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ID:13172047
大小:848.50 KB
页数:90页
时间:2018-07-21
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1、Unit10PeriodontalDiseaseZengsujuanDentalHospitalofGuangzhouMedicalCollege1Thecharacteristicfeatureofperiodontitisisalossoftheconnectivetissueandalveolarstucture,termedalossofattachment.periodontitis牙周炎theconnectivetissue结缔组织alveolar牙槽的2Gingivalinflammationisacommonconcurrentfeature.Gingivalinflamm
2、ation:牙龈炎concurrentfeature:伴发症状3Thislosswillbeevidencedbyanapicalmigrationofthejunctionalepithelium,whichcanresultinaperiodontalpocket(and/orgingivalrecession)coincideswiththatapicalmigration.evidence:表现apicalmigration:根向迁移thejunctionalepithelium:结合上皮periondontalpocket:牙周袋coincideswith:与……一致4Gingiv
3、itisisusuallyaprecursortoperiodontitis,butnotallgingivitisprogressestoperiodontitis.Precursor:先兆、前兆5Periodontitisresultsfromahostresponsetomicrobialplaque;however,mechanismsforitsinitiationandprogressionarestillbeingstudied.Resultfrom:起因于Host;大量的mechanism:机制initiation6Thetermofperiodontaldisease
4、activityreferstothestageofthediseasecharacterizedbylossofperiodontalattachment.Propose:提议Progression:进展periodontalattachment:牙周附着7Itimpliesthatthenaturalhistoryofperiodontaldiseasehasperiodsofactivedestructionandperiodsofrelativeinactivity,althoughchronicinflammationpersists.Destruction:破坏、消灭8Coto
5、n(1989)summarizesthethreetheoriesofperiodontaldiseaseactivityas:①thecontinuousparadigmsthatimpliesalow,constantprogressionofperiodontaldegenerationsummarizes:总结paradigm:范例degeneration:退化、恶化Threemodelshavebeenproposedtoexplaintheprogressionofperiodontitis.9②Therandombursttheorythatimpliesthatsho
6、rtperiodsofdestructionarefollowedbyperiodsofnodestruction,occurringrandomlydestruction:消灭randomly:随机地10③Theasynchronousmultiplebursttheorythatimpliesthatperiodontaldiseaseactivity,andresultantdestructionoccurswithinaspecificperiodoflifeandisfollowedbyremission.asynchronous:不同时存在性,异步的resultant:必然产生
7、的remission:减轻、平息11Loeandcoworker(1986)assertthattherateofprogressvariesindifferentsites,atdifferentages,andbetweenindividualsandgroups.12Theperiodontitislesionprogressessteadilyovertime,eventhoughtheremayb
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