无托槽透明矫治器联合牙周-种植治疗重度牙周病伴前牙深覆盖1例

doi:10.12337/zgkqjxjyzz.2025.01.006

中国口腔医学继续教育杂志 ›› 2025, Vol. 28 ›› Issue (1): 24-25.DOI: 10.12337/zgkqjxjyzz.2025.01.006

无托槽透明矫治器联合牙周-种植治疗重度牙周病伴前牙深覆盖1例

李思进¹, 李永明¹, 华咏梅¹, 于博涵², 范震³, 廖崇珊^1,*

¹上海市同济口腔医院正畸科,同济大学口腔医学院,上海牙组织修复与再生工程技术研究中心,同济大学口腔医学研究所;
²上海市同济口腔医院牙周科,同济大学口腔医学院,上海牙组织修复与再生工程技术研究中心,同济大学口腔医学研究所;
³上海市同济口腔医院种植科,同济大学口腔医学院,上海牙组织修复与再生工程技术研究中心,同济大学口腔医学研究所

发布日期:2025-08-15
通讯作者: ^*廖崇珊,联系方式：021-66313715,电子邮箱：liaochongshan@tongji.edu.cn,通讯地址：上海市静安区延长中路399号,200072
基金资助:
国家自然科学基金青年项目（项目编号：82001008,82470956）; 中华口腔青年人才项目（COS-B2021-05）; 中华口腔医学会青年临床项目（CSA-O2020-03）; 中国牙病防治基金会种子基金项目（A2023-029）; 同济大学自主原创项目（22120240282）

Clear Aligner Combined with Periodontal-implantation Treatment for Patients with Severe Periodontitis and Deep Overjet: A Case Report

Sijin Li¹, Yongming Li¹, Yongmei Hua¹, Bohan Yu², Zhen Fan³, Chongshan Liao^1,*

¹Department of Orthodontics, Shanghai Tongji Stomatological Hospital and Dental School, Tongji University & Shanghai Engineering Research Center of Tooth Restoration and Regeneration & Tongji Research Institute of Stomatology, Shanghai, P.R.China;
²Department of Periodontics, Shanghai Tongji Stomatological Hospital and Dental School, Tongji University & Shanghai Engineering Research Center of Tooth Restoration and Regeneration & Tongji Research Institute of Stomatology, Shanghai, P.R.China;
³Department of Implantology, Shanghai Tongji Stomatological Hospital and Dental School, Tongji University & Shanghai Engineering Research Center of Tooth Restoration and Regeneration & Tongji Research Institute of Stomatology, Shanghai, P.R. China

Published:2025-08-15
Contact: Chongshan Liao. Tel: 021-66313715. Email: liaochongshan@tongji.edu.cn. Address: 399 Middle Yanchang Road, Jing’an District, Shanghai 200072, P.R. China.
Supported by:
National Natural Science Foundation of China (No. 82001008,82470956); Orthodontic Society of the Chinese Stomatological Association (Talent Training Project, COS-B2021-05); Chinese Stomatological Association (CSA-O2020-03); China Oral Health Foundation (A2023-029); Fundamental Research Funds for the Central Universities (22120240282) to Chongshan Liao

摘要/Abstract

摘要： 目的：本文报道1例牙周-正畸-种植多学科联合治疗重度牙周病伴深覆盖和牙列缺损的成人病例。诊治经过：明确治疗计划后,患者拔除重度牙周病患牙并进行牙周基础治疗,复查牙周状态稳定后开始正畸治疗;无托槽透明矫治器治疗30个月完成矫治,牙列间隙关闭,前牙覆盖和咬合关系改善;进行左侧上颌窦底提升术后植入种植体,6个月后完成缺失牙修复。结果：患者牙周情况稳定,前牙美观和侧貌得到改善,缺失牙修复效果良好。结论：多学科联合诊治可综合分析患者口腔问题, 制定全面的治疗方案,完成重度牙周炎伴错颌畸形的诊治和口腔健康的的长期维护。

关键词: 牙周炎, 正畸治疗, 无托槽隐形矫治器, 多学科联合治疗, 种植

Abstract: Objective: This case reported an adult with severe periodontitis with deep overjet and dentition defect, who treated with combination of periodontal-orthodontic-implantation multidiscipline treatment. Diagnosis and treatment: After making the treatment plan, the teeth with severe periodontitis were extracted and the periodontal basic treatment was performed. After re-examination, the periodontal status was stable and orthodontic treatment began. After 30 months of treatment with clear aligners, the dental space was closed, and the overjet and occlusal relationship were improved. The left maxillary sinus floor lift was performed before the implantation, and after 6 months, the missing teeth were repaired. Results: After treatment, the patient achieved stable periodontal condition, optimal overjet and profile and good effect of missing teeth restoration. Conclusions: In the treatment of severe periodontitis with malocclusion, multi-disciplinary diagnosis and treatment can comprehensively analyze the problems of patients and formulate detailed treatment plans, which is of great importance to maintain longtime oral health for patients.

Key words: periodontitis, orthodontic treatment, clear aligner, multi-discipline treatment, dental implant

李思进, 李永明, 华咏梅, 于博涵, 范震, 廖崇珊. 无托槽透明矫治器联合牙周-种植治疗重度牙周病伴前牙深覆盖1例[J]. 中国口腔医学继续教育杂志, 2025, 28(1): 24-25.

Sijin Li, Yongming Li, Yongmei Hua, Bohan Yu, Zhen Fan, Chongshan Liao. Clear Aligner Combined with Periodontal-implantation Treatment for Patients with Severe Periodontitis and Deep Overjet: A Case Report[J]. Chinese Journal of Stomatological Continuing Education, 2025, 28(1): 24-25.

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无托槽透明矫治器联合牙周-种植治疗重度牙周病伴前牙深覆盖1例

Clear Aligner Combined with Periodontal-implantation Treatment for Patients with Severe Periodontitis and Deep Overjet: A Case Report

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