下颌前磨牙邻面牙周再生观察3年1例

doi:10.12337/zgkqjxjyzz.2025.04.009

中国口腔医学继续教育杂志 ›› 2025, Vol. 28 ›› Issue (4): 259-268.DOI: 10.12337/zgkqjxjyzz.2025.04.009

下颌前磨牙邻面牙周再生观察3年1例

侯海娟^1,2,3, 赵美林^1,2,3, 黄诗淇¹, 危晶晶^1,2,3, 徐骏疾^1,2,3,*

¹重庆医科大学附属口腔医院牙周科;
²口腔疾病与生物医学重庆市重点实验室; 重庆市高校市级口腔生物医学工程重点实验;
³重庆市卫生健康委口腔生物医学工程重点实验室

出版日期:2025-07-31 发布日期:2025-07-31
通讯作者: ^*徐骏疾,联系方式：023-88602309,电子邮箱：jjxu@hospital.cqmu.edu.cn,通讯地址：重庆市渝北区松石北路426号,401147
基金资助:
重庆市科学技术局项目基金（CSTB2022BSXM-JCX0047）

A Three-year Observation Case of Periodontal Regeneration on the Proximal Surface of Mandibular Premolars

Haijuan Hou^1,2,3, Meilin Zhao^1,2,3, Shiqi Huang¹, Jingjing Wei^1,2,3, Junji Xu^1,2,3,*

¹Periodontology Department, Stomatological Hospital Affiliated to Chongqing Medical University, Chongqing, P.R. China;
²Chongqing Key Laboratory of Oral Diseases and Biomedicine; Chongqing Municipal Universities Key Laboratory of Oral Biomedical Engineering, Chongqing, P.R. China;
³Key Laboratory of Oral Biomedical Engineering of Chongqing Municipal Health Commission, Chongqing, P.R. China

Online:2025-07-31 Published:2025-07-31
Contact: Junji Xu. Tel: 023-88602309. Email: jjxu@hospital.cqmu.edu.cn. Address: No. 426, Songshi North Road, Yubei District, Chongqing 401147, P.R. China.
Supported by:
Chongqing Municipal Science and Technology Bureau（No. CSTB2022BSXM-JCX0047）

摘要/Abstract

摘要： 目的：本文报道49岁男性患者Ⅲ期C级牙周炎下颌前磨牙牙周再生术后随访观察3年1例,并对影响牙周再生的相关因素进行文献复习。诊治经过：通过规范化牙周系统治疗及下颌前磨牙邻面牙周再生手术治疗,成功保留了传统观念认为应该拔除的重度牙周炎患牙。结果：改善了牙周炎患者的全口口腔健康状况,牙周控制水平持续稳定。结论：牙周炎患牙邻面附着丧失与牙齿预后密切相关,牙周炎邻面附着水平的再生明显改善患牙的预后。

关键词: 牙周炎, 牙周基础治疗, 牙周支持治疗, 引导牙周组织再生术, 骨下袋

Abstract: Objective: This case report presented a three-year follow-up observation of a 49-year-old male patient with StageⅢ Grade C periodontitis who underwent periodontal regenerative surgery on mandibular premolars. Additionally, a literature review was conducted on factors influencing periodontal regeneration. Diagnosis and treatment: Through standardized periodontal maintenance therapy and regeneration on the proximal surface of mandibular premolars, the patient's heavily involved periodontitis teeth were salvaged in a timely manner. Results: The overall periodontal health status was significantly improved, with sustained and stable periodontal control. Conliusions: The loss of interproximal attachment in periodontally involved teeth is closely associated with tooth prognosis, and the regeneration of interproximal attachment levels in periodontitis can significantly improve the prognosis of affected teeth.

Key words: periodontitis, periodontal initial therapy, periodontal supportive therapy, guided tissue regeneration, intra-bony defects

侯海娟, 赵美林, 黄诗淇, 危晶晶, 徐骏疾. 下颌前磨牙邻面牙周再生观察3年1例[J]. 中国口腔医学继续教育杂志, 2025, 28(4): 259-268.

Haijuan Hou, Meilin Zhao, Shiqi Huang, Jingjing Wei, Junji Xu. A Three-year Observation Case of Periodontal Regeneration on the Proximal Surface of Mandibular Premolars[J]. Chinese Journal of Stomatological Continuing Education, 2025, 28(4): 259-268.

