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作 者:王浩儒 周守恒[1] WANG Haoru;ZHOU Shouheng(Department of Stomatology,the Second Hospital of Dalian Medical University,Dalian 116021,China)
机构地区:[1]大连医科大学附属第二医院口腔科,辽宁大连116021
出 处:《大连医科大学学报》2024年第4期352-356,共5页Journal of Dalian Medical University
摘 要:牙周辅助加速成骨正畸(PAOO)是一种基于局部加速现象,将牙周和正畸相结合,加速正畸进程的手术。经过不断发展,目前PAOO已经衍生出多种术式。从一开始涉及“骨块”移动的外科手术,到近年来逐渐发展成熟的骨皮质切开术、微骨穿孔术,现在还可借助激光以及计算机辅助导板进行手术。经过术式的不断改良,手术定位越来越精准,对患者损伤程度越来越小。患者是否需要进行骨增量,不同的术式可适应不同的临床需求。本文对PAOO发展、适应证、临床术式、并发症以及术后效果等进行综述,以期为临床治疗提供参考。Periodontal accelerated osteogenic orthodontics(PAOO)is a surgical technique that combines periodontics and orthodontics to accelerate the orthodontic process,based on the local acceleration phenomenon.Through continuous development,a variety of PAOO procedures have emerged,from surgical procedures involving"bone movement"to cortical osteotomy and micro-osteoperforations in recent years.Modern methods now incorporate laser technology and computerassisted guides for surgery.With continuous improvements in surgical techniques,the precision of surgical positioning has increased and the degree of trauma to the patients has been gradually reduced.The necessity of bone augmentation and the choice of different surgical methods can cater to diverse clinical needs.This article reviews the development,indications,clinical techniques,complications and postoperative outcomes of PAOO,aiming to provide a reference for clinical practice.
关 键 词:牙周辅助加速成骨正畸 骨皮质切开 成人正畸
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