Ⅱ期牙周炎的临床诊断与治疗

Clinical diagnosis and treatment of stage Ⅱ periodontitis

2018年公布的牙周病和植体周病国际新分类对比1999年的牙周病分类系统有许多改变。旧分类系统中的"侵袭性牙周炎"和"慢性牙周炎"被归于一个类别(即牙周炎),并进行多维的分期分级描述。目前这种新分类已引入临床以指导实践,但许多口腔医生尚不熟悉。其中Ⅱ期牙周炎是中度牙周炎,此阶段炎症已对牙周组织造成一定损坏,若能早诊断、早干预,可有效阻止炎症进一步发展,获得良好预后。文章通过结合国内外文献和笔者经验,对Ⅱ期牙周炎的诊断和治疗做一概述。

The new international classification of periodontal and peri-implant disease published in 2018 has made many changes compared with the previous classification system of periodontal disease in 1999. The "aggressive periodontitis" and "chronic periodontitis" in the old system are grouped under a single category( "periodontitis")and are further described based on a multidimensional staging and grading system. Currently this new classification has been introduced into clinical practice,but many dentists are not familiar with it. Stage Ⅱ periodontitis is classified as moderate periodontitis. At this stage,the inflammation has caused certain damage to the periodontal tissue. Early diagnosis and intervention can effectively prevent the further development of inflammation and obtain a good prognosis. This article summarized some views on the diagnosis and treatment of stage Ⅱ periodontitis based on domestic and foreign literature as well as the author′s experience.