参考文献

[1] Kwon T, Lamster IB, Levin L.Current Concepts in the Management of Periodontitis[J]. Int Dent J, 2021, 71(6):462-476.
[2] Ravidà A, Qazi M, Troiano G, et al.Using periodontal staging and grading system as a prognostic factor for future tooth loss: A long-term retrospective study[J]. J Periodontol, 2020, 91(4):454-461.
[3] Theodoridis C, Violesti A, Nikiforidou M, et al.Short-Term Impact of Non-Surgical and Surgical Periodontal Therapy on Oral Health-Related Quality of Life in a Greek Population-A Prospective Cohort Study[J]. Dent J (Basel), 2020, 8(2):54.
[4] Pyo J, Lee M, Ock M, et al.Quality of Life and Health in Patients with Chronic Periodontitis: A Qualitative Study[J]. Int J Environ Res Public Health, 2020, 17(13):4895.
[5] Jepsen K, Tietmann C, Martin C, et al.Synergy of Regenerative Periodontal Surgery and Orthodontics Improves Quality of Life of Patients with Stage IV Periodontitis: 24-Month Outcomes of a Multicenter RCT[J]. Bioengineering (Basel), 2023, 10(6):695.
[6] Stavropoulos A, Bertl K, Sculean A, et al.Regenerative Periodontal Therapy in Intrabony Defects and Long-Term Tooth Prognosis[J]. Dent Clin North Am, 2022, 66(1):103-109.
[7] 孟焕新 .2018年牙周病和植体周病国际新分类简介[J].中华口腔医学杂志, 2019, 54(2):73-78.
[8] Kocher T, Lösler K, Pink C, et al.Effect of Discontinuation of Supportive Periodontal Therapy on Periodontal Status-A Retrospective Study[J]. J Clin Periodontol, 2025, 52(1):113-124.
[9] Sanz M, Herrera D, Kebschull M, et al.Treatment of stage I-III periodontitis—The EFP S3 level clinical practice guideline[J]. J Clin Periodontol, 2020, 47(Suppl 22):4-60.
[10] Graziani F, Izzetti R, Perić M, et al.Early periodontal wound healing after chlorhexidine rinsing: a randomized clinical trial[J]. Clin Oral Investig, 2024, 28(6):354.
[11] Ravidà A, Qazi M, Rodriguez MV, et al.The influence of the interaction between staging, grading and extent on tooth loss due to periodontitis[J]. J Clin Periodontol, 2021, 48(5):648-658.
[12] Ravidà A, Galli M, Saleh MHA, et al.Maintenance visit regularity has a different impact on periodontitis-related tooth loss depending on patient staging and grading[J].J Clin Periodontol, 2021, 48(8):1008-1018.
[13] Rasperini G, Tavelli L, Barootchi S, et al.Interproximal attachment gain: The challenge of periodontal regeneration[J]. J Periodontol, 2021, 92(7):931-946.
[14] Cortellini P, Stalpers G, Mollo A, et al.Periodontal regeneration versus extraction and dental implant or prosthetic replacement of teeth severely compromised by attachment loss to the apex: A randomized controlled clinical trial reporting 10-year outcomes, survival analysis and mean cumulative cost of recurrence[J]. J Clin Periodontol, 2020, 47(6):768-776.
[15] Papapanou PN, Tonetti MS.Diagnosis and epidemiology of periodontal osseous lesions[J]. Periodontol 2000, 2000, 22:8-21.
[16] Zhao H, Wang H, Pan Y, et al.The relationship between root concavities in first premolars and chronic periodontitis[J]. J Periodontal Res, 2014, 49(2):213-9.
[17] Nibali L, Koidou VP, Nieri M, et al. Regenerative surgery versus access flap for the treatment of intra-bony periodontal defects: A systematic review and meta-analysis[J]. J Clin Periodontol, 2020, 47 Suppl 22:320-351.
[18] Nibali L, Sultan D, Arena C, et al.Periodontal infrabony defects: Systematic review of healing by defect morphology following regenerative surgery[J]. J Clin Periodontol, 2021, 48(1):100-113.
[19] Weinberg MA, Eskow RN.Osseous defects: proper terminology revisited[J]. J Periodontol, 2000, 71(12):1928.
[20] Kim YI, Kim MJ, Choi JI, et al.A multidisciplinary approach for the management of pathologic tooth migration in a patient with moderately advanced periodontal disease[J]. Int J Periodontics Restorative Dent, 2012, 32(2):225-230.

下颌前磨牙邻面牙周再生观察3年1例

A Three-year Observation Case of Periodontal Regeneration on the Proximal Surface of Mandibular Premolars

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