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自1982年9月开始对重症牙周病有骨下袋病例进行同种异体脱脂骨移植共22例(计49只牙),经过复查,近期疗效较好。一、病例分析:22例中男14例,女8例。年龄20～50岁。按牙松动度计:Ⅲ°27只,Ⅱ°15只,无松动7只。49只牙按骨下袋深度计:5mm以下15只,5～8mm22只,8mm以上12只。二、治疗方法:采用修复性植骨手术,同时根据牙槽骨壁的形态进行适当的切除或修整,如牙槽骨壁过于凸出或形态不正常,则应先作骨改,然后再进行植骨术。具体操作如下: 1.术前控制急性炎症,使牙周组织的炎症
Since September 1982, there have been 22 cases (49 teeth) of allogeneic defatted bone grafts in patients with severe periodontal disease undergone osteotomy. After a review, the recent curative effect is good. First, the case analysis: 22 cases of male 14 cases, 8 females. Age 20 to 50 years old. According to loose tooth mobility meter: Ⅲ ° 27, Ⅱ ° 15, no loose 7. 49 teeth according to the depth of the bone bag pocket: 5mm less than 15, 5 ~ 8mm22, 8mm above 12. Second, the treatment: the use of repaired bone graft surgery, while the shape of the alveolar bone wall appropriate resection or dressing, such as alveolar bone wall is too convex or abnormal shape, it should be for bone modification, and then proceed Bone grafting. Specific operations are as follows: 1. Preoperative control of acute inflammation, periodontal tissue inflammation