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

作　　者：李煌[1] 武秀萍[2] 黄兰[3] 徐晓梅 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 胡江天[13] 施洁珺[14] 曹猛 胡炜[16] 曹阳[17] 宋锦璘[3] 汤旭娜[18] 白丁[6] 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(Dept.of Orthodontics,Nanjing Stomatological Hospital,Medical School of Nanjing University,Nanjing 210009,China;Dept.of Orthodontics,Stomatological School of Shanxi Medical University,Taiyuan 030001,China;Dept.of Orthodontics,Stomatological School of Chongqing Medical University,Chongqing 400016,China;Dept.of Orthodontics,The Affiliated Stomatological Hospital of Southwest Medical University,Luzhou 646000,China;Dept.of Orthodontics,College of Stomatology,Guangxi Medical University,Nanning 530021,China;State Key Laboratory of Oral Diseases&National Clinical Research Center for Oral Diseases&Dept.of Orthodontics,West China Hospital of Stomatology,Sichuan University,Chengdu 610041,China;Dept.of Orthodontics,Shanghai Ninth People’s Hospital,Shanghai JiaoTong University School of Medicine,Shanghai 200011,China;Dept.of Oral and Cranio-Maxillofacial Surgery,Shanghai Ninth People’s Hospital,Shanghai JiaoTong University School of Medicine,Shanghai 200011,China;Dept.of Orthodontics,Beijing Stomatological Hospital,Capital Medical School,Beijing 100050,China;Dept.of Orthodontics,School of Stomatology,Shandong University,Jinan 250012,China;Dept.of Orthodontics,Affiliated Stomatological Hospital of Nanchang University,Nanchang 330006,China;Dept.of Orthodontics,Stomatological Hospital of Southern Medical University,Guangzhou 510280,China;Dept.of Orthodontics,Stomatological School of Kunming Medical University,Kunming 650504,China;Dept.of Orthodontics,Stomatological Hospital,Zhejiang University School of Medicine,Hangzhou 310006,China;Dept.of Orthodontics,Stomatological School of Airforce Military Medical University,Xi’an 710032,China;Dept.of Orthodontics,Peking University School and Hospital of Stomatology&National Center of Stomatology&National Clinical Research Center for Oral Diseases&National Engi

机构地区：[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

出　　处：《华西口腔医学杂志》2022年第6期629-637,共9页West China Journal of Stomatology

基　　金：四川大学华西口腔医学院研究发展项目(LCY2019-2,RD-03-202108);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)。

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。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.

关 键 词：根尖区牙根外吸收 正畸治疗 专家共识 

分 类 号：R783.5[医药卫生—口腔医学]