臺灣博碩士論文加值系統

牙周病侵犯過後的齒列重建在牙科治療中相當具有挑戰性。每位患者的狀況都十分獨特，且其複雜的問題往往需要多專科的治療。本論文中將提出9個臨床案例，其中有4位男性、5位女性，年齡介於55歲到73歲，其中8位有系統性疾病。這些案例的齒列狀況分布在PDI Class III至IV，伴隨嚴重程度不等的牙周病。在案例一至案例三中可見到，因應不同患者狀況以及不同的補綴計畫時，抉擇問題牙齒去留須納入不同考量。在案例四至案例六可見到，牙周病患磨耗齒列的不同成因，其局部產生的問題有不同處理方式。在案例六及案例七，藉由牙周手術改善了軟組織及硬組織的缺損，進而改善口腔衛生維持情形。案例八至案例九，則可見牙周病侵犯的咬合對數不足齒列，在重建上的困境。案例二及案例八亦包含矯正治療在其中。在治療計畫擬定及治療期間，各科的治療理念可能互有牴觸，而牙周補綴的思考流程則能為患者提供具整合性且有系統的治療模式，以達到符合、功能、美觀及舒適的重建目標，治療成果亦易於維持。

Full mouth rehabilitation is a challenging situation. Every case is unique in itself. And the complex problems need multidisciplinary approach. This paper presents 9 clinical cases, including 4 males and 5 females from ages 55 to 73; 8 of the cases have systemic disease. These cases are ranging from PDI class III to IV with different severity of periodontitis. From case no.1 to case no.3, preserving questionable teeth or not depends on different situations and final treatment plan. From case no.4 to case no.6, patients with periodontitis and attrition dentition are caused by different reasons and are treated different way. In case no.6 and case no.7, because the deficiency of periodontal tissue has improved after periodontal surgery, the patients can maintain oral hygiene more easily. In case no.8 and case no.9, we faced difficult conditions that patients with insufficient occluding pair and severe periodontitis. In case no.2 and case no.8, orthodontic treatment was involved. At the treatment plan decision and active treatment phase, there is contradiction between different divisions. Periodontal prosthesis thinking process provides a systemized and integrated way to approach objective of health, restoring function, aesthetics, comfort, and to maintain easily.

目錄(p.1)、中文摘要(p.2)、英文摘要(p.3)、誌謝(p.4)、材料與方法(p.5)、病歷摘要表(p.6)、病例報告(p.9-338)、結論(p.339)

1.Gamer, S., R. Tuch, and L.T. Garcia, MM House mental classification revisited: Intersection of particular patient types and particular dentist's needs. The Journal of prosthetic dentistry, 2003. 89(3): p. 297-302.
2.Proffit, W.R., H.W. Fields Jr, and D.M. Sarver, Contemporary Orthodontics, 5th ed. 2012: Elsevier India. p. 2-4
3.Okeson, J., History and Examination for Temporomandibular Disorders Management of Temporomandibular Disorders and Occlusion. 4th ed. . 1998: St. Louis: Mosby. p. 234-309.
4.Rosenstiel, S.F. and M.F. Land, Contemporary Fixed Prosthodontics-E-Book. 2015: Elsevier Health Sciences. p. 31-33.
5.Tonetti, M.S., H. Greenwell, and K.S. Kornman, Staging and grading of periodontitis: Framework and proposal of a new classification and case definition. Journal of clinical periodontology, 2018. 45: p. 149-161.
6.Lang, N.P. and M.S. Tonetti, Periodontal risk assessment (PRA) for patients in supportive periodontal therapy (SPT). Oral Health Prev Dent, 2003. 1(1): p. 7-16.
7.McGuire, M.K., Prognosis versus actual outcome: a long‐term survey of 100 treated periodontal patients under maintenance care. Journal of periodontology, 1991. 62(1): p. 51-58.
8.Eichner, K., Renewed examination of the group classification of partially edentulous arches by Eichner and application advices for studies on morbidity statistics. Stomatologie der DDR, 1990. 40(8): p. 321-325.
9.宮地建夫, 欠損歯列の臨床評価と処置方針. 1998: 医歯薬出版. p. 38-44.
