膜龈手术辅助正畸-正颌联合治疗改善重度牙周炎伴牙颌面畸形患者牙周健康与美观(附1例4年随访报告)  

Mucogingival surgery assisting orthodontic and orthognathic combined treatment in the improvement of periodontal health and esthetics of patients with severe periodontitis and dentofacial deformity:a case report of 4-year follow-up

作　　者：施怡嘉 韩子瑶 胡文杰[1] 徐涛[2] 施捷[3] 李自力[4] SHI Yi-jia;HAN Zi-yao;HU Wen-jie;XU Tao;SHI Jie;LI Zi-li(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,Bei-jing 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·口腔医院急诊科,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 [3]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 [4]北京大学口腔医学院·口腔医院颌面外科,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664-670,共7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);北京大学口腔医院教育教学改革项目(2021-PT-04)。

摘　　要：重度牙周炎患者常伴有牙列缺损和牙颌面畸形,其正常的口腔功能和外形美观受到严重影响。随着患者对恢复口腔健康、功能及美观的要求不断提高,伴有牙颌面畸形的重度牙周炎患者的治疗目标需包含建立良好的咬合接触关系、达到持续稳定的牙周健康、兼顾咀嚼功能和牙颌面美观恢复。此类病例需要复杂的多学科联合治疗,是临床诊治的重点与难点。文章展示1例广泛型Ⅲ期C级牙周炎伴安氏Ⅲ类错[牙合]畸形患者通过牙周基础治疗、膜龈手术及正畸-正颌治疗在内的多学科联合治疗并长期随访,最终达到了恢复健康、重建功能和改善美观的治疗效果,以期为口腔临床复杂病例的多学科综合诊疗提供一定经验。The patients with severe periodontitis often have dentition defect and dentofacial deformities,and their normal oral function and appearance are seriously affected.With the demands of patients for restoration of oral health,function and aesthetics increasing,the treatment goals for severe periodontitis patients with dentofacial deformities should include establishing good occlusal contact,achieving sustained and stable periodontal health and taking into account masticatory function and restoration of dentofacial aesthetics.It usually requires complex multidisciplinary treatment,which is critical and difficult for clinical diagnosis and treatment.This article displays the multidisciplinary treatment procedures,including initial periodontal therapy,mucogingival surgery,orthodontic and orthognathic combined treatment,and a longterm follow-up of a patient with generalized stageⅢgrade C periodontitis and skeletal classⅢmalocclusion,which finally achieve the goals of restoring health,reconstructing function and esthetic improvement.It is expected to provide some experiences for the multidisciplinary treatment of clinical complex cases.

关 键 词：重度牙周炎 多学科治疗 牙颌面畸形 膜龈手术 

分 类 号：R78[医药卫生—口腔医学]