牙-周-病-学-第四版-8.pptVIP免费

LocalsymptomsSeveralposteriorteethhavelostspontaneouslyinthepast2-3yearsGumbleedingonbrushingfor4-5yearsGingivalswellingandpainfuloccasionallyIncreasingmobilityofmostteethCannotbiteandchewfoodOralHygienehabitandsmokingstatusBrushteethtwiceaday,2minutespertimeNeveruseinterdentalbrushorflossNon-smokerDentalHistorySupragingivalscalingseveraltimesinotherclinic(cannotalleviatesymptoms)FamilyhistoryFatherhaslostsometeethbecauseofmoFatherhaslostsometeethbecauseofmobilitybilityMedicalhistoryNosignificantfindingsNosignificantfindingsPre-treatmentintra-oralviewChart(aftersupragingivalscaling)X-rayDiagnosis1.Aggressiveperiodontitis(generalized)29yearsoldseverebonelossnosystemicdiseasefamilyhistoryDiagnosis2.Residualrootof483.Dentitiondefect4.Malocclusion(deepoverbiteanddeepoverjetofanteriorteeth)RiskassessmentPatientlevelSystemicallyhealthyFaircompliancePoororalhygieneMissingof16,15,22,34-37,44-47FamilyhistoryRiskassessmentToothlevelPlaqueaccumulationandcalculusFurcationinvolvementof26Potentialabutmentof17,14,21,23,38,33,43Toothmobilityofallteethexcept38SeverealveolarbonelossPrognosis/17//1413121121/2324252627/Goodprognosis++Questionableprognosis++Poorprognosis+++++++/////434241313233////38GoodprognosisQuestionableprognosis+Poorprognosis++++++Treatmentplan(OMIT)Treatmentplan(OMIT)第十四章第十四章牙周病的治疗计划牙周病的治疗计划在本章学习中要求掌握牙周病治疗的总体目标和基本治疗程序，学会如何制定个性化的牙周病治疗计划，能够阐述不同治疗方法的意义和选择依据。系统治疗的程序•第一阶段基础治疗★•第二阶段手术治疗•第三阶段正畸、修复治疗•第四阶段牙周支持治疗★每一名患者必经的治疗★★牙周治疗程序的流程急症期治疗急症期治疗↓↓基础治疗（病因学治疗）基础治疗（病因学治疗）★★↓↓疗效评价疗效评价↓↓维护治疗维护治疗★★↙↗↙↗↘↖↘↖手术治疗手术治疗→正畸、→正畸、修复治疗修复治疗★★每一名患者必经的治疗思考题1.牙周病治疗的总体目标是什么？2.牙周病治疗的第一阶段目标是什么？3.牙周维护治疗的目的是什么？其与牙周基础治疗的关系是什么？4.防止医院内交叉感...