正畸根尖区牙根外吸收的风险因素及其临床处理建议的专家共识

doi:10.7518/hxkq.2022.06.002

华西口腔医学杂志 ›› 2022, Vol. 40 ›› Issue (6): 629-637.doi: 10.7518/hxkq.2022.06.002

正畸根尖区牙根外吸收的风险因素及其临床处理建议的专家共识

李煌¹(), 武秀萍², 黄兰³, 徐晓梅⁴, 康娜⁵, 韩向龙⁶, 李宇⁶, 赵宁⁷, 江凌勇⁸, 谢贤聚⁹, 郭杰¹⁰, 李志华¹¹, 莫水学⁵, 刘楚峰¹², 胡江天¹³, 施洁珺¹⁴, 曹猛¹⁵, 胡炜¹⁶, 曹阳¹⁷, 宋锦璘³, 汤旭娜¹⁸, 白丁⁶()

^1.南京大学医学院附属口腔医院正畸科，南京 210009
^2.山西医科大学口腔医院正畸科，太原 030001
^3.重庆医科大学附属口腔医院正畸科，重庆 400016
^4.西南医科大学附属口腔医院正畸科，泸州 646000
^5.广西医科大学附属口腔医院正畸科，南宁 530021
^6.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正畸科，成都 610041
^7.上海交通大学附属第九人民医院口腔正畸科，上海 200011
^8.上海交通大学附属第九人民医院口腔颅颌面科，上海 200011
^9.首都医科大学附属北京口腔医院正畸科，北京 100050
^10.山东大学口腔医学院正畸科，济南 250012
^11.南昌大学附属口腔医院正畸科，南昌 330006
^12.南方医科大学口腔医院广东省口腔医院正畸科，广州 510280
^13.昆明医科大学口腔医学院正畸科，昆明 650504
^14.浙江大学医学院附属口腔医院正畸科，杭州 310006
^15.空军军医大学口腔医学院正畸科，西安 710032
^16.北京大学口腔医学院·口腔医院正畸科，国家口腔医学中心，国家口腔疾病临床医学研究中心，口腔生物材料和数字诊疗装备国家工程研究中心，北京 100081
^17.中山大学光华口腔医学院正畸科，广州 510055
^18.南京大学医学院附属口腔医院高级专家诊疗科，南京 210009

收稿日期:2022-06-27 修回日期:2022-07-22 出版日期:2022-12-01 发布日期:2022-11-23
通讯作者: 白丁 E-mail:lihuang76@nju.edu.cn;baiding@scu.edu.cn
作者简介:李煌，教授，博士，E-mail：lihuang76@nju.edu.cn
基金资助:
四川大学华西口腔医学院研究发展项目(LCY2019-2);江苏省自然科学基金(SBK2021021787);南京市卫生健康委员会专项资金重点项目(ZKX20048)

External apical root resorption in orthodontic tooth movement: the risk factors and clinical suggestions from experts’ consensus

Li Huang¹(), Wu Xiuping², Huang Lan³, Xu Xiaomei⁴, Kang Na⁵, Han Xianglong⁶, Li Yu⁶, Zhao Ning⁷, Jiang Lingyong⁸, Xie Xianju⁹, Guo Jie¹⁰, Li Zhihua¹¹, Mo Shuixue⁵, Liu Chufeng¹², Hu Jiangtian¹³, Shi Jiejun¹⁴, Cao Meng¹⁵, Hu Wei¹⁶, Cao Yang¹⁷, Song Jinlin³, Tang Xuna¹⁸, Bai Ding⁶()

