家口腔疾病临床医学研究中心,口腔生物材料和数字诊疗装备国家工程研究中心;
    2北京大学口腔医学院·口腔医院 口腔修复科
  • 发布日期:2025-01-09
  • 通讯作者: *胡文杰,联系方式:010-82195368,电子邮箱:huwenjie@pkuss.bjmu.edu.cn,通讯地址:北京市海淀区中关村南大街22号,100081
  • 基金资助:
    北京市卫健委住培质量提升探索及推广项目(项目编号:住培-2022jv01203)

Clinical Observation of Systemic Treatment in Patients with Generalized Stage IV Grade C Periodontitis and Tooth Loss: A Case Report

Anqi Zhou1, Gang Yang1, Wenjie Hu1,*, Hu Chen2   

  1. 1Department of Periodontology, Peking University School and Hospital of Stomatology & National Center for Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Research Center of Oral Biomaterials and Digital Medical Devices, Beijing, P.R. China;
    2Department of Prosthodontics, Peking University School and Hospital of Stomatology, Beijing, P.R. China
  • Published:2025-01-09
  • Contact: Wenjie Hu. Tel: 010-82195368. Email: huwenjie@pkuss.bjmu.edu.cn. Address: No.22, Zhongguancun South Avenue, Haidian District, Beijing 100081, P.R. China.

摘要: 目的:本文旨在报道1例诊断为广泛型Ⅳ期C级牙周炎患者其系统治疗的过程与疗效,以探索针对该类牙周炎患者的诊治思路及临床经验。诊治经过:对于该Ⅳ期C级牙周炎患者,开展了完善的基础治疗、牙槽嵴保存术、种植修复和牙周维护。结果:本病例达到了恢复健康并重建功能诊治目标,患者对当前治疗效果表示满意。结论:对于此类复杂的广泛型Ⅳ期C级牙周炎患者,尤其需要系统性的诊疗设计与规范的牙周治疗方法,并结合必要的学科交叉手段联合攻关。

关键词: 广泛型Ⅳ期C级牙周炎, 牙合创伤, 牙周系统治疗, 牙槽嵴保存术, 牙周炎种植

Abstract: Objective: The systemic treatment on a case of generalized stageⅣ grade C periodontitis was illustrated in this article, which is prospective to provide ideas and clinical experience for treatment of such severe periodontitis cases. Diagnosis and treatment: A thorough initial periodontal therapy, the alveolar ridge preservation, implant restorations and the periodontal maintenance were conducted in this case. Results: The goal of recovering health and reconstructing function were achieved and the patient was satisfied with the treatment effect. Conclusions: For such complex cases of generalized stageⅣ grade C periodontitis, a systemic design and standardized methods combined with necessary interdisciplinary approaches are particularly requested.

Key words: generalized stage Ⅳ grade C periodontitis, occlusal trauma, initial periodontal therapy, systemic periodontal treatment, implant therapy for patients with periodontitis