华西口腔医学杂志 ›› 2019, Vol. 37 ›› Issue (4): 343-349.doi: 10.7518/hxkq.2019.04.001

• 专家论坛 •    下一篇

正畸治疗与牙周硬组织健康的关系及处理

孟姝,林意蓝,赵蕾,徐屹()   

  1. 口腔疾病研究国家重点实验室 国家口腔疾病临床医学研究中心 四川大学华西口腔医院牙周病科,成都 610041
  • 收稿日期:2019-03-15 修回日期:2019-05-16 出版日期:2019-08-01 发布日期:2019-08-23
  • 通讯作者: 徐屹 E-mail:xu_y@scu.edu.cn
  • 作者简介:孟姝,副教授,博士,E-mail:dreamingsue@163.com

Relationship of orthodontic treatment and periodontal hard tissue health

Shu Meng,Yilan Lin,Lei Zhao,Yi Xu()   

  1. State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & Dept. of Periodontics, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China
  • Received:2019-03-15 Revised:2019-05-16 Online:2019-08-01 Published:2019-08-23
  • Contact: Yi Xu E-mail:xu_y@scu.edu.cn

摘要:

牙周组织,尤其是牙周硬组织的状况与正畸治疗的进程及疗效息息相关。在正畸治疗前及正畸过程中,口腔临床医师应该全面评估可能出现的影响牙周硬组织的问题。本文就正畸治疗中常见的牙周硬组织问题,包括龈乳头缺失、牙槽骨量不足、骨皮质阻力过大、被动萌出异常的病因及防治展开阐述。

关键词: 龈乳头缺失, 开放性龈外展隙, 牙槽骨量不足, 牙周辅助加速成骨正畸治疗, 被动萌出异常, 美学牙冠延长术

Abstract:

Periodontal tissue, especially the alveolar bone, are closely associated with the progress and efficacy of orthodontic treatment. Prior to and during orthodontic treatment, dentists should fully evaluate the status of periodontal hard tissues to prevent clinical problems. This article aims to discuss bone issues associated with orthodontic treatment, including gingival papilla absence, alveolar bone insufficiency, excessive cortical resistance, and altered passive eruption, etc. The mechanism and prevention methods of these problems are also described.

Key words: gingival papilla absence, open gingival embrasure, alveolar bone insufficiency, periodontally accerlerated osteogenic othodontics, altered passive eruption, esthetic crown lengthening

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