北大口腔牙周科-英文病例汇报
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Name: Niu XX
Gender: Male
Age: 27 yr
Birth: 1989.10
Occupation: office staff
Date of first visit: 2016.08.02 Case record code:XXXX
Gum bleeding on brushing occasionally ,for over 6 years
⏹Gum bleeding on brushing occasionally
⏹mild hypersensitivity to cold
⏹No swelling gum
⏹No occlusal discomfort
⏹Supragingival scaling in other clinic 3weeks ago
Brushing teeth twice per day, 3 mins per time, vertical method Using dental floss
Non-smoker
Dental filling treatment of 36
systemically healthy
No history of drug allergy No special in family history
11 after supragingival scalling
Aggressive periodontitis(generalized) Malocclusion
Lingual fossa deformity(#22)
Post pulp therapy (#36)?
Impacted teeth (#48) and caries(#46 ) Supernumerary tooth
✓Favourable factors
▪Age
▪Compliance —good
▪Non-smoker
▪Systemically healthy
▪Less stress
▪Economic status —Fair ▪BMI:21.3✗Adverse factors
▪Gingival inflammation (BOP: 100%)
▪Deep pocket depth
▪Poor bone morphology ▪Malocclusion
Deep pocket depth
Intrabony defect ——46 Furcation involvement
8765432112345678 8765432112345678
Excellent
poor/questionable
Good/Fair Hopeless /Extracted
Control plaque
Elimination of gingival inflammation
Restore physiological morphology of the soft and hard tissue Promote the regeneration of periodontal tissue
Achieve long-term periodontal health
•Periodontal initial therapy
•OHI
•SRP
•Extract (#48)
•Endodontic treatment(#22、36、46)
•Re-evaluation
•Periodontal surgical therapy
•surgical treatment
•Restorative /Orthodontic Phase
Orthodontic treatment: 3 months intervals •Maintenance Phase
2016.08.~2016.09 periodontal initial therapy 2016.11.06 Re-evaluation
Before
Before6weeks
later BOP(+)100%100% PD≧6mm11.9% 1.79% BI≧3100%30.4%
OHI reinforcement
Extract 48
Endodontic treatment(#22、36、46) bone graft +GTR for 46
Orthodontic treatment
Supportive periodontal therapy (SPT)
2017.01.06-1.20 extracted 48
Endodontic treatment(#22、36、46) 2016.03.10bone graft +GTR for 46
2017.10.12 Orthodontic treatment
before Three months later
before
Before3months
later BOP(+)67.9%53.6% PD≧6mm 1.19% 1.19% BI≧3 5.36%8.93%
Three months later
Before 7months
3months
8months9months
7 months before 9 months
immediately
OHI reinforcement
Orthodontic treatment SPT(#47)
Before the start of the orthodontic therapy ,the patient needs to demonstrate excellent oral hygiene and gingival and periodontal health.
Orthodontic treatment might be terminated if the lack of adequate infection control poses a significant risk of periodontal breakdown.
Lang NP,Lindhe J. Clinical periodontology and implant
dentistry, 6th ed. 2 Volume-set[M]// Clinical periodontology
and implant dentistry /. Blackwell Munksgaard, 2015.
Proposed decision tree for the management of patients with periodontal disease.
Geisinger M L, Abou-Arraj R V, Souccar N M, et al. Decision making in the treatment of
The timing of these procedures is widely varied in the literature, occurring from 10
days to 6 months prior to initiation of orthodontic forces Geisinger M L, Abou-Arraj R V, Souccar N M, et al. Decision making in the treatment of patients with malocclusion and chronic periodontitis: Scientific evidence and clinical experience[J]. Seminars in Orthodontics, 2014, 20(3):170-176.。