牙周再生治疗伴2度分叉累及角骨缺损的III期B级牙周炎:7年随访报告。

IF 0.5 Q4 DENTISTRY, ORAL SURGERY & MEDICINE
Sachiyo Tomita, Takahiro Bizenjima, Ayano Shirahata, Hanako Takayama, Atsushi Saito
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引用次数: 0

摘要

本报告描述一例广泛性慢性牙周炎需要牙周治疗包括再生疗法。患者是一位50岁的女性,她来我们诊所要求进行牙周治疗。初步检查发现41.6%的穿刺深度(PD)≥4 mm, 63.7%的穿刺出血。牙周炎症表面积(PISA)为1539.9 mm2。x线检查显示26号骨分叉受累,46号骨有角状缺损,其他区域有水平骨吸收。基于临床诊断的广泛性严重慢性牙周炎(III期B级),最初的牙周治疗包括菌斑控制,刮治和牙根平整。抑制炎症后,对尖干扰部位进行咬合调整。重新评估后,在选定的部位进行牙周手术。26号采用自体骨移植,46号采用牙釉质基质衍生物进行牙周再生治疗。其余有残余牙周袋的部位采用开瓣清创。在进一步的重新评估后,患者接受支持性牙周治疗。患者的口腔健康相关生活质量在牙周治疗后有明显改善。再生治疗导致临床参数的改善。这种改善在7年期间得到充分保持。最近的检查显示2.4%的部位PD≥4 mm, PISA为138.2 mm2。然而,在#26中,分叉问题还没有完全解决。有必要继续控制炎症和咬合,维持牙周组织的状况。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Periodontal Regenerative Therapy for Stage III Grade B Periodontitis with Degree 2 Furcation Involvement and Angular Bone Defect: A 7-year Follow-up Report.

This report describes a case of generalized chronic periodontitis requiring periodontal treatment including regenerative therapy. The patient was a 50-year-old woman who visited our clinic requesting periodontal therapy. An initial examination revealed 41.6% of sites with a probing depth (PD) of ≥4 mm and 63.7% of sites with bleeding on probing. The periodontal inflamed surface area (PISA) was 1539.9 mm2. Radiographic examination showed furcation involvement in #26, angular bone defect in #46, and horizontal resorption in other regions. Based on a clinical diagnosis of generalized severe chronic periodontitis (Stage III Grade B), initial periodontal therapy consisting of plaque control, and scaling and root planing was performed. Following suppression of inflammation, occlusal adjustment of cuspal interference sites was performed. After re-evaluation, periodontal surgery was performed at selected sites. Periodontal regenerative therapy was performed using autogenous bone graft for #26 and enamel matrix derivative for #46. Other sites with residual periodontal pockets were treated by open flap debridement. Following further re-evaluation, the patient was placed on supportive periodontal therapy. The patient's oral health-related quality of life showed a marked improvement after periodontal therapy. Regenerative therapy resulted in improvement in clinical parameters. Such improvement has been adequately maintained over a 7-year period. The most recent examination revealed 2.4% of sites with a PD of ≥4 mm, and the PISA was 138.2 mm2. However, the furcation involvement has not been completely resolved in #26. It is necessary to continue to control inflammation and occlusion and maintain the condition of the periodontal tissue.

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来源期刊
Bulletin of Tokyo Dental College
Bulletin of Tokyo Dental College DENTISTRY, ORAL SURGERY & MEDICINE-
CiteScore
0.90
自引率
0.00%
发文量
15
期刊介绍: The bulletin of Tokyo Dental collegue is principally for the publication of original contributions to multidisciplinary research in dentistry.
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