2022年医学专题—牙-周-病-学-第四版-8(1).pptVIP免费

LocalsymptomsSeveralposteriorteethhavelostspontaneouslyinthepast2-3yearsGumbleedingonbrushingfor4-5yearsGingivalswellingandpainfuloccasionallyIncreasingmobilityofmostteethCannotbiteandchewfood第一页，共三十一页。OralHygienehabitandsmokingstatusBrushteethtwiceaday,2minutespertimeNeveruseinterdentalbrushorflossNon-smoker第二页，共三十一页。DentalHistorySupragingivalscalingseveraltimesinotherclinic(cannotalleviatesymptoms)FamilyhistoryFatherhaslostsometeethbecauseofmobilityFatherhaslostsometeethbecauseofmobilityMedicalhistoryNosignificantfindingsNosignificantfindings第三页，共三十一页。Pre-treatmentintra-oralview第四页，共三十一页。Chart(aftersupragingivalscaling)第五页，共三十一页。X-ray第六页，共三十一页。Diagnosis1.Aggressiveperiodontitis(generalized)29yearsoldseverebonelossnosystemicdiseasefamilyhistory第七页，共三十一页。Diagnosis2.Residualrootof483.Dentitiondefect4.Malocclusion(deepoverbiteanddeepoverjetofanteriorteeth)第八页，共三十一页。RiskassessmentPatientlevelSystemicallyhealthyFaircompliancePoororalhygieneMissingof16,15,22,34-37,44-47Familyhistory第九页，共三十一页。RiskassessmentToothlevelPlaqueaccumulationandcalculusFurcationinvolvementof26Potentialabutmentof17,14,21,23,38,33,43Toothmobilityofallteethexcept38Severealveolarboneloss第十页，共三十一页。Prognosis/17//1413121121/2324252627/Goodprognosis++Questionableprognosis++Poorprognosis+++++++/////434241313233////38GoodprognosisQuestionableprognosis+Poorprognosis++++++Treatmentplan(OMIT)Treatmentplan(OMIT)第十一页，共三十一页。第十四章第十四章牙周病的治疗牙周病的治疗(zhìliáo)(zhìliáo)计划计划第十二页，共三十一页。在本章学习中要求掌握(zhǎngwò)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。第十三页，共三十一页。系统治疗(zhìliáo)的程序•第一阶段基础治疗★•第二阶段手术(shǒushù)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(huànzhě)必经的治疗★★第十四页，共三十一页。牙周治疗程序(ch...