正畸后龈乳头退缩的研究进展  

Research progress in gingival papilla recession after orthodontic treatment

作　　者：夏梦姣 周鹂鹂 袁文琳 杨玉婷 陈莉丽[1] XIA Meng-jiao;ZHOU Li-li;YUAN Wen-lin;YANG Yu-ting;CHEN Li-li(Department of Periodontology,the Second Afiliated Hospital,College of Medicine,Zhejiang University,Hangzhou 310009,China)

机构地区：[1]浙江大学医学院附属第二医院牙周病专科,浙江杭州310009

出　　处：《中国实用口腔科杂志》2021年第1期85-92,共8页Chinese Journal of Practical Stomatology

基　　金：浙江省自然科学基金(LQ19H140003);浙江省教育厅研究生专项(Y202045593)。

摘　　要：正畸患者龈乳头退缩所致的前牙"黑三角"是仅次于龋齿和修复体边缘暴露的第三大美学问题,发病率高达38.0%~43.7%。龈乳头退缩的危险因素有正畸移动方式、牙列拥挤程度、牙槽骨高度和局部解剖结构等。目前的治疗方法包括修复、正畸、膜龈手术以及注射透明质酸等。文章就正畸患者龈乳头退缩的危险因素、治疗和预防做一综述,以期制定合理的正畸治疗计划,为预防龈乳头退缩提供借鉴。The "black triangle" of anterior teeth caused by gingival papilla recession in orthodontic patients is the third most concerned aesthetic problem following caries and exposure of crown margins,with an incidence of 38.0% to 43.7%.The risk factors of gingival papilla recession include orthodontic movement,dentition crowding,alveolar bone height and regional anatomical structure. The current treatment methods include prosthesis,orthodontics,mucogingival surgery and hyaluronic acid injection. This review covers the risk factors,treatment methods and prevention of gingival papillary regression in orthodontic patients,so as to make reasonable orthodontic treatment plan and provide reference for the prevention of gingival papillary recession.

关 键 词：龈乳头退缩 正畸移动 非手术治疗 膜龈手术 

分 类 号：R78[医药卫生—口腔医学]