摘要
追踪1例慢性牙周炎伴右上侧切牙畸形根面沟病变的发生、发展以及对牙周非手术治疗、定期维护治疗反应的转归过程。6年前初诊为轻度慢性牙周炎,给予常规牙周基础治疗并维护1次;2年后复诊时牙周破坏显著加重,上下磨牙区出现深牙周袋同时伴右上侧切牙畸形根面沟周围骨质重度破坏至根尖区,再次对全口牙周袋进行龈下刮治及根面平整,期间完成右上侧切牙根管治疗及舌侧根面沟开敞成形术;以3个月、6个月至1年左右间隔定期进行牙周非手术维护治疗。目前,牙周组织健康,右上侧切牙无松动,功能良好,周围骨质显著恢复,患者对美观及功能均满意。
To track the initiating and developing process of one case diagnosed as chronic periodontitis accom-panied with malformed lingual groove in maxillary lateral incisor and report the long-term prognosis to the periodontal conservative and supportive therapy.The patient was diagnosed with mild chronic periodontitis 6 years ago and acce-pted routine periodontal scaling and root planning（SRP） plus supportive periodontal therapy（SPT） one time.Two years later the periodontal condition deteriorated by deep pockets in molars and severe bone destruction around the maxi-llary lateral incisor with malformed lingual groove.After SRP in sites which pocket depth more than 4 mm plus root ca-nal therapy and lingual groove plasty of maxillary right lateral incisor,the SPT regularly proceeded at 3rd,6th and 12th month.At present the whole periodontal tissue was healthy,the bone lesion around maxillary lateral incisor recovered well,the tooth had no mobile,the cosmetic effect and tooth function was in good state,and the patient was very satisfied.
出处
《华西口腔医学杂志》
CAS
CSCD
北大核心
2011年第3期327-329,共3页
West China Journal of Stomatology
关键词
畸形根面沟
牙周炎
牙周非手术治疗
牙周维护治疗
malformed lingual groove
periodontitis
periodontal non-surgical therapy
supportive periodontal therapy
