牙周-正畸联合治疗重度牙周炎伴错[牙合]畸形的长期临床效果观察(附1例21年随访报告)  

Long-term clinical observation of periodontal-orthodontic treatment for patients with severe periodontitis and malocclusion:a case report of 21-year follow-up

作　　者：周安琪 胡文杰[1] 施捷[2] 危伊萍 ZHOU An-qi;HU Wen-jie;SHI Jie;WEI Yi-ping(Department of Periodontology,Peking University School and Hospital of Stomatology&National Center for Stomatology&National Clinical Research Center for Oral Diseases&National Engineering Research Center of Oral Biomaterials and Digital Medical Devices,Beijing 100081,China;不详)

机构地区：[1]北京大学口腔医学院·口腔医院牙周科,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 [2]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

出　　处：《中国实用口腔科杂志》2023年第6期642-649,共8页Chinese Journal of Practical Stomatology

基　　金：北京市卫健委住培质量提升探索及推广项目(住培-2022jv01203)。

摘　　要：重度牙周炎因牙周支持组织严重破坏和炎症控制不易,治疗难度与复杂程度大幅提高。对于伴有错[牙合]畸形的复杂牙周炎病例,其治疗方案设计与实施尤其需要多学科运用各自专业特色手段联合攻关。文章介绍1例随访21年的广泛型Ⅳ期C级牙周炎病例,通过牙周基础治疗、正畸治疗和牙周维护治疗,最终恢复健康、重建功能、改善美观,并保持长期稳定疗效,为此类重度牙周炎伴错[牙合]畸形患者的牙周-正畸联合治疗提供一定的思路与临床经验。The difficulty and complexity in management of severe periodontitis have greatly increased due to serious destruction of periodontal supportive tissue and difficult control of inflammation.Multidisciplinary professional means and close cooperation between each other are particularly necessary in the treatment design and implementation for complicated periodontitis cases with malocclusion.This article illustrated a case of generalized stage Ⅳ grade C periodontitis which had been followed-up for 21 years.Through initial periodontal therapy,orthodontic therapy and periodontal maintenance,the patient obtained health,function and aesthetics as well as a long-term stable effect,which provides ideas and clinical experience for combined periodontal and orthodontic treatment of such cases of severe periodontitis with malocclusion.

关 键 词：重度牙周炎 牙周基础治疗 牙周-正畸联合治疗 牙周支持治疗 

分 类 号：R78[医药卫生—口腔医学]