正畸联合其他学科治疗牙固连的研究进展  

Research progress in orthodontics combined with other disciplines in treatment of tooth ankylosis

作　　者：崔宇琛 朱沛宁 袁佳敏 康芙嘉 张晗 朱宪春[1] 钟宪澎 CUI Yuchen;ZHU Peining;YUAN Jiamin;KANG Fujia;ZHANG Han;ZHU Xianchun;ZHONG Xianpeng(Department of Orthodontics,Stomatology Hospital,Jilin University,Changchun 130021,China;Department of Neurosurgery,China-Japan Union Hospital,Jilin University,Changchun 130033,China;School Hospital,Jilin University,Changchun 130012,China)

机构地区：[1]吉林大学口腔医院正畸科,吉林长春130021 [2]吉林大学中日联谊医院神经外科,吉林长春130033 [3]吉林大学校医院,吉林长春130012

出　　处：《吉林大学学报（医学版）》2024年第6期1780-1786,共7页Journal of Jilin University：Medicine Edition

基　　金：吉林省科技厅自然科学基金项目(YDZJ202201ZYTS057)。

摘　　要：牙固连是一种牙骨质与周围牙槽骨直接结合的临床疾病,可导致牙齿功能和美观上的缺陷,其病因与遗传、代谢和局部刺激等因素有关。牙固连的诊断需要结合患者临床表现和影像学检查,以提高诊断的准确性。牙固连的治疗具有较大的挑战性,正畸联合其他学科治疗牙固连提供了一种新的、综合性的治疗方案,可将传统正畸技术与截骨术、牵张成骨术、正畸骨牵拉术、骨皮质切开术、脱位术和自体牙移植技术相结合。牙固连治疗需要多个学科的配合,由口腔正畸科、口腔外科和口腔内科等领域的专家共同参与制订最佳的治疗方案,综合性的治疗方法较传统治疗方法可获得更好的临床疗效。现对牙固连的病因、诊断和正畸联合其他学科治疗牙固连的方法进行综述,分析不同治疗方案的利弊,并对临床疗效及风险进行评估,为牙固连的治疗提供新的思路。Tooth ankylosis is a clinical condition where the tooth cementum directly fuses with the surrounding alveolar bone,leading to functional and aesthetic defects.The etiology involves genetic,metabolic,and local stimulation factors.The diagnosis of tooth ankylosis requires a combination of clinical manifestations and imaging examinations to improve the diagnostic accuracy.The treatment of tooth ankylosis presents significant challenges.Orthodontic treatment combined with other disciplines offers a new,comprehensive treatment approach,integrating traditional orthodontic techniques with osteotomy,distraction osteogenesis,orthodontic bone traction,corticotomy,dislocation,and autologous tooth transplantation techniques.The treatment of tooth ankylosis requires the cooperation of multiple disciplines,and the experts from orthodontics,oral surgery,and oral medicine collaborate to develop the optimal treatment plan.This comprehensive treatment method achieves better outcomes compared with traditional treatments.This review discusses the etiology,diagnosis,and orthodontic combined multidisciplinary treatment methods of tooth ankylosis,analyzes the advantages and disadvantages of various treatment options,evaluates the efficacy and risks,and provides new perspectives for the treatment of tooth ankylosis.

关 键 词：牙固连 正畸 多学科联合治疗 截骨术 牵张成骨术 正畸骨牵拉术 

分 类 号：R783.5[医药卫生—口腔医学]