牙槽骨再生正畸治疗伴牙槽骨缺损的成人错畸形远期疗效评价  

Long-term effectiveness of periodontal micro-osteotomy assisted orthodontic treatment of adult patients with malocclusion alveolar defect

作　　者：王博[1] 于洪波[1] 孙良龑[1] 沈国芳[1] 王旭东[1] 房兵[1] 刘加强[1] 欧阳宁鹃 郭秋曼[2] 

机构地区：[1]上海交通大学医学院附属第九人民医院·口腔医学院口腔颅颌面科,上海市口腔医学重点实验室,上海200011 [2]上海交通大学医学院附属第九人民医院·口腔医学院牙周病科,上海市口腔医学重点实验室,上海200011

出　　处：《中国口腔颌面外科杂志》2015年第5期420-424,共5页China Journal of Oral and Maxillofacial Surgery

基　　金：上海市卫生和计划生育委员会青年项目(20144Y0125);上海交通大学医学院科技基金项目(12XJ10055)~~

摘　　要：目的：评价牙槽骨再生正畸治疗伴牙槽骨缺损的成人错（牙合）畸形的远期疗效。方法 ：伴牙槽骨缺损的成人错（牙合）畸形3例,平均年龄29岁。经正颌-正畸联合会诊制订治疗计划,按照牙槽骨再生正畸及正颌-正畸联合治疗模式,分别进行系统治疗并随访2~3 a。结果：3例患者均顺利完成治疗,面型及咬合关系获得良好改善;牙槽骨缺损区正畸牙移动到位且未见医源性牙周并发症,牙槽骨缺损区骨量增加明显且远期效果稳定。结论：针对伴牙槽骨缺损的成人患者,牙槽骨再生正畸是一种较为理想的技术。PURPOSE： To investigate the long-term effectiveness of periodontal micro-osteotomy assisted orthodontic treatment of adult patients with malocclusion and alveolar defect. METHODS： A joint orthodontic and orthognathic consultation was performed on 3 adult patients with malocclusion and alveolar defect with an average age of 29 years.Periodontal micro-osteotomy assisted orthodontic treatment and combined orthodontic and orthognathic therapy were carried out with long-term follow-up of 2-3 years. RESULTS： Periodontal micro-osteotomy assisted orthodontic treatment and combined orthodontic and orthognathic therapy resulted in normal facial appearance and occlusal relationship without the occurrence of periodontal iatrogenic sequelae. The long-term effectives of alveolar augmentation were maintained at the surgical sites. CONCLUSIONS： Periodontal micro-osteotomy assisted orthodontic treatment was a promising technique for the treatment of adult patients with malocclusion and alveolar defect.

关 键 词：牙槽骨再生正畸 牙槽骨缺损 锥形束CT 

分 类 号：R783.5[医药卫生—口腔医学]