Kim Taewan J, Littlejohn Caroline G, Richey Kristen H, Falsafi Neda, Li Chenshuang, Wang Tun-Jan, Lander Bradley, Chang Yu-Cheng
Department of Periodontics, School of Dental Medicine, University of Pennsylvania, 240 S 40th Street, Philadelphia, PA 19104, USA.
Department of Orthodontics, School of Dental Medicine, University of Pennsylvania, 240 S 40th Street, Philadelphia, PA 19104, USA.
J Clin Med. 2023 Sep 21;12(18):6107. doi: 10.3390/jcm12186107.
Molar-incisor pattern periodontitis (MIPP) is a severe form of periodontal disease characterized by rapid attachment loss and bone destruction affecting the molars and incisors. Formerly referred to as aggressive periodontitis, the terminology for this condition was revised after the 2017 workshop on the classification of periodontal and peri-implant diseases and conditions. Despite the modification in nomenclature, the treatment strategies for MIPP remain a critical area of investigation. The core principles of MIPP treatment involve controlling local and systemic risk factors, managing inflammation, and arresting disease progression. Traditional non-surgical periodontal therapy, including scaling and root planing, is commonly employed as an initial step together with the prescription of antibiotics. Surgical intervention may be necessary to address the severe attachment loss. Surgical techniques like resective and regenerative procedures can aid in achieving periodontal health and improving esthetic outcomes. This review article aims to provide an overview of the current understanding and advancements in the treatment modalities of MIPP. Through an extensive analysis of the existing literature, we discuss various modern therapeutic approaches that have been explored for managing this challenging periodontal condition.
磨牙-切牙型牙周炎（MIPP）是一种严重的牙周疾病，其特征是快速的附着丧失和影响磨牙及切牙的骨破坏。该疾病以前被称为侵袭性牙周炎，在2017年牙周和种植周疾病及状况分类研讨会之后，其术语被修订。尽管名称有所改变，但MIPP的治疗策略仍是一个关键的研究领域。MIPP治疗的核心原则包括控制局部和全身危险因素、管理炎症以及阻止疾病进展。传统的非手术牙周治疗（包括龈上洁治和根面平整）通常与抗生素处方一起作为初始步骤。对于严重的附着丧失，可能需要进行手术干预。诸如切除性和再生性手术等外科技术有助于实现牙周健康并改善美学效果。这篇综述文章旨在概述目前对MIPP治疗方式的理解和进展。通过对现有文献的广泛分析，我们讨论了为管理这种具有挑战性的牙周疾病而探索的各种现代治疗方法。