10.蔡宗伯, 聊聊欠損齒列與交錯咬合. 中華民國贋復牙科學會會訊, 1990. 第15卷第1期. p.17-25
11.Froum, S.J. and P.S. Rosen, A proposed classification for peri-implantitis. International Journal of Periodontics and Restorative Dentistry, 2012. 32(5): p. 533.
12.Decker, A.M., et al., A prognosis system for periimplant diseases. Implant dentistry, 2015. 24(4): p. 416-421.
13.黃煜程, et al., 植體周圍炎的現況: 文獻回顧. 臺灣牙周病醫學會雜誌, 2016. 21(3): p. 277-294.
14.Renvert, S., et al., Peri‐implant health, peri‐implant mucositis, and peri‐implantitis: Case definitions and diagnostic considerations. Journal of clinical periodontology, 2018. 45: p. S278-S285.
15.Heitz‐Mayfield, L.J. and N.P. Lang, Comparative biology of chronic and aggressive periodontitis vs. peri‐implantitis. Periodontology 2000, 2010. 53(1): p. 167-181.
16.Berglundh, T., N.U. Zitzmann, and M. Donati, Are peri‐implantitis lesions different from periodontitis lesions? Journal of clinical periodontology, 2011. 38: p. 188-202.
17.Atieh, M.A., et al., The frequency of peri‐implant diseases: a systematic review and meta‐analysis. Journal of periodontology, 2013. 84(11): p. 1586-1598.
18.Renvert, S., A.M. Roos‐Jansåker, and N. Claffey, Non‐surgical treatment of peri‐implant mucositis and peri‐implantitis: a literature review. Journal of clinical periodontology, 2008. 35: p. 305-315.
19.Renvert, S., I. Polyzois, and N. Claffey, Surgical therapy for the control of peri‐implantitis. Clinical oral implants research, 2012. 23: p. 84-94.
20.Claffey, N., et al., Surgical treatment of peri‐implantitis. Journal of clinical periodontology, 2008. 35: p. 316-332.
21.Lindhe, J., J. Meyle, and G.D.o.t.E.W.o. Periodontology, Peri‐implant diseases: consensus report of the sixth European workshop on periodontology. Journal of clinical periodontology, 2008. 35: p. 282-285.
22.Kim, Y., et al., Occlusal considerations in implant therapy: clinical guidelines with biomechanical rationale. Clinical oral implants research, 2005. 16(1): p. 26-35.
23.Jones, J.D. and L.T. Garcia, Removable partial dentures: a clinician's guide. 2009: John Wiley & Sons.
24.Cha, M.-S., et al., A comparative study of the wear of dental alloys against monolithic zirconia. The Journal of Prosthetic Dentistry, 2020. 123(6): p. 866-873.
25.Starr, R., Removable Bridge-Work, Porcelain-Crowns. D. Cosmos, 1886. 28: p. 17-19.
26.Hofmann, M. and F. Seiler, Führungseigenschaften verschiedener Verbindungselemente im Hinblick auf die Kinematik von Freiendsätteln. Dtsch Zahnärztl, 1988(1988): p. 43.
27.岸正孝, 歯槽堤粘膜の被圧変位性に関する加圧面の面積と変位量との関係についての実験的研究. 歯科学報, 1972. 72: p. 1043-1071.
28.Mühlemann, H.R., Periodontometry, a method for measuring tooth mobility. Oral Surgery, Oral Medicine, Oral Pathology, 1951. 4(10): p. 1220-1233.
29.Wang, C. and Y. Igarashi, Konuskrone Telescopic System. 2007, Kaohsiung: Liwen Publishers.
30.Körber, K., Electronic registration of tooth movements. International dental journal, 1971. 21(4): p. 466.
31.五十嵐順正 and 藍稔, 支台歯に強く支持を求めた遊離端義歯. 日本補綴歯科学会雑誌, 1982. 26(5): p. 1014-1020.
32.Hou, G.-L., et al., A new classification of molar furcation involvement based on the root trunk and horizontal and vertical bone loss. International Journal of Periodontics & Restorative Dentistry, 1998. 18(3).
