国际口腔医学杂志

国际口腔医学杂志 ›› 2022, Vol. 49 ›› Issue (1): 1-11.doi: 10.7518/gjkq.2022001

• 专家笔谈 •    下一篇

修复治疗相关的牙周问题考量

曹正国()   

  1. 武汉大学口腔医学院口腔基础医学省部共建国家重点实验室培训基地和口腔生物医学教育部重点实验室 武汉大学口腔医院牙周科 武汉 430079
  • 收稿日期:2021-08-23 修回日期:2021-10-18 出版日期:2022-01-01 发布日期:2022-01-07
  • 作者简介:曹正国,教授,博士,Email： <email>caozhengguo@whu.edu.cn</email>博士、教授，武汉大学口腔医学院牙周科主任，牙周病学教研室主任，二级主任医师。武汉大学珞珈特聘教授，博士研究生导师。兼任中华口腔医学会牙周病专业委员会常务委员、湖北省口腔医学会常务理事、湖北省口腔医学会第1届牙周病学专业委员会主任委员、中国老年学和老年医学会口腔保健专业委员会副主任委员及国家自然科学基金同行评议专家。2008—2010年在美国得克萨斯农工大学（Texas A & M University）贝勒牙学院做博士后研究。2018年1—3月在加拿大韦仕敦大学（Western University）舒立克牙学院访问。在重度牙周炎的系统诊疗设计、各种牙周手术和牙周病的种植等方面具有丰富的临床经验。研究方向为牙周组织的发育和矿化。先后主持国家自然科学基金5项及各种省市课题7项，已发表论文80余篇，其中SCI数据库收录论文60篇，以第一或通信作者发表30余篇。

Periodontal considerations in prosthetic dentistry

Cao Zhengguo()   

  1. Dept. of Periodontics, Hospital of Stomatology, Wuhan University, Wuhan 430079, China
  • Received:2021-08-23 Revised:2021-10-18 Online:2022-01-01 Published:2022-01-07

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摘要：

牙周与修复之间的学科相关性一直广受口腔医生的关注和讨论。健康而稳定的牙周状况是获得修复治疗成功和疗效长期稳定的必要前提条件,在修复治疗的前、中、后均应受到密切关注。与此同时,牙周相关的软硬组织缺陷、美观及失牙问题又需要通过修复来解决。因此,修复治疗相关的牙周考量临床意义重大。本文对修复治疗的牙周准备与健康维持、修复治疗对牙周健康的影响以及牙周与种植相关关系3个方面进行阐述,希望对口腔临床工作有所帮助。

关键词: 牙周健康, 修复治疗, 牙冠延长术, 牙周软硬组织缺陷, 牙周与种植, 种植体周围炎

Abstract:

The interrelationship between periodontics and prosthetics has been widely discussed by dentists. A healthy and stable periodontal condition is a necessary prerequisite for the success and long-term stability of prosthetic therapy and should be paid close attention to before, during, and after prosthetic therapy. At the same time, soft and hard tissue defects, aesthetic problems, and tooth loss related to periodontal issue need to be solved by prosthetic therapy. Periodontal considerations in prosthetic dentistry are of great clinical significance. Therefore, this paper will discuss the periodontal preparation and health maintenance before, during, and after prosthetic treatment, the influence of prosthetic treatment on periodontal health, and the relationship between periodontics and implantology to provide basis for clinical work of dentists.

Key words: periodontal health, prosthetic therapy, crown lengthening procedure, periodontal soft and hard tissue defects, periodontics and implantology, peri-implantitis

图1

被动萌出不足 A：被动萌出不足导致的露龈笑;B：该患者11牙的牙冠长度为9 mm。"

图2

上前牙宽度比例（正面观） A：中切牙宽度;B：侧切牙宽度;C：尖牙宽度;中切牙∶侧切牙∶尖牙=1.618∶1∶0.618。"

图3

美学区位点保存决策树 CTG：结缔组织移植物（connective tissue graft）;FGG：游离龈移植物（free gingival graft）;GBR：引导骨组织再生术（guided bone regeneration）。"

图4

缺牙区牙槽嵴形态分类（0~5级）及GBR方法 上：缺牙区牙槽嵴形态分级,从左到右分别为0~5级;下：GBR方法。"

图5

美学区种植软硬组织增量的临床决策 SCTG：上皮下结缔组织移植物（subepithelial connective tissue graft）。"

图6

种植体周围炎的CIST治疗方案"

图7

种植体周围骨缺损类型"

图8

种植体周围骨缺损手术方法决策树"

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