Geisinger Maria L, Holmes Carolyn M, Geurs Nicolaas C, Vassilopoulos Philip J, Reddy Michael S
Department of Periodontology, University of Alabama at Birmingham School of Dentistry, Birmingham, AL.
Lister Hill Library, University of Alabama at Birmingham, Birmingham, AL.
Clin Adv Periodontics. 2011 May;1(1):54-60. doi: 10.1902/cap.2011.100008.
Focused Clinical Question In patients presenting with generalized moderate to severe chronic periodontitis and continuing to smoke, does host modulation improve the maintenance of alveolar bone support and clinical attachment level? Clinical Scenario A 45-year-old woman with a 25-pack-year history of smoking presents for comprehensive periodontal therapy including four quadrants of regenerative surgery and is now receiving supportive care at 3-month intervals. Clinical examination reveals excellent oral hygiene, and the patient resists a referral for smoking cessation. The patient is anxious about the potential for tooth loss. See Figures 1 to 3 for clinical presentation.
在患有中度至重度广泛性慢性牙周炎且持续吸烟的患者中，宿主调节是否能改善牙槽骨支持和临床附着水平的维持？临床情景：一名有25年吸烟史（相当于25包年吸烟量）的45岁女性前来接受包括四个象限的再生手术在内的全面牙周治疗，目前每3个月接受一次支持性护理。临床检查显示口腔卫生良好，但患者拒绝转诊进行戒烟。患者担心牙齿脱落的可能性。临床表现见图1至3。
