广泛型牙周炎Ⅲ期C级口腔综合治疗1例

Generalized Periodontitis at Stage III Grade C Treated with Combined Modality Therapy

目的:本病例报道1例广泛型牙周炎Ⅲ期C级患者的多学科联合治疗及4年随访。诊治经过:52岁男性患者,进行牙周基础治疗、牙体根管治疗、正畸治疗及种植修复的联合治疗,并接受牙周维护治疗及4年长期随访。结果:经过4年的多学科联合治疗,患者牙周炎症处于静止期,全口咬合趋于协调稳定,缺失牙得到修复。结论:牙周基础治疗和维护治疗对于控制牙周炎症具有重要作用,牙周联合正畸和种植治疗使患者前牙的美观性和后牙的功能性均得到提高,其远期预后较好。

Objective:This case reports the multidisciplinary combination treatment of generalized periodontitis at stage III grade C and followed up for 4 years.Diagnosis and treatment:A 52-year-old male patient with a chief complaint of multiple teeth mobility was diagnosed with generalized periodontitis by clinical and radio graphic examinations.With the informed consent of the patient,the patient received periodontal initial therapy,root canal treatment,orthodontic treatment,implant surgery,and supportive periodontal therapy for 4 years.Results:After 4 years of multidisciplinary treatment,the patient's periodontal condition is stable.The occlusion tend to be coordinated and stable,and the missing teeth are restored.Conclusions:Initial and supportive periodontal therapy plays an important role in eliminating periodontal inflammation.Periodontal therapy combined with orthodontic and implant therapy are extremely useful to improve function and aesthetic.