口腔扁平苔藓患者种植修复联合治疗5年随访结果1例报告及文献复习

Five-year follow-up of oral lichen planus combined with implantation and reparation:A case report and literature review

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摘要目的:探讨1例伴口腔扁平苔藓(OLP)患者行种植修复的联合治疗方法,阐述多学科联合治疗对患者口腔功能恢复的重要意义。方法:收集1例伴OLP行种植修复联合治疗患者的5年随访结果,结合相关文献复习,分析应用多学科联合治疗对伴OLP行种植修复患者口腔功能恢复重建的作用。结果:该例患者临床表现为双侧后牙松动,咀嚼无力,OLP病史2年。患者口腔卫生状况差,牙龈质地松软,呈暗红色,全口牙齿探诊深度(PD)5~6 mm,附着丧失(AL)8~9 mm,探诊出血(BOP)(+),双侧后牙Ⅲ°松动,牙槽骨吸收至根长2/3,两侧颊黏膜和牙龈边缘处可见白色病灶,病损处黏膜呈暗红色,龈乳头处见糜烂及溃疡。对患者定期进行抗感染联合治疗(牙周基础治疗结合牙龈部醋酸曲安奈德注射)。在炎症得到控制后,依次拔除Ⅲ°松动的患牙,术后3个月行失牙区域种植修复。通过联合治疗患者OLP病情得到控制,疼痛和粗糙不适感明显减轻,牙周炎症得到有效改善,种植体与周围骨组织结合良好,双侧后牙咀嚼功能得到恢复。结论:通过多学科的综合治疗有效缓解了OLP患者的临床症状,并在病情控制后成功实现了OLP患者的种植修复。 Objective:To discuss the combined treatment of implant repair of one patient with oral lichen planus(OLP),and to explain the importance of multidisciplinary combined treatment on the restoration of oral function of the patient.Methods:The clinical data of 5 years of follow-up of one patient with OLP underwent implant repair combined treatment were collected.The related literatures were reviewed to analyze the significance of the application of multidisciplinary combined treatment for the oral function restoration and reconstruction in the patients with OLP.Results:The clinical manifestion of the patient was that the bilateral moral teeth had become looseness and the patient had a history OLP for 2 years old.Poor oral hygiene,soft gingival texture,dark red,the probing depth(PD)5-6 mm,attachment loss(AL)8-9 mm,bleeding on probing(BOP)(+),bilateral posterior teeth loosenedⅢ°,alveolar bone resorption to 2/3 root were found in the patient;white lesions were seen on the buccal mucosa and the gingival margin of the patient,the mucosa at the lesion was dark red,and erosion and ulcer was seen on the gingival papilla.Regular anti-infective combination therapy(basic periodontal therapy combined with triamcinolone acetonide injection therapy)was performed.When the inflammation remained stable,theⅢ°mobile teeth were extracted in turn.Three months after surgery,the implant restoration was performed in the area of tooth loss of the patient.After combined treatment,the condition of OLP of the patient was controlled,the pain and rough discomfort were significantly reduced,the periodontal inflammation was effectively improved.The implant and the surrounding bone tissue were well combined and the chewing function of bilateral posterior teeth was restored.Conclusion:Multidisciplinary combined treatment can effectively alleviate the clinical symptoms of the patient with OLP and the implant repair of the patient with OLP is realized after the condition is controlled.

作者仲杨夏德庚张庆宇赵竹兰黄玉马宁张莉 ZHONG Yang;XIA Degeng;ZHANG Qingyu;ZHAO Zhulan;HUANG Yu;MA Ning;ZHANG Li(Department of Periodontics,Stomatology Hospital,Jilin University,Changchun 130021,China;Department of Emergency,Stomatology Hospital,Jilin University,Changchun 130021,China)

机构地区吉林大学口腔医院牙周科吉林大学口腔医院急诊科

出处《吉林大学学报（医学版）》 CAS CSCD 北大核心 2021年第4期1033-1037,共5页 Journal of Jilin University：Medicine Edition

基金吉林省教育厅科学技术研究规划项目(JJKH20211213KJ)。

关键词口腔扁平苔藓种植修复联合治疗探诊深度探诊出血 oral lichen planus implant repair regular follow-up probing depth bleeding on probing

分类号 R781.45 [医药卫生—口腔医学]

作者简介仲杨(1996-),女,山东省聊城市人,在读硕士研究生,主要从事牙周病诊治方面的研究。;通信作者:马宁,教授,硕士研究生导师(E-mail:man@jlu.edu.cn);通信作者:张莉,副教授,硕士研究生导师(E-mail:zhang_li99@jlu.edu.cn)。