Li Zheng, Kang Jun
Dept. of Stomatology, Peking University Third Hospital, Beijing 100191, China.
Hua Xi Kou Qiang Yi Xue Za Zhi. 2011 Jun;29(3):327-9.
To track the initiating and developing process of one case diagnosed as chronic periodontitis accompanied with malformed lingual groove in maxillary lateral incisor and report the long-term prognosis to the periodontal conservative and supportive therapy. The patient was diagnosed with mild chronic periodontitis 6 years ago and accepted routine periodontal scaling and root planning (SRP) plus supportive periodontal therapy (SPT) one time. Two years later the periodontal condition deteriorated by deep pockets in molars and severe bone destruction around the maxillary lateral incisor with malformed lingual groove. After SRP in sites which pocket depth more than 4mm plus root canal therapy and lingual groove plasty of maxillary right lateral incisor, the SPT regularly proceeded at 3rd, 6th and 12th month. At present the whole periodontal tissue was healthy, the bone lesion around maxillary lateral incisor recovered well, the tooth had no mobile, the cosmetic effect andtooth function was in good state, and the patient was very satisfied.
追踪 1 例诊断为慢性牙周炎伴上颌侧切牙舌侧沟畸形的患者的发病及发展过程,并报告牙周保守治疗和支持治疗的长期预后。该患者 6 年前被诊断为轻度慢性牙周炎,曾接受过一次常规牙周刮治和根面平整(SRP)以及支持性牙周治疗(SPT)。两年后,磨牙出现深牙周袋,上颌侧切牙舌侧沟畸形伴严重骨破坏,牙周状况恶化。对袋深超过 4mm 的部位进行 SRP 并结合根管治疗及上颌右侧侧切牙舌侧沟成形术后,在第 3、6 和 12 个月定期进行 SPT。目前全口牙周组织健康,上颌侧切牙周围骨病变恢复良好,牙齿无松动,美观效果和牙齿功能良好,患者非常满意。