局限型侵袭性牙周炎报告课件

口腔医学院 敬人敬业 至精至诚 PowerPoint Template 地址:南京市汉中路136号 邮编:210029 电话:86-25-85031826 网址: Add: No.136, Hanzhong Rd, Nanjing, Jiangsu, China. 210029 Tel :86-25-85031826 南京医科大学口腔医学院南京医科大学口腔医学院 南京医科大学附属口腔医院南京医科大学附属口腔医院 江苏省口腔医院江苏省口腔医院 江苏省红十字口腔医院江苏省红十字口腔医院 Evaluation only.Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile .Created with Aspose.Slides for .NET 3.5 Client Profile . Copyright 2004-2011 Aspose Pty Ltd.Copyright 2004-2011 Aspose Pty Ltd. 1 口腔医学院 敬人敬业 至精至诚 侵袭性牙周炎 经治医师：鲁纯（02级七年制学生） 指导教师：陈武 主任医师 徐艳 副教授 南京医科大学附属口腔医院牙周科 Evaluation only.Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile .Created with Aspose.Slides for .NET 3.5 Client Profile . Copyright 2004-2011 Aspose Pty Ltd.Copyright 2004-2011 Aspose Pty Ltd. 2 口腔医学院 敬人敬业 至精至诚 患者基本资料 姓名：苏 * * 性别：女 出生年月：1988年4月 联系电话联系地址：南京鼓楼区河北大街2-1号 Evaluation only.Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile .Created with Aspose.Slides for .NET 3.5 Client Profile . Copyright 2004-2011 Aspose Pty Ltd.Copyright 2004-2011 Aspose Pty Ltd. 3 口腔医学院 敬人敬业 至精至诚 病例摘要 苏建蓉，女，20岁，因“刷牙出血两年余“就诊，检查 发现全口牙龈充血水肿，上下前牙区及36、46近中探及 深牙周袋5mm，探及附着丧失，口腔卫生不良，探及 龈上下结石。X片示前牙区牙槽骨水平型吸收，16、36 近中牙槽骨角形吸收。初步诊断为局限型侵袭性牙周炎 。予行牙周基础治疗。 Evaluation only.Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile .Created with Aspose.Slides for .NET 3.5 Client Profile . Copyright 2004-2011 Aspose Pty Ltd.Copyright 2004-2011 Aspose Pty Ltd. 4 口腔医学院 敬人敬业 至精至诚 2008-03-16 主诉：刷牙出血两年余 现病史：患者刷牙出血两年余，上前牙出现间隙一年余。 系统病史：否认高血压等系统病史。否认药物过敏史。 家族史：未发现明确的家族史。 Evaluation only.Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile .Created with Aspose.Slides for .NET 3.5 Client Profile . Copyright 2004-2011 Aspose Pty Ltd.Copyright 2004-2011 Aspose Pty Ltd. 5 口腔医学院 敬人敬业 至精至诚 检查： 口外：颞下颌关节对称，无疼痛，无弹响，无杂音，活动 度正常；开口度正常；无张口受限；未触及明显肿大淋 巴结。 口内：全口牙龈充血水肿，上下前牙区及36、46近中探及 深牙周袋5mm，探及附着丧失，未及明显牙齿松动， 11、21间间隙约1.5mm，口腔卫生不良，探及龈上下结 石。 Evaluation only.Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile .Created with Aspose.Slides for .NET 3.5 Client Profile . Copyright 2004-2011 Aspose Pty Ltd.Copyright 2004-2011 Aspose Pty Ltd. 6 口腔医学院 敬人敬业 至精至诚 X片示：前牙区牙槽骨水平型吸收，16、36近中牙槽骨角 形吸收。 初步诊断：局限型侵袭性牙周炎 建议：1 全口牙周基础治疗 2 再评估，酌情手术治疗 3 牙周支持治疗 处理：全口洁治，3%双氧水加生理盐水冲洗。 Evaluation only.Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile .Created with Aspose.Slides for .NET 3.5 Client Profile . Copyright 2004-2011 Aspose Pty Ltd.Copyright 2004-2011 Aspose Pty Ltd. 7 口腔医学院 敬人敬业 至精至诚 2008-03-16 初诊口内照 Evaluation only.Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile .Created with Aspose.Slides for .NET 3.5 Client Profile . Copyright 2004-2011 Aspose Pty Ltd.Copyright 2004-2011 Aspose Pty Ltd. 8 口腔医学院 敬人敬业 至精至诚 初诊全景片 Evaluation only.Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile .Created with Aspose.Slides for .NET 3.5 Client Profile . Copyright 2004-2011 Aspose Pty Ltd.Copyright 2004-2011 Aspose Pty Ltd. 9 口腔医学院 敬人敬业 至精至诚 16 12-22 26 4642-3236 初诊X片 Evaluation only.Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile .Created with Aspose.Slides for .NET 3.5 Client Profile . Copyright 2004-2011 Aspose Pty Ltd.Copyright 2004-2011 Aspose Pty Ltd. 10 口腔医学院 敬人敬业 至精至诚 2008-03-23 主诉：刷牙无出血 检查：口腔卫生良好，全口牙龈充血水肿明显消退，探及龈下 结石，11、21间间隙约1.5mm，具体检查见牙周检查表。 处理：13-23、33-43龈下刮治根面平整，3%双氧水加生理盐 水冲洗。 Evaluation only.Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile .Created with Aspose.Slides for .NET 3.5 Client Profile . Copyright 2004-2011 Aspose Pty Ltd.Copyright 2004-2011 Aspose Pty Ltd. 11 口腔医学院 敬人敬业 至精至诚 2008-03-23 牙周探查 Evaluation only.Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile .Created with Aspose.Slides for .NET 3.5 Client Profile . Copyright 2004-2011 Aspose Pty Ltd.Copyright 2004-2011 Aspose Pty Ltd. 12 口腔医学院 敬人敬业 至精至诚 2008-03-30 主诉：无不适 检查：口腔卫生良好，后牙区探及龈下结石。 处理：14-17、44-47龈下刮治根面平整，3%双氧水加生理 盐水冲洗。 Evaluation only.Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile .Created with Aspose.Slides for .NET 3.5 Client Profile . Copyright 2004-2011 Aspose Pty Ltd.Copyright 2004-2011 Aspose Pty Ltd. 13 口腔医学院 敬人敬业 至精至诚 2008-04-06 主诉：无不适 检查：口腔卫生良好，左侧后牙区探及龈下结石。 处理：24-27、34-37龈下刮治根面平整，3%双氧水加生理 盐水冲洗。 Evaluation only.Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile .Created with Aspose.Slides for .NET 3.5 Client Profile . Copyright 2004-2011 Aspose Pty Ltd.Copyright 2004-2011 Aspose Pty Ltd. 14 口腔医学院 敬人敬业 至精至诚 2008-05-18 主诉：无不适 检查：口腔卫生良好，全口牙龈状况较治疗前明显改善，具 体检查见牙周检查表。 处理：全口超声根面平整，3%双氧水加生理盐水冲洗。 Evaluation only.Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile .Created with Aspose.Slides for .NET 3.5 Client Profile . Copyright 2004-2011 Aspose Pty Ltd.Copyright 2004-2011 Aspose Pty Ltd. 15 口腔医学院 敬人敬业 至精至诚 2008-05-18 牙周探查 Evaluation only.Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile .Created with Aspose.Slides for .NET 3.5 Client Profile . Copyright 2004-2011 Aspose Pty Ltd.Copyright 2004-2011 Aspose Pty Ltd. 16 口腔医学院 敬人敬业 至精至诚 2008-11-22 主诉：无不适 检查：口腔卫生欠佳，邻面区菌斑控制不良，牙龈无明 显充血水肿，11、21间间隙已基本消失，具体检查见 牙周检查表。 建议：全口超声根面平整。 Evaluation only.Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile .Created with Aspose.Slides for .NET 3.5 Client Profile . Copyright 2004-2011 Aspose Pty Ltd.Copyright 2004-2011 Aspose Pty Ltd. 17 口腔医学院 敬人敬业 至精至诚 2008-11-22 牙周探查 Evaluation only.Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile .Created with Aspose.Slides for .NET 3.5 Client Profile . Copyright 2004-2011 Aspose Pty Ltd.Copyright 2004-2011 Aspose Pty Ltd. 18 口腔医学院 敬人敬业 至精至诚 基础治疗半年后口内照 2008-11-22 Evaluation only.Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile .Created with Aspose.Slides for .NET 3.5 Client Profile . Copyright 2004-2011 Aspose Pty Ltd.Copyright 2004-2011 Aspose Pty Ltd. 19 口腔医学院 敬人敬业 至精至诚 2009-02-23 主诉：无不适 检查：口腔卫生良好，牙龈无明显充血水肿，16近中颊侧探 诊深度为5mm。 X片示：16、36近中骨密度较治疗前增高。 处理：全口超声根面平整，3%双氧水加生理盐水冲洗。 Evaluation only.Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile .Created with Aspose.Slides for .NET 3.5 Client Profile . Copyright 2004-2011 Aspose Pty Ltd.Copyright 2004-2011 Aspose Pty Ltd. 20 牙周治疗后一年全景片 2009-02-23 Evaluation only.Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile .Created with Aspose.Slides for .NET 3.5 Client Profile . Copyright 2004-2011 Aspose Pty Ltd.Copyright 2004-2011 Aspose Pty Ltd. 21 16治疗后一年X片 36治疗后一年X片 16治疗前 36治疗前 Evaluation only.Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile .Created with Aspose.Slides for .NET 3.5 Client Profile . Copyright 2004-2011 Aspose Pty Ltd.Copyright 2004-2011 Aspose Pty Ltd. 22 口腔医学院 敬人敬业 至精至诚 讨论 侵袭性牙周炎的诊断主要依据病史、临床、X线表现以 及实验室检测。该患者为20岁的年轻女性患者，患者口内 有典型的切牙及第一磨牙受累，切牙牙槽骨水平型吸收， 第一磨牙垂直型吸收，初步诊断为“局限型侵袭性牙周炎” 。 LAgP or GAgP? Evaluation only.Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile .Created with Aspose.Slides for .N