验求了 Chapter 12 第十二章 Periodontal Disease 牙周组织疾病
Department of Oral Pathology, Shandong University http://course.sdu.edu.cn/oralhistopath.html Chapter 12 第十二章 Periodontal Disease 牙 周 组 织 疾 病
Periodontal disease ● Introduction o Epidemiology Department of Oral Pathology, Shandong University http://course.sdu.edu.cn/oralhistopath.html
Department of Oral Pathology, Shandong University http://course.sdu.edu.cn/oralhistopath.html 2 Introduction Epidemiology Periodontal Disease
Periodontal disease 全国12-74岁6个区段均健康的人数和百分比 年龄(岁) 受检人数健康人数分比(‰) 12 23452 7272 31.01 15 23452 5062 21.58 23452 3475 14.82 3544 23452 668 2.85 65-74 23452 132 0.56 Department of Oral Pathology, Shandong University http://course.sdu.edu.cn/oralhistopath.html
Department of Oral Pathology, Shandong University http://course.sdu.edu.cn/oralhistopath.html 3 Periodontal Disease
Periodontal disease Bjon报告 人类牙齿丧失率牙周病50% 龋病39% 其他原因11% Pause报告: 20岁以前牙丧失以龋病为多;20岁以后由于 牙周病而丧失牙齿逐渐增高,40岁时达60%,50 岁以后达80% Department of Oral Pathology, Shandong University http://course.sdu.edu.cn/oralhistopath.html
Department of Oral Pathology, Shandong University http://course.sdu.edu.cn/oralhistopath.html 4 Bjorn报告： 人类牙齿丧失率 牙 周 病 50% 龋 病 39% 其他原因 11% Pauwell报告: 20岁以前牙丧失以龋病为多；20岁以后由于 牙周病而丧失牙齿逐渐增高，40岁时达60%，50 岁以后达80% Periodontal Disease
Periodontal disease Alen统计: 90%牙齿因龋病和牙周病拔除 龋病平均每人拔牙3.29个 牙周病平均每人拔牙10.35个 Department of Oral Pathology, Shandong University http://course.sdu.edu.cn/oralhistopath.html
Department of Oral Pathology, Shandong University http://course.sdu.edu.cn/oralhistopath.html 5 Allen统计: 90%牙齿因龋病和牙周病拔除 龋 病平均每人拔牙 3.29个 牙周病平均每人拔牙10.35个 Periodontal Disease
Periodontal disease Deposits on teeth surface e dental plaque e soft mucinous deposits SO ft o stains calculus hard Department of Oral Pathology, Shandong University http://course.sdu.edu.cn/oralhistopath.html
Department of Oral Pathology, Shandong University http://course.sdu.edu.cn/oralhistopath.html 6 Deposits on teeth surface dental plaque soft mucinous deposits stains calculus soft hard Periodontal Disease
Periodontal disease 菌斑( dental plaque: o健康的牙龈沟内主要的细菌:G球菌、 杆菌和丝状菌 ◎牙周袋深部的主要细菌:G厌氧菌、放 线菌、螺旋体,也有阿米巴原虫。 o菌斑除能附着在牙面上,也能附着在龈 沟或牙周袋的上皮上,形成上皮附着性 菌斑。 Department of Oral Pathology, Shandong University http://course.sdu.edu.cn/oralhistopath.html
Department of Oral Pathology, Shandong University http://course.sdu.edu.cn/oralhistopath.html 7 菌斑(dental plaque)： 健康的牙龈沟内主要的细菌：G+球菌、 杆菌和丝状菌。 牙周袋深部的主要细菌：G-厌氧菌、放 线菌、螺旋体，也有阿米巴原虫。 菌斑除能附着在牙面上，也能附着在龈 沟或牙周袋的上皮上，形成上皮附着性 菌斑。 Periodontal Disease
Periodontal disease 菌斑( dental plaque): Department of Oral Pathology, Shandong University http://course.sdu.edu.cn/oralhistopath.html
Department of Oral Pathology, Shandong University http://course.sdu.edu.cn/oralhistopath.html 8 菌斑(dental plaque)： Periodontal Disease
Periodontal disease ●软垢( soft mucinous deposits): ◎是附着在牙齿表面和牙龈缘处的软而粘 的沉着物。 ◎由微生物、唾液中的粘液素、涎蛋白、 脂质及食物残渣、白细胞、脱落的上皮 细胞混合而成。 o附着不牢固,易清除 o细菌数:250万/mg Department of Oral Pathology, Shandong University http://course.sdu.edu.cn/oralhistopath.html
Department of Oral Pathology, Shandong University http://course.sdu.edu.cn/oralhistopath.html 9 软垢(soft mucinous deposits)： 是附着在牙齿表面和牙龈缘处的软而粘 的沉着物。 由微生物、唾液中的粘液素、涎蛋白、 脂质及食物残渣、白细胞、脱落的上皮 细胞混合而成。 附着不牢固，易清除 细菌数：250万/mg Periodontal Disease
Periodontal disease ●软垢( soft mucinous deposits) Department of Oral Pathology, Shandong University http://course.sdu.edu.cn/oralhistopath.html
Department of Oral Pathology, Shandong University http://course.sdu.edu.cn/oralhistopath.html 10 软垢(soft mucinous deposits)： Periodontal Disease