18 种植论坛 IMPLANT TRIBUNE 中文版 图5:2019-10-20复查 牙龈状况良好。 图6:2019-10-20复查。 诊断11牙周脓肿。 处理:因患牙位于美观区,唇侧骨板 缺失,种植难度大周期长,患者保留患牙 意愿强烈。 行4%阿替卡因局麻下行牙周微创刮 治调合,纤维带牙周夹板固定术,居家菌 斑控制教导。 总结: 1.拔牙周炎的松动牙最好拔又最难 拔,因为未来重建之路困难重重,看到无 救牙大多数医生一拔了之,以为帮患者解 决了一个小问题殊不知造成了三大难题, 尤其美学区不仅影响美观社交,无法行使 功能,邻牙也往往没有没有条件当基牙经 常被考虑牺牲,因此在美学区拔牙前务必 三思! 2.有些医生习惯见到牙周脓肿不分来 源就切开排脓,在美学区可能造成不必要 的软组织退缩,尽量利用龈沟排脓。 3.不要执着3mm生物学宽度才是自 然健康的原则,特别在美学区,美观与健康 同等重要,重视刮治后的长结合上皮,指导 患者进行居家菌斑控制,只要前牙软组织 不退缩,前牙美观可以得到最大的保留! Welcome to MasterClass.Dental Online classes taught by the world’s best doctors directly from their practice OBSERVE DISCUSS YOUR CASE ON DEMAND ALL DEVICES GUARANTEED www.MasterClass.Dental Tribune Group GmbH is an ADA CERP Recognized Provider. ADA CERP is a service of the American Dental Association to assist dental professionals in identifying quality providers of continuing dental education. ADA CERP does not approve or endorse individual courses or instructors, nor does it imply acceptance of credit hours by boards of dentistry. Tribune Group GmbH designates this activity for 1 continuing education credits. This continuing education activity has been planned and implemented in accordance with the standards of the ADA Continuing Education Recognition Program (ADA CERP) through joint efforts between Tribune Group GmbH and Dental Tribune Int. GmbH. www.dentistx.com