牙周炎預(yù)后課件

prognosisofperiodontal

disease

牙周病的預(yù)后periodontal

diseaseGingivalDiseasePeriodontitisgingivitis菌斑性牙齦炎（plaque-inducedgingivitis）菌斑控制徹底菌斑去除不及時治療發(fā)展成牙周炎受全身因素影響的牙齦?。╣ingivaldiseasemodifiedbysystemicfactors）1青春期齦炎（puberty-associatedgingivitis)2妊娠期齦炎(pregnancy-associatedgingivitis)3藥物性牙齦增生/齦炎全身因素控制后可痊愈穩(wěn)定，少量修復(fù)４周后評估恢復(fù)正常維護牙周外科消除牙周袋骨修復(fù)骨整形膜齦手術(shù)GTR……基礎(chǔ)治療穩(wěn)定牙周組織工程輕中重牙周修復(fù)治療固定修復(fù)正畸牙周組織工程研究進展，中國修復(fù)與重建外科雜志，2007；21（2）SPTtheprobabilityofobtainingstabilityoftheperiodontalsupportingapparatus————KwokandCatonOverallClinicalFactorsSystemicandEnvironmentalFactorsLocalFactorsAnatomicFactorsProstheticandRestorativeFactorsFavorableprognosisQuestionableprognosisUnfavorableprognosisHopelessprognosisOverallClinicalFactorsPatientAgeyoungerpatientvsolderpatients同樣的侵襲性牙周炎中，老年與青年？青年預(yù)后差，青年人比老年人更易發(fā)生侵襲性牙周炎青年人修復(fù)能力強，但短時間骨的快速喪失意味骨修復(fù)能力小于破壞因素SystemicandEnvironmentalFactorsSmokingSystemicDiseaseorCondition……GeneticFactorsStressAnatomicFactorsshort,taperedrootswithlargecrowns;cervicalenamelprojectionsenamelpearls;

rootconcavitiesdevelopmentalgrooves

rootproximityandthelocationandanatomyoffurcationsToothMobility

lossofalveolarbone

inflammatorychangesintheperiodontalligament,

traumafromocclusioncorrectable：inflammationandtraumafromocclusionnotlikelytobecorrected：lossofalveolarboneProstheticandRestorativeFactors

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