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class="small ico">小</a></div> </div> </div> </div>  <div style="width: 800px;text-align: left;margin: 0 auto;margin-bottom: 20px;"> <div style="width:800px; height:90px;">  <a href="http://thedailypurge.net/yishizigekaoshi/baoming/li2412107427.shtml" target="_blank"> <img title="報名預(yù)約" src="http://thedailypurge.net/upload/resources/image/2024/12/12/826396.png" width="800" height="90" style="border:0px;"></a> </div> </div>  <p></p>  <div id="0iue6wk" class="news_con"> <div id="gkmgs48" class="jxbox clearfix"> <p style="text-align: left;">醫(yī)學(xué)教育網(wǎng)小編整理了2023<a href="http://thedailypurge.net/shijianjineng/" target="_blank" title="口腔執(zhí)業(yè)醫(yī)師實踐技能" class="hotLink">口腔執(zhí)業(yè)醫(yī)師實踐技能</a>模考卷有關(guān)“侵襲性牙周炎”病例分析，希望可以幫助大家鞏固相關(guān)考點！只有牢固掌握知識點，備考才會有方向，考試過程中才不會慌亂，想了解2023年<a href="http://thedailypurge.net/shijianjineng/" target="_blank" title="口腔執(zhí)業(yè)醫(yī)師實踐技能" class="hotLink">口腔執(zhí)業(yè)醫(yī)師實踐技能</a>考試更多知識點，請跟隨小編一起學(xué)習(xí)吧！</p><section draggable="true" data-tools="135編輯器" data-id="109677" style="white-space: normal;"><section style="margin: 10px auto;"><section style="display: inline-block;"><section style="display: flex; justify-content: center;"><section style="border: 1px solid rgb(140, 183, 246); padding: 5px 19px 5px 7px; background-color: rgb(255, 255, 255); box-sizing: border-box;"><section style="display: flex; justify-content: center; align-items: center;"><section style="color: rgb(140, 183, 246); background: linear-gradient(rgba(254, 254, 254, 0) 0%, rgba(254, 254, 254, 0) 80%, rgb(255, 240, 158) 80%, rgb(255, 240, 158) 100%);"><span style="letter-spacing: 1.5px;"><strong>病例分析</strong></span></section></section></section><section style="display: flex; margin: 3px 0px -3px;"><section style="width: 3px; height: 37px; border-top: 1px solid rgb(140, 183, 246); border-right: 1px solid rgb(140, 183, 246); background-color: rgb(255, 189, 74); overflow: hidden; box-sizing: border-box; transform: skewY(50deg);"></section></section></section><section style="margin: 0px 2.5px;"><section data-width="100%" style="width: 201px; height: 6px; background-color: rgb(140, 183, 246); overflow: hidden; box-sizing: border-box; transform: skew(40deg); max-width: 100%;"></section></section></section><section style="background-color: rgb(239, 245, 254); padding: 35px 15px 20px; border-radius: 10px; margin: -18px 0px 0px 5px; box-sizing: border-box;"><section style="background-color: rgb(255, 255, 255); padding: 10px 10px 15px; box-sizing: border-box;"><section data-autoskip="1" style="text-align: justify; line-height: 1.75em; letter-spacing: 1.5px; color: rgb(82, 82, 82); background: transparent;"><p>患者，男性，16歲。因刷牙出血，咀嚼無力月余前來就診。檢查雙側(cè)下頜切牙和下頜第一<a href="http://thedailypurge.net/jibing/moya/" target="_blank" title="磨牙" class="hotLink">磨牙</a>松動度Ⅰ度，切牙唇側(cè)移位，牙周袋5——6mm，第一<a href="http://thedailypurge.net/jibing/moya/" target="_blank" title="磨牙" class="hotLink">磨牙</a>牙周袋深度為6mm左右。菌斑指數(shù)和牙齦指數(shù)為1，探診牙齦出血。X線檢查所示：下頜雙側(cè)第一恒<a href="http://thedailypurge.net/jibing/moya/" target="_blank" title="磨牙" class="hotLink">磨牙</a>牙槽骨“弧形吸收”，前牙牙槽骨為水平吸收，其他牙齒牙槽骨無異常。</p><p>1、請給出以上病例分析中的診斷。（本題滿分6分）</p><p>參考要點：</p><p>診斷：局限型侵襲性牙周炎。</p><p>2、請給出以上病例分析中的診斷依據(jù)。（本題滿分3分）</p><p>參考要點：</p><p>（1）男性，16歲，刷牙出血，切牙和第一<a href="http://thedailypurge.net/jibing/moya/" target="_blank" title="磨牙" class="hotLink">磨牙</a>松動度Ⅰ度。</p><p>（2）前牙牙周袋5——6mm，第一<a href="http://thedailypurge.net/jibing/moya/" target="_blank" title="磨牙" class="hotLink">磨牙</a>牙周袋深度為6mm左右，菌斑指數(shù)及牙齦指數(shù)為1。</p><p>（3）X線片顯示第一恒<a href="http://thedailypurge.net/jibing/moya/" target="_blank" title="磨牙" class="hotLink">磨牙</a>牙槽骨呈現(xiàn)“弧形吸收”，前牙牙槽骨為“水平吸收”。其他牙齒無異常。</p><p>3、請給出以上疾病的相關(guān)鑒別診斷。（本題滿分4分）</p><p>參考要點：</p><p>（1）慢性牙周炎：多見于成年人，有附著喪失和牙槽骨吸收，病變程度與局部刺激量一致，疾病進展較慢。</p><p>（2）慢性齦炎：有<a href="http://thedailypurge.net/jibing/yayinyan/" target="_blank" title="牙齦炎" class="hotLink">牙齦炎</a>癥表現(xiàn)，但無附著喪失和牙槽骨吸收。</p><p>（3）牙外傷：牙齒有松動，有牙外傷史。</p><p>（4）伴有全身疾病的牙周炎：例如<a href="http://thedailypurge.net/jibing/tangniaobing/" target="_blank" title="糖尿病" class="hotLink">糖尿病</a>性牙周炎、Down綜合征或掌跖角化綜合征等，均有系統(tǒng)性疾病或牙周炎的全身促進因素，可直接排除。</p><p>4、請給出以上病例分析的治療設(shè)計。（本題滿分5分）</p><p>參考要點：</p><p>（1）徹底清除菌斑生物膜，消除菌斑滯留因素，控制感染——牙周基礎(chǔ)治療（OHI、潔治、刮治及根面平整）。</p><p>（2）輔助應(yīng)用抗菌藥物。</p><p>（3）調(diào)整機體的防御功能。</p><p>（4）必要時手術(shù)治療。</p><p>（5）建立平衡的（牙合）關(guān)系，包括正畸矯治牙齒移位。</p><p>（6）牙周定期維護和防止復(fù)發(fā)，復(fù)查復(fù)治間隔期宜短。</p><p>【該題針對“侵襲性牙周炎”知識點進行考核】</p></section></section></section></section></section><section data-role="paragraph" style="white-space: normal; height: 0px; overflow: hidden;"></section><section data-role="paragraph" style="white-space: normal;"><p style="text-align: right;"><span style="color: rgb(127, 127, 127);">聲明：本文為正保醫(yī)學(xué)教育網(wǎng)原創(chuàng)整理，轉(zhuǎn)載請注明來源正保醫(yī)學(xué)教育網(wǎng)。</span></p></section><section data-role="paragraph" style="white-space: 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