33.Nyman, S. and J. Lindhe, Persistant tooth Hypermobilité following completion of periodontal treatment. Journal of clinical periodontology, 1976. 3(2): p. 81-93.
34.Avila‐Ortiz, G., J.G. De Buitrago, and M.S. Reddy, Periodontal regeneration–furcation defects: a systematic review from the AAP Regeneration Workshop. Journal of periodontology, 2015. 86: p. S108-S130.
35.黃良吉, 林玉珠, and 唐正, 接受牙周治療成人病患中牙根分叉侵犯之發生率. 中華民國牙周病醫學會雜誌, 2002. 7(4): p. 247-255.
36.Hirschfeld, L. and B. Wasserman, A long‐term survey of tooth loss in 600 treated periodontal patients. Journal of periodontology, 1978. 49(5): p. 225-237.
37.Roccuzzo, M., et al., Long‐term results of a three arms prospective cohort study on implants in periodontally compromised patients: 10‐year data around sandblasted and acid‐etched (SLA) surface. Clinical oral implants research, 2014. 25(10): p. 1105-1112.
38.Karoussis, I.K., et al., Long‐term implant prognosis in patients with and without a history of chronic periodontitis: a 10‐year prospective cohort study of the ITI® Dental Implant System. Clinical oral implants research, 2003. 14(3): p. 329-339.
39.Bartl, R. and E. von Tresckow, Pharmacological aspects of antiresorptive drugs: bisphosphonates and denosumab, in Medication-Related Osteonecrosis of the Jaws. 2015, Springer. p. 1-15.
40.Qi, W.-X., et al., Risk of osteonecrosis of the jaw in cancer patients receiving denosumab: a meta-analysis of seven randomized controlled trials. International journal of clinical oncology, 2014. 19(2): p. 403-410.
41.Papapoulos, S., et al., Five years of denosumab exposure in women with postmenopausal osteoporosis: results from the first two years of the FREEDOM extension. Journal of Bone and Mineral Research, 2012. 27(3): p. 694-701.
42.Ruggiero, S.L., et al., American Association of Oral and Maxillofacial Surgeons position paper on medication-related osteonecrosis of the jaw—2014 update. Journal of oral and maxillofacial surgery, 2014. 72(10): p. 1938-1956.
43.Walter, C., et al., Dental implants in patients treated with antiresorptive medication–a systematic literature review. International journal of implant dentistry, 2016. 2(1): p. 9.
44.Mehta, S.B., et al., Current concepts on the management of tooth wear: part 1. Assessment, treatment planning and strategies for the prevention and the passive management of tooth wear. British dental journal, 2012. 212(1): p. 17.
45.Miyazaki, T., et al., A review of dental CAD/CAM: current status and future perspectives from 20 years of experience. Dental materials journal, 2009. 28(1): p. 44-56.
46.Lee, S.J., R.X. MacArthur IV, and G.O. Gallucci, An evaluation of student and clinician perception of digital and conventional implant impressions. The Journal of prosthetic dentistry, 2013. 110(5): p. 420-423.
47.de Villaumbrosia, P.G., et al., In vitro comparison of the accuracy (trueness and precision) of six extraoral dental scanners with different scanning technologies. The Journal of prosthetic dentistry, 2016. 116(4): p. 543-550. e1.
48.Pradíes, G., et al., Clinical evaluation comparing the fit of all-ceramic crowns obtained from silicone and digital intraoral impressions based on wavefront sampling technology. Journal of dentistry, 2015. 43(2): p. 201-208.
49.Prajapati, A., et al., Dentistry goes digital: a CAD-CAM way-a review article. IOSR Journal of Dental and Medical Sciences, 2014. 13(8): p. 53-9.
50.张翼, et al., 第三磨牙倾斜不同角度对下颌双端固定桥应力的影响. 口腔颌面修复学杂志, 2011. 12(3): p. 134-138.
51.Hood, J.A., J.W. Farah, and R.G. Craig, Modification of stresses in alveolar bone induced by a tilted molar. Journal of Prosthetic Dentistry, 1975. 34(4): p. 415-421.
