国际口腔医学杂志

国际口腔医学杂志 ›› 2025, Vol. 52 ›› Issue (4): 544-551.doi: 10.7518/gjkq.2025073

• 综述 • 上一篇    下一篇

牙周内镜在口腔临床诊疗中的应用进展

于寰1,2(),康健1,2()   

  1. 1.天津市口腔医院牙周病科 南开大学医学院 天津 300041
    2.天津市口腔功能重建重点实验室 天津 300041
  • 收稿日期:2024-06-23 修回日期:2024-10-12 出版日期:2025-07-01 发布日期:2025-06-20
  • 通讯作者: 康健
  • 作者简介:于寰，主治医师，博士，Email：yuhuandentist@163.com
  • 基金资助:
    中华医学会医学教育分会和全国医学教育发展中心2023年医学教育研究立项课题(2023B174);天津市口腔医院牙周重点学科建设项目(2022P04)

Progress in the application of periodontal endoscopy in oral clinical diagnosis and treatment

Huan Yu1,2(),Jian Kang1,2()   

  1. 1.Dept. of Periodontology, Tianjin Stomatological Hospital, School of Medicine, Nankai University, Tianjin 300041, China
    2.Tianjin Key Laboratory of Oral and Maxillofacial Function Reconstruction, Tianjin 300041, China
  • Received:2024-06-23 Revised:2024-10-12 Online:2025-07-01 Published:2025-06-20
  • Contact: Jian Kang
  • Supported by:
    2023 Medical Education Research Project of Medical Education Branch of Chinese Medical Association and National Medical Education Development Center(2023B174);Key Discipline Construction Project of Tianjin Stomatological Hospital(2022P04)

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摘要：

牙周炎的传统治疗方法为包括龈上洁治术、龈下刮治术及根面平整术在内的牙周非手术治疗、牙周手术治疗等。这些治疗方法的效果明确，但存在一定的限制。非手术治疗可能会因视野不清，难以直视等原因影响牙石清除率；手术治疗可能因患者存在手术禁忌证或惧怕手术而难以适用。牙周内镜具有可视性及微创性，可以在损伤较小的情况下引导医生更清晰地观察并清除龈下牙石，为获得理想的治疗效果，提高患者满意度提供了一定的可能性。牙周内镜还可用于辅助牙周牙体疾病的诊断、牙周手术及种植体周围炎的治疗；在临床教学中应用时，可以加深学生对牙周诊疗工作的认识。虽然其诊断及治疗效果仍然存在一定的局限性和争议，但为牙周疾病的临床防治提供了新的思路和方法。本文对牙周内镜在临床诊疗中的应用进展进行综述。

关键词: 牙周炎, 牙周内镜, 牙周非手术治疗, 牙周手术治疗, 诊断, 口腔临床教学

Abstract:

Traditional treatment methods for periodontitis include surgical periodontal treatment and non-surgical perio-dontal treatment, which includes supragingival scaling, subgingival scaling, and root planning. The effectiveness of these treatments is clear, but certain limitations are observed. The effect of non-surgical treatment may be affected by residual dental calculus because of unclear vision and difficulty in direct vision. Surgical treatment may also be difficult to apply because of patient contraindications or fear of surgery. Periodontal endoscopy has visibility and minimally invasive pro-perties. It can guide doctors to observe and remove subgingival calculus more clearly with minimal damage, thereby achieving ideal treatment outcomes and improving patient satisfaction. It can also be applied to assist in the diagnosis of periodontal disease, periodontal surgery, and treatment of peri-implantitis. It can also deepen students’ understanding of periodontal diagnosis and treatment in clinical teaching. Although its diagnosis and treatment effectiveness still have certain limitations and controversies, it provides novel insights and methods for the clinical prevention and treatment of periodontal diseases. This article provides a review of the application of periodontal endoscopy in clini-cal diagnosis and treatment.

Key words: periodontitis, periodontal endoscopy, periodontal non-surgical treatment, periodontal surgical treatment, diagnosis, oral clinical teaching

中图分类号: 

  • R781.4

《手术室专科护理技术质量评价标准》出版发行"

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