正畸治疗中牙周硬组织相关并发症的处理  

Management of periodontal hard tissue related complications in orthodontic treatment

作　　者：包佳琦 王中秀 冯贻苗[2] 雷利红[1] 陈莉丽[1] BAO Jiaqi;WANG Zhongxiu;FENG Yimiao;LEI Lihong;CHEN Lili(Department of Periodontology,The Second Affiliated Hospital of Zhejiang University School of Medicine,Hangzhou 310009,China)

机构地区：[1]浙江大学医学院附属第二医院牙周病专科,浙江杭州310009 [2]浙江大学医学院附属第二医院正畸科,浙江杭州310009

出　　处：《口腔医学》2025年第1期37-44,共8页Stomatology

基　　金：国家自然科学基金(82170954)。

摘　　要：随着正畸治疗能改善错牙合畸形、提高口腔健康质量,正畸患者日趋增多。然而,正畸治疗中因缺乏对牙周炎症及牙周支持组织健康的认识,引发牙槽骨的破坏吸收,导致骨开窗、骨开裂、根间距异常、牙齿松动脱落等牙周硬组织相关并发症。目前,上述并发症已成为正畸治疗中的棘手问题。本文详细介绍正畸治疗中常见的牙周硬组织相关并发症,以及临床防治策略与方法,同时附1例采用牙周多学科治疗因正畸治疗不当引起的上前牙牙槽骨吸收、牙齿松动移位的典型病例,以期为临床医生提供参考。As orthodontic treatment improves malocclusion and enhances oral health quality,the number of orthodontic patients is steadily increasing.However,a lack of understanding of periodontal inflammation and the health of periodontal supporting tissues during orthodontic treatment can lead to alveolar bone destruction and resorption.This,in turn,results in periodontal hard tissue-related complications such as bone fenestration,bone dehiscence,abnormal interradicular distance,and tooth mobility or loss.Currently,these complications present a significant challenge in orthodontic practice.This paper provides a comprehensive overview of common perio-dontal hard tissue-related complications during orthodontic treatment,along with clinical prevention and management strategies.A typical case of multidisciplinary periodontal treatment is also presented,addressing alveolar bone resorption and tooth mobility in the upper anterior teeth caused by improper orthodontic treatment.This report aims to offer valuable reference for clinicians.

关 键 词：正畸治疗 牙周硬组织 并发症 牙周炎 

分 类 号：R783.5[医药卫生—口腔医学] R781.4[医药卫生—临床医学]