52.McCracken, W.L., A comparison of tooth-borne and tooth-tissue-borne removable partial dentures. Journal of Prosthetic Dentistry, 1953. 3(3): p. 375-381.
53.Luk, K.-c., et al., Unilateral rotational path removable partial dentures for tilted mandibular molars: Design and clinical applications. The Journal of prosthetic dentistry, 1997. 78(1): p. 102-105.
54.Miller Jr, P., A classification of marginal tissue recession. Int. J. Periodont. Rest. Dent., 1985. 5: p. 9.
55.Löe, H., Å. Ånerud, and H. Boysen, The natural history of periodontal disease in man: prevalence, severity, and extent of gingival recession. Journal of periodontology, 1992. 63(6): p. 489-495.
56.SULLIVAN, H.C., Free autogenous gingival grafts. III. Utilization of grafts in the treatment of gingival recession. Periodontics, 1968. 6: p. 152-160.
57.Mlinek, A., H. Smukler, and A. Buchner, The use of free gingival grafts for the coverage of denuded roots. Journal of Periodontology, 1973. 44(4): p. 248-254.
58.Nordland, W.P. and D.P. Tarnow, A classification system for loss of papillary height. Journal of periodontology, 1998. 69(10): p. 1124-1126.
59.Gorman, W.J., Prevalence and etiology of gingival recession. The Journal of Periodontology, 1967. 38(4): p. 316-322.
60.Albandar, J. and A. Kingman, Gingival recession, gingival bleeding, and dental calculus in adults 30 years of age and older in the United States, 1988‐1994. Journal of periodontology, 1999. 70(1): p. 30-43.
61.Modéer, T. and L. Odenrick, Post-treatment periodontal status of labially erupted maxillary canines. Acta Odontologica Scandinavica, 1980. 38(4): p. 253-256.
62.Wennström, J.L., et al., Some periodontal tissue reactions to orthodontic tooth movement in monkeys. Journal of clinical periodontology, 1987. 14(3): p. 121-129.
63.Bernimoulin, J.P. and Z. Curilović, Gingival recession and tooth mobility. Journal of clinical periodontology, 1977. 4(2): p. 107-114.
64.Kassab, M.M. and R.E. Cohen, The etiology and prevalence of gingival recession. The Journal of the American Dental Association, 2003. 134(2): p. 220-225.
65.Bouchard, P., et al., Subepithelial connective tissue grafts in the treatment of gingival recessions. A comparative study of 2 procedures. Journal of Periodontology, 1994. 65(10): p. 929-936.
66.Wennström, J.L. and G. Zucchelli, Increased gingival dimensions. A significant factor for successful outcome of root coverage procedures? A 2‐year prospective clinical study. Journal of clinical periodontology, 1996. 23(8): p. 770-777.
67.Trombelli, L., et al., Subpedicle connective tissue graft versus guided tissue regeneration with bioabsorbable membrane in the treatment of human gingival recession defects. Journal of periodontology, 1998. 69(11): p. 1271-1277.
68.Harris, R.J., A comparison of 2 root coverage techniques: Guided tissue regeneration with a bioabsorbable matrix style membrane versus a connective tissue graft combined with a coronally positioned pedicle graft without vertical incisions. Results of a series of consecutive cases. Journal of periodontology, 1998. 69(12): p. 1426-1434.
69.Carr, A.B. and D.T. Brown, McCracken's Removable Partial Prosthodontics-E-Book. 2010: Elsevier Health Sciences.
70.蔣依婷, et al., 咬合創傷造成之牙周組織傷害. 臺灣牙周病醫學會雜誌, 2013. 18(2): p. 105-111.
71.Ramfjord, S.P. and C.A. Kohler, Periodontal reaction to functional occlusal stress. 1959.
72.Glickman, I., et al., Photoelastic analysis of internal stresses in the periodontium created by occlusal forces. Journal of periodontology, 1970. 41(1): p. 30-35.
73.Carranza, F.A., Periodontal response to external forces. Carranza's clinical periodontology, 2011: p. 151-159.
74.Polson, A. and H. Zander, Effect of periodontal trauma upon intrabony pockets. Journal of periodontology, 1983. 54(10): p. 586-591.
