正畸治疗患者前牙牙槽骨唇侧骨性凸起研究进展  

Research progress on labial protuberances of anterior teeth in orthodontic treatment

作　　者：骆定雯 王思婕 高璐 陈小燕[1] LUO Dingwen;WANG Sijie;GAO Lu;CHEN Xiaoyan(The Stomatology Hospital,Zhejiang University School of Medicine,Zhejiang University School of Stomatology,Zhejiang Provincial Clinical Research Center for Oral Diseases,Zhejiang Provincial Key Laboratory of Oral Biomedical Research,Zhejiang University Cancer Center,Zhejiang Provincial Engineering Research Center of Oral Biomaterials and Devices,Hangzhou 310006,China)

机构地区：[1]浙江大学医学院附属口腔医院,浙江大学口腔医学院,浙江省口腔疾病临床医学研究中心,浙江省口腔生物医学研究重点实验室,浙江大学癌症研究院口腔生物材料与器械浙江省工程研究中心,浙江杭州310006

出　　处：《浙江大学学报（医学版）》2024年第5期586-592,共7页Journal of Zhejiang University(Medical Sciences)

基　　金：国家自然科学基金(82271008)。

摘　　要：正畸治疗过程中,患者前牙牙槽骨唇侧有时会出现不规则、大小不一的结节性骨性凸起,这与牙槽骨内外表面的差异性骨改建有着密切关系。牙槽骨唇侧骨性凸起不仅会对正畸治疗的美学效果产生负面影响,还可能增加牙周风险。目前认为牙槽骨唇侧骨性凸起形成可能与患者性别、年龄、牙齿移动速度、前牙内收距离有关。唇侧骨性凸起存在一定自限性,若出现不能自行消退的唇侧骨性凸起需通过牙槽骨修整术进行治疗。本文通过文献回顾,系统性介绍正畸过程中前牙牙槽骨唇侧骨性凸起的发生假说、形成的影响因素、潜在生物力学机制及其对应治疗策略,有助于深入理解正畸治疗中牙槽骨改建的规律和相关机制,并为临床提供预防和治疗的理论支持。During orthodontic treatment,irregular and varying sized nodular bony protrusions may sometimes appear on the labial side of the patient’s anterior alveolar bone,which is closely related to the differential bone remodeling on the inner and outer surfaces of the alveolar bone.Labial protuberances not only affect the aesthetic results of orthodontic treatment,but also pose potential risks to periodontal health.Currently,it is believed that the influencing factors of the formation of the labial protuberances may be related to the patient’s gender and age,tooth movement speed,and extent of anterior teeth retraction.Labial protuberances typically resolve spontaneously,however,if persistent,alveoloplasty may be necessary for treatment.This review provides a summary on the occurrence,influencing factors of formation,potential biological mechanisms,and corresponding treatment methods of labial protuberances during orthodontic treatment.

关 键 词：牙槽骨 唇侧骨性凸起 正畸治疗 骨改建 综述 

分 类 号：R783.5[医药卫生—口腔医学]