^1.Dept. of Orthodontics, Nanjing Stomatological Hospital, Medical School of Nanjing University, Nanjing 210009, China
^2.Dept. of Orthodontics, Stomatological School of Shanxi Medical University, Taiyuan 030001, China
^3.Dept. of Orthodontics, Stomatological School of Chongqing Medical University, Chongqing 400016, China
^4.Dept. of Orthodontics, The Affiliated Stomatological Hospital of Southwest Medical University, Luzhou 646000, China
^5.Dept. of Orthodontics, College of Stomatology, Guangxi Medical University, Nanning 530021, China
^6.State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & Dept. of Orthodontics, West China Hospital of Stomatology, Si-chuan University, Chengdu 610041, China
^7.Dept. of Orthodontics, Shanghai Ninth People’s Hospital, Shanghai JiaoTong University School of Medicine, Shanghai 200011, China
^8.Dept. of Oral and Cranio-Maxillofacial Surgery, Shanghai Ninth People’s Hospital, Shanghai JiaoTong University School of Medicine, Shanghai 200011, China
^9.Dept. of Orthodontics, Beijing Stomatological Hospital, Capital Medical School, Beijing 100050, China
^10.Dept. of Orthodontics, School of Stomatology, Shandong University, Jinan 250012, China
^11.Dept. of Orthodontics, Affiliated Stomatological Hospital of Nanchang University, Nanchang 330006, China
^12.Dept. of Orthodontics, Stomatological Hospital of Southern Medical University, Guangzhou 510280, China
^13.Dept. of Orthodontics, Stomatological School of Kunming Medical University, Kunming 650504, China
^14.Dept. of Orthodontics, Stomatological Hospital, Zhejiang University School of Medicine, Hangzhou 310006, China
^15.Dept. of Orthodontics, Stomatological School of Airforce Military Medical University, Xi’an 710032, China
^16.Dept. of Orthodontics, Peking University School and Hospital of Stomatology & National Center of Stomatology & National Clinical Research Center for Oral Disea-ses & National Engineering Research Center for Oral Biomaterials and Digital Diagnostic Equipment, Beijing 100081, China
^17.Dept. of Orthodontics, Guanghua School of Stomatology, Sun Yat-sen University, Guangzhou 510055, China
^18.Dept. of Specialist Clinic, Nanjing Stomatological Hospital, Medical School of Nanjing University, Nanjing 210009, China

Received:2022-06-27 Revised:2022-07-22 Online:2022-12-01 Published:2022-11-23
Contact: Bai Ding E-mail:lihuang76@nju.edu.cn;baiding@scu.edu.cn
Supported by:
Reserach and Development Program of West China Hospital of Stomatology(LCY2019-2);Natural Science Foundation of Jiangsu(SBK2021021787);Key Project of Nanjing Municipal Health Commission(ZKX20048);Correspondence: Bai Ding, E-mail: baiding@scu.edu.cn

摘要/Abstract

摘要：

根尖区牙根外吸收（EARR）是口腔正畸治疗中最常见的风险之一，难以预测，且不能完全避免。正畸EARR的风险因素目前尚不明确，一般可分为患者相关因素和治疗相关因素。正畸治疗中发生的EARR通常可在影像学检查时发现。轻、中度EARR通常无明显危害，可密切关注，谨慎正畸；若发生重度EARR，则建议先暂停正畸加力，观察3个月，等待牙骨质的修复。为进一步规范和提高临床医生对正畸EARR的认识，本文邀请了全国20余位口腔正畸及相关领域专家，基于文献分析与讨论，制定出此共识，为正畸临床提供参考。

关键词: 根尖区牙根外吸收, 正畸治疗, 专家共识

Abstract:

External apical root resorption is among the most common risks of orthodontic treatment, and it cannot be completely avoided and predicted. Risk factors causing orthodontic root resorption can generally be divided into patient- and treatment-related factors. Root resorption that occurs during orthodontic treatment is usually detected by radiographical examination. Mild or moderate root absorption usually does no obvious harm, but close attention is required. When severe root resorption occurs, it is generally recommended to suspend the treatment for 3 months for the cementum to be restored. To unify the risk factors of orthodontic root resorption and its clinical suggestions, we summarized the theoretical knowledge and clinical experience of more than 20 authoritative experts in orthodontics and related fields in China. After discussion and summarization, this consensus was made to provide reference for orthodontic clinical practice.

Key words: external apical root resorption, orthodontic treatment, experts’ consensus

中图分类号:

R 783.5

李煌, 武秀萍, 黄兰, 徐晓梅, 康娜, 韩向龙, 李宇, 赵宁, 江凌勇, 谢贤聚, 郭杰, 李志华, 莫水学, 刘楚峰, 胡江天, 施洁珺, 曹猛, 胡炜, 曹阳, 宋锦璘, 汤旭娜, 白丁. 正畸根尖区牙根外吸收的风险因素及其临床处理建议的专家共识[J]. 华西口腔医学杂志, 2022, 40(6): 629-637.

Li Huang, Wu Xiuping, Huang Lan, Xu Xiaomei, Kang Na, Han Xianglong, Li Yu, Zhao Ning, Jiang Lingyong, Xie Xianju, Guo Jie, Li Zhihua, Mo Shuixue, Liu Chufeng, Hu Jiangtian, Shi Jiejun, Cao Meng, Hu Wei, Cao Yang, Song Jinlin, Tang Xuna, Bai Ding. External apical root resorption in orthodontic tooth movement: the risk factors and clinical suggestions from experts’ consensus[J]. West China Journal of Stomatology, 2022, 40(6): 629-637.

图/表 3

参考文献 43

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正畸根尖区牙根外吸收的风险因素及其临床处理建议的专家共识

External apical root resorption in orthodontic tooth movement: the risk factors and clinical suggestions from experts’ consensus

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