上颌磨牙缺失合并对颌牙伸长的多学科联合诊疗1例  

Multidisciplinary Fusion in The Treatment of Maxillary Molar Missing Combined With Opposite Teeth Elongation:A Case Report

作　　者：彭乔 赵华翔 孟兆理[1,4] 张细萱 陈方慧[1,2] 刘子菲 朱春晖 Qiao Peng;Huaxiang Zhao;Zhaoli Meng;Xixuan Zhang;Fanghui Chen;Zifei Liu;Chunhui Zhu(Clinical Research Center of Shaanxi Province for Dental and Maxillofacial Diseases,Shaanxi Xi'an,Xi'an,Shaanxi Province,P.R.China;Department of Periodontology,Stomatological Hospital of Xi’an Jiaotong University,Xi’an,Shaanxi Province,P.R.China;Department of Craniomaxillofacial Complex Development,Stomatological Hospital of Xi’an Jiaotong University,Xi’an,Shaanxi Province,P.R.China;Center of Implantology,School of Stomatology,Stomatological Hospital of Xi’an Jiaotong University,Xi’an,Shaanxi Province,P.R.China)

机构地区：[1]陕西省牙颌疾病临床研究中心,陕西省西安市710004 [2]西安交通大学口腔医院牙周病科 [3]西安交通大学口腔医院颅颌面发育复杂专科 [4]西安交通大学口腔医院种植中心

出　　处：《中国口腔医学继续教育杂志》2024年第4期340-351,共12页Chinese Journal of Stomatologial Continuing Education

基　　金：国家自然科学青年项目基金SIRT1激活线粒体自噬的干预机制对AGEs影响下PDLSCs成骨分化过程的调控作用(项目编号:81901019)。

摘　　要：目的:本文报道1例上颌磨牙缺失合并对颌牙伸长的多学科联合诊疗的病例,为重度牙周炎患者多学科诊治提供思路。诊治经过:患者50岁,女性,重度牙周炎,上颌后牙缺失后对颌牙伸长,种植间隙不足,咀嚼功能下降,影响身心健康。口腔医师通过牙周治疗控制炎症,正畸治疗联合嵴上纤维环切术压低伸长牙,种植修复缺失牙以及牙周维护治疗等方式实施多学科联合治疗。结果:经过多学科联合治疗,控制了患者的牙周炎症情况、改善了咬合关系并恢复了牙列完整性。结论:对于重度牙周炎患者,其治疗方案的制定与实施需要综合考虑多个学科的专业知识。制定个性化的治疗方案可以实现健康与功能相协调、稳定的治疗效果。Objective:A case of maxillary molar missing combined with opposite tooth elongation caused by pathological tooth displacement was treated in a comprehensive approach to provide insight for the multidisciplinary diagnosis and treatment of severe periodontitis.Diagnosis and treatment:A 50-year-old female patient presented with severe periodontitis,opposite teeth elongation after maxillary posterior teeth missing,insufficient implant space,and decreased masticatory function,which seriously affected the patient’s physical and mental health.A multidisciplinary treatment plan was developed by dentists through periodontal treatment to control periodontal inflammation,orthodontic treatment combined with supracristal fibrotomy to press the overstretched teeth,implant restoration of missing teeth,and periodontal maintenance treatment.Results:After the comprehensive treatment,the patient’s periodontal health was restored,the occlusion relationship was improved,and the integrity of the dentition was restored.Conclusions:Comprehensive consideration should be given to the diagnosis and treatment of patients with severe periodontitis,and the oral health of patients should be protected as much as possible.In this case,a healthy,functional,and stable treatment effect was achieved through the multidisciplinary team treatment.

关 键 词：磨牙缺失 病理性牙移位 重度牙周炎 嵴上纤维环切术 多学科联合治疗 

分 类 号：R78[医药卫生—口腔医学]