重度牙周炎伴口腔扁平苔藓1例报告及文献复习

doi:10.13481/j.1671-587x.20180632

吉林大学学报(医学版) ›› 2018, Vol. 44 ›› Issue (06): 1298-1302.doi: 10.13481/j.1671-587x.20180632

重度牙周炎伴口腔扁平苔藓1例报告及文献复习

金权¹, 许立硕¹, 黄玉¹, 焦鹏¹, 陈飞¹, 车鸿泽¹, 马宁¹, 张莉²

1. 吉林大学口腔医院牙周科, 吉林长春 130021;
2. 吉林大学口腔医院急诊科, 吉林长春 130021

收稿日期:2018-01-11 出版日期:2018-11-28 发布日期:2018-11-28
通讯作者: 马宁,教授,主任医师,硕士研究生导师(Tel:0431-88796039,E-mail:maningbsh76@sina.com);张莉,副教授,副主任医师,硕士研究生导师(Tel:0431-85579359,E-mail:zlamy1009@sina.com) E-mail:maningbsh76@sina.com;zlamy1009@sina.com
作者简介:金权(1990-),男,吉林省龙井市人,在读医学硕士,主要从事牙周疾病诊治方面的研究。
基金资助:
吉林省科技厅中医药科技项目资助课题（3D516H833431）

Severe periodontitis complicated with oral lichen planus: A case report and literature review

JIN Quan¹, XU Lishuo¹, HUANG Yu¹, JIAO Peng¹, CHEN Fei¹, CHE Hongze¹, MA Ning¹, ZHANG Li²

1. Department of Periodontics, Stomatology Hospital, Jilin University, Changchun 130021, China;
2. Department of Emergency, Stomatology Hospital, Jilin University, Changchun 130021, China

Received:2018-01-11 Online:2018-11-28 Published:2018-11-28

摘要/Abstract

摘要： 目的：分析1例重度牙周炎伴口腔扁平苔藓患者的临床表现和治疗方法，阐明联合治疗疗法的疗效和定期随访的重要性。方法：患者临床表现为双侧后牙松动伴牙龈出血半年，牙龈部口腔扁平苔藓病史2年。全口牙齿探诊深度（PD）5~6 mm，附着丧失（AL）8~9 mm，Ⅱ°-Ⅲ°松动，探诊出血（BOP）（+）。定期进行牙周基础治疗结合牙龈部醋酸曲安奈德注射治疗。在炎症保持稳定时，实施延期种植手术，并完成26、27、36和37的牙冠修复。对31和41 Ⅱ°松动牙进行松牙固定术。牙周维护期间定期随访周期为联合治疗后1周、2周、1个月、3个月和6个月。结果：联合治疗结合定期复诊后患者前牙和前磨牙的PD为4 mm，BOP （-）。患者口腔扁平苔藓的临床症状缓解，牙龈无充血糜烂症状。炎症控制之后，种植修复使左侧磨牙区恢复了咀嚼功能。3个月的复诊周期和良好的治疗依从性有利于病情控制。牙龈状况维持最佳的随访周期为2周1次。结论：联合治疗能缓解重度牙周炎伴口腔扁平苔藓患者的临床症状，定期随访和良好的治疗依从性有利于病情控制。

关键词: 重度牙周炎, 口腔扁平苔藓, 牙周基础治疗, 治疗依从性, 探诊深度

Abstract: Objective: To analyze the clinical manifestion and treatment method of one patient with severe periodontitis complicated with oral lichen planus, and to clarify the effect of combined treatment method and the importance of regular follow-up.Methods: The clinical manifestion of the patient was that the bilateral moral teeth had become looseness and the gum had bled for six months,and the patients had a history of oral lichen planus in gum for 2 years old. The probing depth(PD) of all the teeth was 5-6 mm and the attachment loss(AL)was 8-9 mm,with Ⅱ°-Ⅲ°mobility and bleeding on probing (BOP)(+).The teeth was treated with the regular basis periodontal treatment combined with gingival triamcinolone acetonide injection treatment.When the inflammation situation remained stable, the delayed implantation was performed and the crown restoration treatment was done for 26,27,36 and 37.The splinting treatment was done for 31 and 41 Ⅱ° mobile teeth. The regular follow-up periods were 1 week,2 weeks,1 month,3 months,and 6 months after treatment during periodontal maintenance.Results: After combined treatment and regular follow-up,the PD of both anterior and premolar were 4 mm,and the BOP was negative. The clinical symptom of oral lichen planus of the patient was relieved, and there were no symptoms of congestion and erosion on the gum. After the inflammation situation was controlled, the chewing function of the left molar region was restored by implantation rehabilitation. A 3-month-follow-up cycle and excellent treatment compliance were beneficial for the control of disease. The optimal follow-up period of gingival condition maintained best was once per 2 weeks.Conclusion: The combined treatment can relieve the clinical symptoms of the patient with severe periodontitis complicated with oral lichen planus. Regular follow-up and excellent treatment compliance are conducive to controlling the condition of disease.

Key words: severe periodontitis, oral lichen planus, basic periodontal treatment, treatment compliance, probing depth

中图分类号:

R781.34

金权, 许立硕, 黄玉, 焦鹏, 陈飞, 车鸿泽, 马宁, 张莉. 重度牙周炎伴口腔扁平苔藓1例报告及文献复习[J]. 吉林大学学报(医学版), 2018, 44(06): 1298-1302.

JIN Quan, XU Lishuo, HUANG Yu, JIAO Peng, CHEN Fei, CHE Hongze, MA Ning, ZHANG Li. Severe periodontitis complicated with oral lichen planus: A case report and literature review[J]. Journal of Jilin University(Medicine Edition), 2018, 44(06): 1298-1302.

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重度牙周炎伴口腔扁平苔藓1例报告及文献复习

Severe periodontitis complicated with oral lichen planus: A case report and literature review

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