成人牙周病患者正畸矫治策略与思考

doi:10.7518/hxkq.2025.2025339

华西口腔医学杂志 ›› 2026, Vol. 44 ›› Issue (1): 34-40.doi: 10.7518/hxkq.2025.2025339

• 口腔正畸学诊疗新进展 • 上一篇下一篇

成人牙周病患者正畸矫治策略与思考

冯格(), 钟雯婕, 宋锦璘()

重庆医科大学附属口腔医院口腔疾病研究重庆市重点实验室口腔生物医学工程重庆市高校市级重点实验室重庆市卫生健康委口腔生物医学工程重点实验室，重庆 401147

收稿日期:2025-08-19 出版日期:2026-02-01 发布日期:2026-02-02
通讯作者: 宋锦璘 E-mail:500242@hospital.cqmu.edu.cn;songjinlin@hospital.cqmu.edu.cn
作者简介:冯格，博士，副主任医师、副教授，重庆医科大学附属口腔医院正畸科副主任。中华口腔医学会正畸专业委员会委员，重庆市口腔医学会正畸专业委员会委员，重庆市口腔医学会数字化口腔医学专业委员会委员，重庆市预防医学会口腔疾病防治专业委员会副主任委员。主要从事青少年及成人固定正畸矫治、无托槽隐形正畸矫治、儿童早期矫治、成人牙周炎正畸矫治等。|冯格，副教授，博士，E-mail：500242@hospital.cqmu.edu.cn|宋锦璘，二级教授，主任医师，博士生导师。重庆医科大学附属口腔医（学）院党委副书记、院长，国家高层次特殊支持计划科技创新领军人才，国家卫生健康有突出贡献中青年专家，国务院特殊津贴专家。教育部高等学校口腔医学类专业教学指导委员会委员，中华口腔医学会口腔正畸专业委员会副主任委员，中华口腔医学会口腔医学计算机专业委员会候任主任委员，中国医院协会口腔医院分会副主任委员，中国医学装备协会口腔装备与技术专业委员会副主任委员，国家临床重点专科、国家一流本科专业、国家口腔医学实验教学示范中心、口腔疾病研究重庆市重点实验室、重庆市智慧口腔医疗器械技术创新中心和重庆市口腔医技协同现代产业学院负责人。从事口腔医学基础与临床研究，主持国家科技部重点研发计划课题2项、国家基金委重点类项目等。在Advanced Materials、Journal of Dental Research等杂志以通讯作者发表SCI论文143篇，获批国家发明专利11项，转化7个医疗器械产品，起草正畸矫治器附件团体标准，获省部级奖励7项等，入选“全球前2%顶尖科学家”榜单。|宋锦璘，二级教授，主任医师，博士生导师。重庆医科大学附属口腔医（学）院党委副书记、院长，国家高层次特殊支持计划科技创新领军人才，国家卫生健康有突出贡献中青年专家，国务院特殊津贴专家。教育部高等学校口腔医学类专业教学指导委员会委员，中华口腔医学会口腔正畸专业委员会副主任委员，中华口腔医学会口腔医学计算机专业委员会候任主任委员，中国医院协会口腔医院分会副主任委员，中国医学装备协会口腔装备与技术专业委员会副主任委员，国家临床重点专科、国家一流本科专业、国家口腔医学实验教学示范中心、口腔疾病研究重庆市重点实验室、重庆市智慧口腔医疗器械技术创新中心和重庆市口腔医技协同现代产业学院负责人。从事口腔医学基础与临床研究，主持国家科技部重点研发计划课题2项、国家基金委重点类项目等。在Advanced Materials、Journal of Dental Research等杂志以通讯作者发表SCI论文143篇，获批国家发明专利11项，转化7个医疗器械产品，起草正畸矫治器附件团体标准，获省部级奖励7项等，入选“全球前2%顶尖科学家”榜单。
基金资助:
国家重点研发计划项目(2022YFC2504200);国家自然科学基金区域创新发展联合基金(U22A20314)

Orthodontic treatment strategies and considerations in adult patients with periodontal disease

Feng Ge(), Zhong Wenjie, Song Jinlin()

The Affiliated Stomatological Hospital of Chongqing Medical University & Chongqing Key Laboratory of Oral Diseases & Chongqing Municipal Key Laboratory of Oral Biomedical Engineering of Higher Education & Chongqing Municipal Health Commission Key Laboratory of Oral Biomedical Engineering, Chongqing 401147, China

Received:2025-08-19 Online:2026-02-01 Published:2026-02-02
Contact: Song Jinlin E-mail:500242@hospital.cqmu.edu.cn;songjinlin@hospital.cqmu.edu.cn
Supported by:
National Key R&D of Program of China(2022YFC2504200);National Natural Science Foundation of China(U22A20314)

摘要/Abstract

摘要：

成人牙周病患者正畸矫治必须在牙周炎症得到控制或牙周病处于静止期时进行，其核心目标在于改善牙列排列及咬合关系、优化口腔卫生维护条件（防止菌斑堆积）、恢复咬合功能及提升美学效果。在矫治过程中正畸医师需全面并持续评估患者的牙周健康情况，采取个性化生物力学控制策略，加强多学科合作，对可能出现的矫治风险作出针对性的预防和处理。本文就成人牙周病患者正畸矫治中的常见临床问题，包括牙周病与错𬌗畸形发生的关系、矫治目标的制定、适应证与禁忌证、矫治流程控制及要点、影像学检查在矫治中的作用、正畸治疗后保持等方面展开阐述。

关键词: 成人牙周病, 正畸矫治, 矫治策略

Abstract:

The primary objectives of orthodontic treatment in adult patients with periodontal disease are to improve dental alignment and occlusal relationships, optimize oral hygiene conditions, restore masticatory function, and enhance aesthetic outcomes. During treatment, orthodontists should comprehensively and continuously evaluate the patient’s periodontal health status, adopt personalized biomechanical control strategies, enhance multidisciplinary collaboration, and implement targeted prevention and management measures for potential orthodontic risks. This article provides an overview of common clinical issues encountered in the orthodontic treatment of adult periodontal patients. Key areas addressed include the relationship between periodontal disease and the development of malocclusion, the formulation of treatment objectives, indications and contraindications, key aspects of treatment process control, the role of radiographic examination in treatment planning and monitoring, and post-orthodontic retention protocols.

Key words: adult periodontal disease, orthodontic treatment, treatment strategies

中图分类号:

R783.5

冯格, 钟雯婕, 宋锦璘. 成人牙周病患者正畸矫治策略与思考[J]. 华西口腔医学杂志, 2026, 44(1): 34-40.

Feng Ge, Zhong Wenjie, Song Jinlin. Orthodontic treatment strategies and considerations in adult patients with periodontal disease[J]. West China Journal of Stomatology, 2026, 44(1): 34-40.

图/表 2

参考文献 37

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成人牙周病患者正畸矫治策略与思考

Orthodontic treatment strategies and considerations in adult patients with periodontal disease

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