微创非手术牙周治疗技术的临床研究进展

Process and progress in the clinical research of minimally invasive non-operative periodontal therapy technology

摘要

牙周炎是造成牙齿脱落的主要原因之一。传统的牙周非手术治疗（NSPT）是规范化牙周序列治疗的第一步，然而该治疗对存在骨内缺陷的中重度牙周炎患者的治疗效果有限，常需要进一步行牙周手术治疗。随着“微创牙科”治疗理念的不断推广，有学者提出了微创非手术牙周治疗技术（MINST），即以微创操作进行非手术牙周治疗的技术。MINST可在一定条件内替代牙周手术治疗来改善牙周骨内缺损的牙周临床指标，并在减少术后疼痛、提高美观和患者接受度等方面取得较为满意的效果。本文总结了MINST的提出和临床应用进展，分析该技术与传统的NSPT和微创牙周手术治疗的效果，并就该技术联合其他辅助治疗手段（包括局部药物治疗、釉基质衍生物、牙周内镜）的应用进展进行综述。

Abstract

Periodontitis is one of the main causes of tooth loss. Traditional non-surgical periodontal therapy (NSPT) is the first step of standardizing periodontal sequence therapy. However, the therapeutic effect of NSPT is limited in patients with moderate to severe periodontitis with intrabony defects. The minimally invasive non-surgical periodontal therapy (MINST) was proposed with the development of minimally invasive dental treatment. MINST is the technology of nonsurgical periodontal treatment with minimally invasive operation. This technology can replace periodontal surgery within certain conditions, improve the periodontal clinical parameters of intrabony defects, reduce postoperative pain, and improve the aesthetic and patient satisfaction of the MINST therapy outcome. This study summarizes the progress of the proposal and clinical application of MINST technology, analyzes the effect of the technology on traditional periodontal nonsurgical treatment and minimally invasive periodontal surgical treatment, and summarizes the application progress of this technology combined with other adjuvant treatments (including local medication, enamel matrix proteins, and periodontal endoscopy).

关键词

牙周炎 / 骨内缺损 / 牙周非手术治疗 / 微创治疗

Key words

periodontitis / intrabony defect / non-surgical periodontal treatment / minimally invasive treatment

Author summay

马瑜鸿，主治医师，学士，Email：[e-mail]