侵袭性牙周炎一例PPT.ppt

局限性侵袭性牙周炎一例;那天……;医生，我想补牙;牙又疼了，这会儿还肿起来了，不能出去见人了，555……;来，跟我说;临床检查;;;;全身情况：;诊断;鉴别诊断;1.non-contributory medical history2.rapid attachment loss and bone destruction3.familial aggregation of cases;Circumpubertal onset Localized first molar/incisor presentation with interproximal attachment loss on at least two permanent teeth ,one of which is a first molar, and involving no more than two teeth other than first molars and incisors Robust serum antibody response to infecting agents;治疗设计;45 RCT后;手工龈上洁治+龈下刮治+根面平整（SRP）;讨论;心得;谢谢！;菌斑引起的牙周疾病