基于2018年牙周病国际新分类的重度牙周炎临床应用实践

doi:10.13701/j.cnki.kqyxyj.2023.11.001

口腔医学研究 ›› 2023, Vol. 39 ›› Issue (11): 943-951.DOI: 10.13701/j.cnki.kqyxyj.2023.11.001

• 特约述评 • 下一篇

基于2018年牙周病国际新分类的重度牙周炎临床应用实践

曹正国^1,2*, 高雅¹, 曾宇³

1.口颌系统重建与再生全国重点实验室,口腔生物医学教育部重点实验室,口腔医学湖北省重点实验室,武汉大学口腔医学院湖北武汉 430079;
2.武汉大学口腔医院牙周科湖北武汉 430079;
3.东莞健力口腔医院牙周科广东东莞 523001

收稿日期:2023-09-15 出版日期:2023-11-28 发布日期:2023-11-22
通讯作者: ^*曹正国,E-mail:caozhengguo@whu.edu.cn
作者简介:曹正国博士,一级主任医师,武汉大学珞珈特聘教授,博士研究生导师。武汉大学口腔医学院牙周科主任,牙周病学教研室主任。兼任中华口腔医学会牙周病专委会常务委员,湖北省口腔医学会常务理事、湖北省口腔医学会第一届牙周病学专委会主任委员、中国老年学和老年医学会口腔保健分会副主任委员,国家自然科学基金同行评议专家。先后主持国家自然科学基金6项,目前在研2项面上项目,主持省市及横向课题多项,主要研究方向牙周致病机制和牙周组织的发育及矿化,已发表论文130余篇,其中SCI论文100余篇(其中50余篇文章为第一作者或通讯作者)。

The S3 Level Clinical Diagnosis and Practice Guideline of Stage Ⅳ Severe Periodontitis Based on 2018 EFP/AAP Classification

CAO Zhengguo^1,2*, GAO Ya¹, ZENG Yu³

1. State Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration, Key Laboratory of Oral Biomedicine Ministry of Education, Hubei Key Laboratory of Stomatology, School & Hospital of Stomatology, Wuhan University, Wuhan 430079, China;
2. Department of Periodontology, School & Hospital of Stomatology, Wuhan University, Wuhan 430079, China;
3. Department of Periodontology, Dongguan Jianli Stomatological Hospital, Dongguan 523001, China

Received:2023-09-15 Online:2023-11-28 Published:2023-11-22

摘要/Abstract

摘要： 牙周炎患病率高,其早期症状不明显,后期则往往伴有严重的牙槽骨破坏,牙齿松动、移位甚至脱落,给国家、社会及患者造成极大的负担。2018年,美国牙周病学会和欧洲牙周病学联合会共同发布了牙周病与植体周病新分类相关共识报告,将牙周炎分为4期3级。随后,EFP先后发布Ⅰ~Ⅲ期与Ⅳ期牙周炎治疗S3级临床指南,制订了相应的综合治疗方案。本文基于2018年牙周病国际新分类,通过对1例Ⅳ期C级牙周炎病例总结分析,从诊断和分期分级、风险评估和预后判断,临床治疗决策方面阐述新的重度牙周炎临床应用实践。

关键词: 新分类, 重度牙周炎, 分期, 分级, 临床诊疗

Abstract: The early symptoms of periodontitis are not obvious, while it always accompanied by severe alveolar ridge defects, tooth drifting, flaring, and even tooth loss in advanced stage. It leads to a heavy burden on the country, society, and patients themselves with high prevalence. In 2018, consensus reports on the Classification of Periodontal and Peri-implant Diseases and Conditions were published by the American Academy of Periodontology (AAP) and European Federation of Periodontology (EFP), which divided periodontitis into four stages and three grades. Subsequently, the EFP has published S3-level clinical guidelines for the treatment of stage Ⅰ-Ⅲ and stage Ⅳ periodontitis. This article will discuss the clinical diagnosis and treatment practice of severe periodontitis based on the 2018 Classification with a case of periodontitis (stage Ⅳ, grade C).

Key words: new classification, severe periodontitis, stage, grade, clinical diagnosis and treatment

曹正国, 高雅, 曾宇. 基于2018年牙周病国际新分类的重度牙周炎临床应用实践[J]. 口腔医学研究, 2023, 39(11): 943-951.

CAO Zhengguo, GAO Ya, ZENG Yu. The S3 Level Clinical Diagnosis and Practice Guideline of Stage Ⅳ Severe Periodontitis Based on 2018 EFP/AAP Classification[J]. Journal of Oral Science Research, 2023, 39(11): 943-951.

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基于2018年牙周病国际新分类的重度牙周炎临床应用实践

The S3 Level Clinical Diagnosis and Practice Guideline of Stage Ⅳ Severe Periodontitis Based on 2018 EFP/AAP Classification

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