重度牙周病患牙拔除后即刻自身牙移植2 年疗效与体会

摘要：目的 观察重度牙周病患牙拔除后即刻自身牙移植的临床效果，分析影响临床效果的因素。方法 9 颗重度牙周病患牙经基础治疗后拔除，去除牙槽窝内的病变组织并以此处牙槽窝为受牙区。微创拔除患者自身第三磨牙（供牙），体外完成根管治疗和充填后植入已制备的牙槽窝内。根周骨腔植入拜阿蒙人工骨，缝合、结扎固定。术后随访观察2 年的临床疗效。结果 9 颗重度牙周病患牙拔除后自身第三磨牙移植2 年间除因松动拔除3 颗外，其余6 颗移植牙稳固、不松动，牙周无红肿，无可探入的牙周袋，可行使正常咀嚼功能。结论 重度牙周病患牙拔除后即刻自身牙移植可取得较好的临床效果，去除病变组织、保持移植牙稳定和术后口腔卫生是影响疗效的主要因素。

关键词:牙周病,自身牙移植,引导组织再生术

Abstract:Objective To observe clinic effects on replacing teeth of serious periodontal disease by teeth of auto-transplantation instantly after treating two years. Methods To substitute teeth that suffer from serious periodontal disease for auto- transplantation teeth through guided tissue regeneration technique after basic therapy, clinic effects were observed by investigating periodontal index after therapy 6, 12 months and two years. Results Clinic effects on replacing teeth which suffer from serious periodontal disease by 9 teeth of auto- transplantation were very satisfied excepted for 3 teeth that lost after treating 6, 12 months and two years. Conclusion Teeth with serious periodontal disease can be substituted by the third molar teeth that no functions of auto- transplantation in this clinic study.