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患者,男,16岁,因正畸过程中出现牙周炎转诊到我科行牙周治疗。既往体健,无药物过敏史。专科检查:全口牙唇侧牙面见正畸粘接托槽,口腔卫生状况较差,牙石+~++,软垢大量,牙龈轻中度红肿,SBI:1~4,GR:2~4mm,PD:2~5mm,松动度-,全景片:全口牙牙槽骨吸收到根中1/2。诊断:牙周炎。治疗计划:全口牙周基础治疗。患者怕痛,要求治疗在局麻下进行。采用阿替卡因肾上腺素口内局部浸润注射,30秒钟后患
Patient, male, 16 years old, had periodontitis due to orthodontic referral to my department for periodontal treatment. Past physical health, no history of drug allergy. Specialist examination: The whole mouth lip side of the tooth surface to see the orthodontic bonding brackets, poor oral hygiene, calculus + ~ ++, a large number of soft dirt, mild to moderate swelling of the gums, SBI: 1-4, GR: 2 ~ 4mm, PD: 2 ~ 5mm, degree of loosening, panoramic film: Alveolar bone absorption to root 1/2. Diagnosis: periodontitis. Treatment plan: All-mouth periodontal treatment. Patients are afraid of pain, requiring treatment under local anesthesia. Articaine epinephrine oral infiltration by mouth, 30 seconds later