国际口腔医学杂志

国际口腔医学杂志 ›› 2025, Vol. 52 ›› Issue (6): 823-831.doi: 10.7518/gjkq.2025071

• 综述 • 上一篇    下一篇

牙周炎患者缺失牙修复的临床考量及预后评估

陈禹黄(),梁星(),李然   

  1. 口腔疾病防治全国重点实验室 国家口腔医学中心 国家口腔疾病临床医学研究中心四川大学华西口腔医院修复科 成都 610041
  • 收稿日期:2024-12-11 修回日期:2025-04-15 出版日期:2025-11-01 发布日期:2025-10-23
  • 通讯作者: 梁星
  • 作者简介:陈禹黄，住院医师，硕士，Email：cyhcyh0313@163.com
  • 基金资助:
    四川省科技计划项目(2021YJ0146);成都市技术创新研发项目(2022-YF05-01768-SN)

Comparison of common restoration methods for missing teeth in patients with periodontitis

Yuhuang Chen(),Xing Liang(),Ran Li   

  1. State Key Laboratory of Oral Diseases & National Center for Stomatology & National Clinical Research Center for Oral Diseases & Dept. of Prosthodontics, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China
  • Received:2024-12-11 Revised:2025-04-15 Online:2025-11-01 Published:2025-10-23
  • Contact: Xing Liang
  • Supported by:
    Sichuan Province Science and Technology Plan Project(2021YJ0146);Chengdu Technology Innovation Research and Development Project(2022-YF05-01768-SN)

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摘要：

牙周炎患者因牙周受损且牙周状态相对不稳定，导致其缺失牙的修复常是修复工作中的难点。不同严重程度的牙周炎对修复工作带来的风险与挑战不同，因此有必要明确牙周炎的不同分期在修复工作中所存在的问题和风险。此外，在修复治疗前进行充分的牙周诊治准备、掌握好修复时机、评估患牙的保留价值等，也是影响修复成功的关键因素。牙周炎患者在缺失牙后常选用可摘局部义齿、固定局部义齿、种植义齿3种修复方式。本文就对牙周炎患者缺失牙修复的临床考量及预后评估作一综述，为临床应用提供一定的理论依据。

关键词: 牙周炎, 牙列缺损, 修复治疗

Abstract:

Patients with periodontitis have damaged periodontium and a relatively unstable periodontal state, making the restoration of their missing teeth a difficult task. The risks and challenges brought by periodontitis of different stages to restorative work vary and thus must be clarified. Sufficient periodontal treatment preparation, grasping the restoration opportunity, and evaluating the retention value of the teeth before restorative treatment are also key factors affecting restoration success. Removable partial denture, fixed partial denture, and implant supported denture are often used to restore missing teeth in patients with periodontitis. This study reviews the clinical considerations and prognosis evaluation of prosthetic therapy in patients with periodontitis to provide theoretical basis for its clinical application.

Key words: periodontitis, dentition defect, prosthetic therapy

中图分类号: 

  • R783.4
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