复杂牙-牙槽骨骨性黏连的正畸-正颌联合治疗：附2例病例报告  

Application of orthognathic-orthodontic treatment in severe dental ankylosis:two case reports

作　　者：王园园[1] 王涛[1] 裴仲秋[1] 宋锦璘[1] 秦朴[1] 

机构地区：[1]重庆医科大学附属口腔医院颌面外科、口腔疾病与生物医学重庆市重点实验室,重庆401147

出　　处：《重庆医科大学学报》2014年第7期1044-1048,共5页Journal of Chongqing Medical University

摘　　要：目的:探讨正畸-正颌联合治疗在治疗复杂牙-牙槽骨骨性黏连中的临床应用。方法:根据患者实际临床表现,对2例复杂牙-牙槽骨骨性黏连患者,合理施以正畸-正颌联合治疗改良技术进行治疗。结果:2例患者均顺利完成治疗,面畸形得到了矫正,咀嚼功能得到改善,远期效果稳定,患者对治疗效果满意。结论:对于较复杂的牙-牙槽骨骨性黏连患者,需根据患者实际情况,合理运用正畸-正颌联合治疗的各种手术方式,为患者提供一个综合性的个性化的治疗方案;本研究中正畸-正颌联合治疗中改良的正颌手术方法如非常规的根尖下截骨术、"三明治法"植骨术具有较强的可操作性,无严重并发症,临床效果好,远期效果肯定,值得临床借鉴及推广。Objective:To study the clinical treatment of severe dental ankylosis by orthognathic-orthodontic treatment. Methods:A total of 2 patients suffering from severe dental ankylosis together with maxillofacial discrepancy were operated by a special orthognathic-orthodontic treatment based on their individual characteristics. Results:All the surgeries were performed as planned with stable long term effects. Dento-maxillofacial deformities were corrected and the masticatory function was improved. All patients were satisfied with the results. Conclusion:For patients with severe dental ankylosis,the individualized treatment should be made based on actual situation of each patient. In this study,a variety of improved orthognathic-orthodontic treatment approaches including unconventional mandibular subapical osteotomy and ‘sandwich'onlay bone grafting were used with a satisfactory clinical effect and minimal complications,making this surgery valuable for clinical application.

关 键 词：牙-牙槽骨骨性黏连 正畸-正颌联合治疗 个性化治疗 

分 类 号：R782.051[医药卫生—口腔医学]