牙周病的预后及治疗方案(英文)
40页1、Prognosis and Treatment Plan of Periodontal Disease,Determination of The Prognosis,The prognosis is a prediction of the duration, course, and termination of a disease and its response to treatment. It must be determined after the diagnosis is made and before treatment is planned. Temporary Final,Factors to be considered,Overall Clinical Factors Patient age Disease severity Plaque control Patient compliance,Systemic/ Environmental Factors Smoking Systemic diseasee Genetic factors stress,Local Fac
2、tors Plaque/calculus Restorations Anatomic factors,Prosthetic/ Restorative Factors Abutment selection Caries Nonvital teeth Root resorption,Determination of The Prognosis,Risk Factors,Prognosis,?,Determination of The Prognosis,Excellent : NO bone loss, excellent gingival condition, good cooperation no systemic factors,Good : adequate remaining bone support, adequate possibilities to control etiologic factors and establish a maintainable dentition, adequate cooperation, no systemic factors/or wel
3、l controlled,Fair: less-than-adequate remaining bone support, some teeth mobility, Fi:1 adequate maintenance possible, acceptable cooperation, limited systemic factors,Poor: moderat-to advanced bone loss,tooth mobility, Fi:1-2, difficult to- maintain areas/or doubtful cooperation, presence of systemic factors,Questionable: advanced bone loss, tooth mobility, Fi:2-3, inaccessible areas, presence of systemic factors,Hopeless: advanced bone loss, nonmaintainable areas, extraction(s) indicated, pres
4、ence of uncontrolled systemic factors,P r o v I t i o n a l,Prognosis for Patients with Gingival Disease,If inflammation is the only pathologic change , the prognosis is favorable. If inflammatory changes are complicated by systemically caused tissue changes, gingival health may be improved temporarily through local therapy alone.,Prognosis for Patients with Periodontitis,Overall prognosis Prognosis for individual teeth,A 48-year-old man Generalized chronic marginal gingivitis Periodontal pocket
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