75.Fu, J.-H. and H.-L. Wang, Horizontal bone augmentation: the decision tree. International Journal of Periodontics & Restorative Dentistry, 2011. 31(4).
76.Chasioti, E., T.F. Chiang, and H.J. Drew, Maintaining space in localized ridge augmentation using guided bone regeneration with tenting screw technology. Quintessence International, 2013. 44(10).
77.Barone, A., et al., Xenograft versus extraction alone for ridge preservation after tooth removal: a clinical and histomorphometric study. Journal of periodontology, 2008. 79(8): p. 1370-1377.
78.Peng, C.-C., et al., Deformed Ridge Reconstruction Combining Tenting Screws and Guided Bone Regeneration before Implant Surgery-A Case Report. 臺灣口腔顎面外科學會雜誌, 2012. 23(4): p. 321-333.
79.Itoh, H., et al., Effects of periodontal support and fixed splinting on load transfer by removable partial dentures. The Journal of prosthetic dentistry, 1998. 79(4): p. 465-471.
80.Mathews, D.P. and V.G. Kokich. Managing treatment for the orthodontic patient with periodontal problems. in Seminars in orthodontics. 1997. Elsevier.
81.Steiner, G.G., J. Pearson, and J. Ainamo, Changes of the marginal periodontium as a result of labial tooth movement in monkeys. Journal of periodontology, 1981. 52(6): p. 314-320.
82.Dorfman, H.S., Mucogingival changes resulting from mandibular incisor tooth movement. American journal of orthodontics, 1978. 74(3): p. 286-297.
83.Dorfman, H.S., J.E. Kennedy, and W.C. Bird, Longitudinal evaluation of free autogenous gingival grafts: a four year report. Journal of periodontology, 1982. 53(6): p. 349-352.
84.Brown, I.S., The Effect of Orthodontic Therapy on Certain Types of Periodontal Defects I—Clinical Findings. Journal of periodontology, 1973. 44(12): p. 742-756.
85.Becker, W. and B.E. Becker, Treatment of mandibular 3‐wall intrabony defects by flap debridement and expanded polytetrafluoroethylene barrier membranes. Long‐term evaluation of 32 treated patients. Journal of periodontology, 1993. 64: p. 1138-1144.
86.Levine, D.F., M. Handelsman, and N. Ravon, Crown lengthening surgery: a restorative-driven periodontal procedure. Journal of the California dental association, 1999. 27(2): p. 143-151.
87.Brägger, U., D. Lauchenauer, and N. Lang, Surgical lengthening of the clinical crown. Journal of clinical periodontology, 1992. 19(1): p. 58-63.
88.Vacek, J.S., et al., The dimensions of the human dentogingival junction. International Journal of Periodontics & Restorative Dentistry, 1994. 14(2).
89.Herrero, F., et al., Clinical comparison of desired versus actual amount of surgical crown lengthening. Journal of periodontology, 1995. 66(7): p. 568-571.
90.Wagenberg, B., Exposing adequate tooth structure for restorative dentistry. Int J Periodontics Restrative Dent, 1989. 9: p. 322-331.
91.Pontoriero, R. and G. Carnevale, Surgical crown lengthening: a 12‐month clinical wound healing study. Journal of Periodontology, 2001. 72(7): p. 841-848.
92.Dibart, S., et al., Crown lengthening in mandibular molars: A 5‐year retrospective radiographic analysis. Journal of periodontology, 2003. 74(6): p. 815-821.
93.Sorensen, J.A. and M.J. Engelman, Ferrule design and fracture resistance of endodontically treated teeth. Journal of Prosthetic Dentistry, 1990. 63(5): p. 529-536.
94.Libman, W.J. and J.I. Nicholls, Load fatigue of teeth restored with cast posts and cores and complete crowns. International Journal of Prosthodontics, 1995. 8(2).
95.Jorgensen, M.G. and H. Nowzari, Aesthetic crown lengthening. Periodontology 2000, 2001. 27(1): p. 45-58.
96.石橋眞澄, 歯牙の動搖に関する実驗的研究 (第 1 報) 荷重と動搖との関係について. 口腔病学会雑誌, 1953. 20(3): p. 187-191.