牙周病学电子教案课件

《牙周病学电子教案课件》由会员上传分享，免费在线阅读，更多相关内容在教育资源-天天文库。

1、牙周病学Periodontology山东大学口腔医学院葛少华Chapter11PeriodontalPrognosis&PeriodontalTreatmentPlanningThecontentsthatshouldbemastered:1factorstoconsiderwhenassigningprognosisofperiodontitis2ObjectivesofperiodontaltreatmentandtreatmentprocedurePeriodontalPrognosisPrognosisisapredictionoftheprobablecourseandoutcome

2、ofadisease.Itisdeterminedfollowinginitialexamination,andfollowingactivetherapyphase.PeriodontalPrognosisImportance:Clinician:Todeterminewhichtreatmentmodalitieswillbemosteffective.Todeveloprestorativerecommendationandtreatmentplans.PeriodontalPrognosisImportance:Patient:todeterminewhethertreatmentse

3、emsworthwhile.（EBM)FactorstoconsiderwhenassigningoverallPrognosis1Typeofperiodontitis:chronicoraggressive,withorwithoutsystemicfactors.2Degreeofperiodontiumdestruction(DiseaseSeverity)3Theeliminationoflocalfactors:calculus,plaque,occlusaltrauma4Toothmobilitydegree5Thenumberofteethremaininginoralcavi

4、ty6patientcooperation:self-performingplaquecontrol,reevaluationattime7environmentalandbehavioralfactors:smoking8systemicfactors:diabetes9age:Factorstoconsiderwhenassigningindividualtoothprognosis:1PDandAL2thealveolarboneresorptiondegreeandtypes:3toothmobilitydegree4Anatomicfactors:short,taperedroots

5、;cervicalenamelprojections,rootconcavities,developmentalgroovesAssigningprognosis:GoodPrognosis:Indicatesthatthereisadequateperiodontalsupportanditispossibletocontroletiologicfactorstoassurethattheteethwillberelativelyeasilymaintained.AssigningprognosisThefollowingcriteriaconstituteagoodprognosis:-P

6、robingdepth0-3mm.-Lessthan10%boneloss.-Nofurcation.-Nopathologicmobility.AssigningprognosisFairprognosis:Indicatesthereisagoodchancethattheteethcanberestoredtohealthandretained,assumingpropermaintenance.AssigningprognosisThefollowingfactorsaresuggestiveoffairprognosis:(oneormore)-Pocketdepthupto5mm.

7、-Upto30%boneloss.-MaintainableClassIfurcation.-MobilityI.AssigningprognosisPoorprognosis:Oneormoreofthefollowing:Moderateattachmentloss.ClassIand/orclassIIfuraction(s)Thelocationanddepthofthefuraction