引导性组织再生术联合植骨术应用于治疗III期C级牙周炎患者预后可疑牙1例

doi:10.12337/zgkqjxjyzz.2024.04.011

中国口腔医学继续教育杂志 ›› 2024, Vol. 27 ›› Issue (4): 352-363.DOI: 10.12337/zgkqjxjyzz.2024.04.011

引导性组织再生术联合植骨术应用于治疗III期C级牙周炎患者预后可疑牙1例

廖倬逸, 李桂奇, 姜珊^*, 申玉芹^*

广州医科大学附属口腔医院牙周病科,广东省口腔组织修复与重建工程技术研究中心,广州市口腔再生医学基础与应用研究重点实验室

发布日期:2025-01-09
通讯作者: ^*姜珊,申玉芹,联系方式：020-81299940,电子邮箱：2015686028@gzhmu.edu.cn; 2020686041@gzhmu.edu.cn,通讯地址：广东省广州市越秀区东风西路195号,510180

Guided Tissue Regeneration Combined with Bone Grafting for Treatment of Teeth with Questionable Prognosis in A Patient with Stage III Class C Periodontitis: A Case Report

Zhuoyi Liao, Guiqi Li, Shan Jiang^*, Yuqin Shen^*

Department of Periodontology, School and Hospital of Stomatology, Guangdong Engineering Research Center of Oral Restoration and Reconstruction & Guangzhou Key Laboratory of Basic and Applied Research of Oral Regenerative Medicine, Guangzhou Medical University, Guangzhou, P.R. China

Published:2025-01-09
Contact: Shan Jiang, Yuqin Shen. Tel: 020-81299940. Email: 2015686028@gzhmu.edu.cn; 2020686041@gzhmu.edu.cn. Address: No. 195 Dongfeng West Road, Yuexiu District, Guangzhou 510180, Guangdong Province, P.R. China.

摘要/Abstract

摘要： 目的：本文旨在对引导性组织再生术联合植骨术治疗预后可疑牙进行充分评估,并探讨其治疗的效果。诊治经过：患有Ⅲ期C级牙周炎的年轻患者,接受规范有序的牙周基础治疗、引导性组织再生术（guided tissue regeneration,GTR）联合植骨术、浓缩生长因子（concentrated growth factor,CGF）膜治疗预后可疑牙（伴重度附着丧失和/或根分叉病变）,其牙周组织正常结构及功能得到了良好的恢复。结果：术后30个月复查,Ⅲ期C级牙周炎患者预后可疑牙接受GTR联合植骨术,骨内缺损区域骨密度显著增高,牙周探诊深度和牙齿松动度明显改善。结论：对于年轻患者的预后可疑牙,积极的牙周再生治疗可以达到良好的临床效果。

关键词: 牙周炎, Ⅲ期C级牙周炎, 预后可疑牙, 引导性组织再生术, 植骨术

Abstract: Objective: To evaluate the clinical effect of guided tissue regeneration (GTR) combined with bone grafting in treatment of teeth with questionable prognosis. Diagnosis and treatment: In this paper, we reported a young patient with stageⅢclass C periodontitis treated with well-planned non-surgical and surgical periodontal treatment to restore the normal physiological structure and function of periodontal tissue. Teeth with questionable prognosis with severe attachment loss and/or furcation involvement were treated with non-surgical periodontal treatment, GTR and bone grafting procedure. Results: There was significant increase in the bone density of intra-bony defects. Periodontal parameters including periodontal probing depth and tooth motility were also significantly improved. Conclusions: For treatment of teeth with questionable prognosis, regenerative periodontal surgery could achieve favorable clinical outcomes in young periodontitis patients.

Key words: periodontitis, stageⅢgrade C periodontitis, teeth with questionable prognosis, guided tissue regeneration, bone grafting

廖倬逸, 李桂奇, 姜珊, 申玉芹. 引导性组织再生术联合植骨术应用于治疗III期C级牙周炎患者预后可疑牙1例[J]. 中国口腔医学继续教育杂志, 2024, 27(4): 352-363.

Zhuoyi Liao, Guiqi Li, Shan Jiang, Yuqin Shen. Guided Tissue Regeneration Combined with Bone Grafting for Treatment of Teeth with Questionable Prognosis in A Patient with Stage III Class C Periodontitis: A Case Report[J]. Chinese Journal of Stomatological Continuing Education, 2024, 27(4): 352-363.

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引导性组织再生术联合植骨术应用于治疗III期C级牙周炎患者预后可疑牙1例

Guided Tissue Regeneration Combined with Bone Grafting for Treatment of Teeth with Questionable Prognosis in A Patient with Stage III Class C Periodontitis: A Case Report

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