无托槽隐形矫治生物力学与矫治策略研究进展

doi:10.7518/hxkq.2025.2025379

华西口腔医学杂志 ›› 2026, Vol. 44 ›› Issue (1): 17-28.doi: 10.7518/hxkq.2025.2025379

• 口腔正畸学诊疗新进展 • 上一篇下一篇

无托槽隐形矫治生物力学与矫治策略研究进展

雷啸(), 金钫()

口颌系统重建与再生全国重点实验室，国家口腔疾病临床医学研究中心，陕西省口腔生物工程技术研究中心，空军军医大学口腔医院正畸科，西安 710032

收稿日期:2025-09-19 出版日期:2026-02-01 发布日期:2026-02-02
通讯作者: 金钫 E-mail:lxfmmu2023@126.com;jinfang@fmmu.edu.cn
作者简介:雷啸，主治医师，博士，E-mail：lxfmmu2023@126.com|金钫，教授、主任医师、博士研究生导师，现任空军军医大学口腔医学院正畸科主任，正畸教研室主任。空军高层次科技人才，军队优秀专业人才津贴获得者。中华口腔医学会正畸专业委员会副主任委员，陕西省口腔医学会第四届理事会理事。美国密歇根大学牙医学院正畸科访问教授。《中国口腔正畸学杂志》等杂志编委。研究方向为口腔正畸生物学与牙周组织改建和再生。已发表论文70余篇，其中SCI收录40余篇，最高影响因子18.56分。获批发明专利1项，主译有外文专著《Textbook of Orthodontics》，编著有《口腔正畸临床技术大全》《口腔颌面组织胚胎学》《组织工程学原理与技术》等口腔正畸学与生物医学专著14部。获得陕西省教学团队，陕西省优秀教学资源共享课等教学奖项。负责国家自然科学基金面上项目5项，国家重点研发项目子课题负责人1项，国家口腔疾病临床医学研究中心专项课题1项，负责经费600余万元。获得陕西省一等奖3项、二等奖1项。培养博士研究生10余名、硕士研究生30余名。
基金资助:
国家重点研发计划(2024YFC2510701);国家口腔疾病临床医学研究中心专项课题(LCA202403)

Advancements in biomechanics and orthodontic strategies for clear aligner therapy

Lei Xiao(), Jin Fang()

State Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration, National Clinical Research Center for Oral Diseases, Shaanxi Oral Bioengineering Technology Research Center, Dept. of Orthodontics, School of Stomatology, The Fourth Military Medical University, Xi’an 710032, China

Received:2025-09-19 Online:2026-02-01 Published:2026-02-02
Contact: Jin Fang E-mail:lxfmmu2023@126.com;jinfang@fmmu.edu.cn
Supported by:
National Key Research and Development Program of China(2024YFC2510701);Special Project of the National Clinical Research Center for Oral Diseases(LCA202403)

摘要/Abstract

摘要：

无托槽隐形矫治（CAT）技术在正畸临床中的应用日趋广泛，然而其在复杂病例牙移动过程中的生物力学效率、实现率及治疗效果的可预测性仍有待进一步明确和提升。本文系统性回顾了当前CAT中推磨牙远移、扩弓、垂直向牙移动及拔牙矫治等4种常见复杂矫治设计的生物力学研究进展，并对包括过矫治设计、附件应用、微种植钉支抗及颌内/颌间弹性牵引等常见的临床矫治策略应用做出了总结和讨论，详细阐述了各类矫治设计在提高牙齿控制精度和矫治实现率方面的作用，并对其未来发展方向作出展望，旨在为CAT的临床优化提供理论依据与实践指导，从而提升矫治效果的可控性与可预期性。

关键词: 无托槽隐形矫治, 生物力学, 矫治策略优化

Abstract:

Clear aligner therapy (CAT) is increasingly used in orthodontic practice. However, the biomechanical effectiveness and predictability of tooth movement in complex cases should be further clarified and enhanced. This article provides a systematic review of the biomechanical mechanisms underlying four common complex treatment modalities in CAT, namely, molar distalization, arch expansion, vertical tooth movement, and extraction cases, and summarizes current clinical strategies, such as overcorrection design, attachment, mini-screw-assisted anchorage, and intra-/inter-arch elastic traction. The role of these strategies in improving tooth movement control and treatment efficacy is elucidated, and potential future developments is discussed. The findings can offer a theoretical basis and practical guidance for optimizing CAT and improving the control ability and predictability of treatment outcomes.

Key words: clear aligner therapy, biomechanics, treatment strategy optimization

中图分类号:

R783.5

雷啸, 金钫. 无托槽隐形矫治生物力学与矫治策略研究进展[J]. 华西口腔医学杂志, 2026, 44(1): 17-28.

Lei Xiao, Jin Fang. Advancements in biomechanics and orthodontic strategies for clear aligner therapy[J]. West China Journal of Stomatology, 2026, 44(1): 17-28.

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无托槽隐形矫治生物力学与矫治策略研究进展

Advancements in biomechanics and orthodontic strategies for clear aligner therapy

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