| Summary: | 碩士 === 高雄醫學大學 === 牙醫學研究所碩士在職專班 === 92 === On clinical we have met many patients lost their teeth due to peridontitis, caries…etc, even worse posterior bite collapse, also because of inadequate restoration, induce periodontal and occlusal pathosis, esthetic impairment, absence of stable occlusion, difficulty in mastication, temporomandibular joint (TMJ) dysfunction.
We want to find a practical guideline and sequence for the periodontal therapy. The treatment results should be predictable and long-lasting. A typical sequence of therapy in the management of the periodontal-prosthetic case is as follows:Initial therapy phase; Provisional restoration and stabilization; Definitive periodontal management phase; Prosthetic phase; Recall and maintenance phase (Rosenberg, Kay, Keough, & Hol, 1988).
The thesis includes 9 clinical cases that often met in clinics (male 6, female 3), average age of the cases is 52 years old (48 years old to 78 years old), the periodontal problem were suprabony pocket , intrabony pocket, furcation involvement. According to every case’s periodontal characteristics follow the five sequence described above, to design treatment plane suit for every case indivally. The periodontal treatment includes nonsurgical treatment and surgical treatment (pocket reduction surgery, open debridement, tooth separation, root amputation). The final prosthesis design including root amputation with fixed crown bridge (case 1), capping with overdenture (case 2, 3), removeable partial denture (case 3, 4, 5, 6), implant (case 7, 8, 9), and complete denture (case 7).
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