【非手术重建方法牙内乳头在近端牙腔重建中作为广泛性牙周炎患者康复的一个阶段】。

Likars'ka sprava Pub Date : 2015-07-01
A A Obolonskaya
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引用次数: 0

摘要

缺失乳头的重建——客观治疗牙病现代观念的基础。近端间隙是重要的解剖结构,在口腔中体积大且重复多次。破坏不同结构元素之间的关系会增加患牙周炎的风险。对后牙近似龋病和广泛性牙周炎患者,通过将接触点移至牙尖,研究修复前后牙间隙结构的人体测量参数及其对乳突体积的影响。结果表明,各调查组间的人体测量数据具有一定的规律性。重要的是牙间空间基本元素的人体测量指标之间的明确关系。无近端间乳头长度(IPL)平均为7.2 mm,龈缘至近端接触距离为3.9 mm,牙釉质-水泥边界(HDR)根部水平距离为3.2 mm。将接触点移动到顶端至平均4.5 mm IPL后,牙间乳头显著增加。在患者治疗前被确定为薄型的情况下,附着龈的小宽度显著HDR-体积乳头在修复体周后接触点向根尖接触点的运动不增加。所获得的结果需要长期研究,以预测在全身性牙周炎患者康复阶段修复近似腔时牙间乳头的修复或保存成功的可能性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[NONSURGICAL RECONSTRUCTION METHOD INTERDENTALLY PAPILLAE IN THE RESTATION OF APROXIMAL CAVITIES AS ONE OF THE STAGES OF REHABILITATION OF PATIENTS WITH GENERALIZAD PERIODONTITIS].

Reconstruction of missing papilla--the basis of modern concepts of objective treatment of dental diseases. Interproximal spaces are important anatomical structures, as are bulky in the mouth and repeated many times. Violation of relations between different structural elements increases the risk of inflammation in periodontitis. Patients with approximal caries posteriors and generalized periodontitis studied anthropometric parameters of the structures of the interdental spaces and their impact on the volume papilla before and after restoration, carried out with move a contact point to the apex. The results showed that the relationship between anthropometric data interdental had certain patterns in all groups surveyed. Important was a clear relationship between anthropometric indicators of basic elements of interdental spaces. In the absence of the interproximal papilla length (IPL) was on average 7.2 mm, the distance from the gingival margin to the proximal contact--3.9 mm and the horizontal distance between the roots at the enamel--cement border (HDR) reached 3.2 mm. Following the restoration with move a contact point to the apex to an average of 4.5 mm IPL, there was a significant increase in the interdental papillae. In the case of patients prior to treatment was determined by a thin biotype, the small width of attached gingival significant HDR--volume papilla week after restorations movement of the contact point to the root apex contact point is not increased. The results obtained require long-term studies for the possibility of forecasting the success of the restoration or preservation of the interdental papillae in the restoration of approximal cavities on the stages of rehabilitation of patients with generalized periodontitis.

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