Ziada Hassan, Irwin Chris, Mullally Brian, Allen Edith, Byrne Patrick J
University Dental School and Hospital, Wilton, Cork, Republic of Ireland.
Dent Update. 2007 May;34(4):208-10, 213-4, 217. doi: 10.12968/denu.2007.34.4.208.
The diagnosis and management of periodontal diseases requires a detailed examination of the signs and symptoms associated with periodontal disease. This requires a screening procedure, the BPE being sufficient in the majority of cases. Detailed examination is, however, required in more advanced or severe cases. The general dental practitioner should follow a systematic and organized examination to identify and differentiate between individuals with gingivitis, and those with mild, moderate and more advanced forms of periodontitis. Treatment planning, including the decision to refer to a consultant/specialist when appropriate, requires a clear understanding and satisfactory interpretation of the information gathered from the examination. This reduces the risk of over or under treatment, helps in evaluating the individual's response to therapy and reduces the risk of litigation.
The assessment and clinical examination of patients with periodontal diseases, as detailed in this paper, are essential for the diagnosis, effective treatment planning and future maintenance care of patients in general dental practice.
牙周疾病的诊断与管理需要对与牙周疾病相关的体征和症状进行详细检查。这需要一个筛查程序,在大多数情况下,基本牙周检查(BPE)就足够了。然而,在更严重或病情更 advanced 的情况下,则需要进行详细检查。普通牙科医生应遵循系统且有条理的检查流程,以识别并区分患有牙龈炎的个体,以及患有轻度、中度和更 advanced 形式牙周炎的个体。治疗计划,包括在适当的时候决定转诊给顾问/专家,需要对从检查中收集到的信息有清晰的理解和满意的解读。这降低了过度治疗或治疗不足的风险,有助于评估个体对治疗的反应,并降低诉讼风险。
本文详细介绍的牙周疾病患者的评估和临床检查,对于普通牙科实践中患者的诊断、有效的治疗计划以及未来的维护护理至关重要。