1例严重骨性Ⅱ类伴特发性牙龈纤维瘤病患者的牙周—正畸—正颌联合治疗

doi:10.7518/hxkq.2024.2024254

华西口腔医学杂志 ›› 2025, Vol. 43 ›› Issue (2): 280-288.doi: 10.7518/hxkq.2024.2024254

1例严重骨性Ⅱ类伴特发性牙龈纤维瘤病患者的牙周—正畸—正颌联合治疗

杨宽¹(), 曾心怡¹, 陈硕¹, 段丁瑜², 李继华³, 段沛沛¹()

^1.口腔疾病防治全国重点实验室国家口腔医学中心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
^2.口腔疾病防治全国重点实验室国家口腔医学中心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
^3.口腔疾病防治全国重点实验室国家口腔医学中心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颌及关节外科，成都 610041

收稿日期:2024-07-08 修回日期:2024-08-06 出版日期:2025-04-01 发布日期:2025-03-25
通讯作者: 段沛沛 E-mail:kuanyang08@163.com;duanp@scu.edu.cn
作者简介:杨宽，硕士，E-mail：kuanyang08@163.com
基金资助:
四川省自然科学基金项目(2024NSFSC1593);时代天使隐形矫治科研专项基金(21H0900-5);四川大学华西口腔医院口腔临床思辨综合课程建设项目(WCHSIC-23-17);教育部高等教育司产学合作协同育人项目（2021年第一批）

Periodontic-orthodontic-orthognathic combined treatment of adult Class Ⅱ skeletal malocclusion with idiopathic gingival fibromatosis: a case report

Yang Kuan¹(), Zeng Xinyi¹, Chen Shuo¹, Duan Dingyu², Li Jihua³, Duan Peipei¹()

^1.State Key Laboratory of Oral Diseases & National Center for Stomatology & National Clinical Research Center for Oral Diseases & Dept. of Orthodontics, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China
^2.State Key Laboratory of Oral Diseases & National Center for Stomatology & National Clinical Research Center for Oral Diseases & Dept. of Periodontics, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China
^3.State Key Laboratory of Oral Diseases & National Center for Stomatology & National Clinical Research Center for Oral Diseases & Dept. of Orthognathic and Temporomandibular Joint Surgery, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China

Received:2024-07-08 Revised:2024-08-06 Online:2025-04-01 Published:2025-03-25
Contact: Duan Peipei E-mail:kuanyang08@163.com;duanp@scu.edu.cn
Supported by:
National Natural Science Foundation of Sichuan(2024NSFSC1593);Angelalign Scientific Research Fund(21H0900-5);Oral Clinical Speculation Comprehensive Course Construction Project of West China Hospital of Stomatology, Sichuan University(WCHSIC-23-17);University-Industry Collaborative Education Program of Higher Education of Ministry of Education of China(First Batch of 2021)

摘要/Abstract

摘要：

特发性牙龈纤维瘤病是一种罕见的、病因不明的良性疾病，表现为牙龈的广泛增生。本文报道1例严重骨性Ⅱ类伴特发性牙龈纤维瘤病的成年女性患者，经牙周—正畸—正颌多学科联合治疗，牙冠高度显著延长，咬合功能及美观得到提升，长期随访效果稳定。

关键词: 骨性Ⅱ类, 特发性牙龈纤维瘤病, 多学科治疗

Abstract:

Idiopathic gingival fibromatosis is a rare, benign condition of unknown etiology characterized by extensive gingival overgrowth. This case reports a severe skeletal Class Ⅱ adult female patient with idiopathic gingival fibromatosis. The patient underwent multidisciplinary treatment involving periodontics, orthodontics, and orthognathic surgery, resulting in remarkable crown height elongation, substantial improvements in occlusal function and aesthetics, and stable long-term follow-up outcomes. This case provides a reference for future clinical practice.

Key words: skeletal ClassⅡ, idiopathic gingival fibromatosis, multidisciplinary treatment

中图分类号:

杨宽, 曾心怡, 陈硕, 段丁瑜, 李继华, 段沛沛. 1例严重骨性Ⅱ类伴特发性牙龈纤维瘤病患者的牙周—正畸—正颌联合治疗[J]. 华西口腔医学杂志, 2025, 43(2): 280-288.

Yang Kuan, Zeng Xinyi, Chen Shuo, Duan Dingyu, Li Jihua, Duan Peipei. Periodontic-orthodontic-orthognathic combined treatment of adult Class Ⅱ skeletal malocclusion with idiopathic gingival fibromatosis: a case report[J]. West China Journal of Stomatology, 2025, 43(2): 280-288.

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测量项目	正常值	初诊	治疗结束	随访30个月
骨组织
SNA/°	83±4	79.8	76.2	76.3
SNB/°	80±3	71.1	74.4	73.3
ANB/°	3±2	8.7	1.8	3
Wits/mm	-1±1	12.3	-1.4	0.7
SN/GoGn/°	33±4	64.4	50.0	50
FMA/°	28±4	54.2	40.9	39.8
牙
U1-SN/°	106±6	98.5	98.0	101
IMPA/°	95±7	70.1	78.6	80.9
U1-腭平面/mm	28±2	34	33.2	33.1
L1-MP/mm	40±2	44.8	42.8	40.6
L6-MP/mm	33±2	26	26.4	26.6
软组织
UL-E/mm	3±2	8.8	-0.9	-1.3
LL-E/mm	-2±2	6.2	-1.3	-1.3

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1例严重骨性Ⅱ类伴特发性牙龈纤维瘤病患者的牙周—正畸—正颌联合治疗

Periodontic-orthodontic-orthognathic combined treatment of adult Class Ⅱ skeletal malocclusion with idiopathic gingival fibromatosis: a case report

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