中国口腔医学继续教育杂志 ›› 2025, Vol. 28 ›› Issue (4): 220-236.DOI: 10.12337/zgkqjxjyzz.2025.04.006

• 病例分析 • 上一篇    下一篇

牙周-正畸联合治疗广泛型III期C级牙周炎1例

戚刚刚1, 王艺翔1, 刘倩1, 陈小燕2, 李晓军1,*   

  1. 1浙江大学医学院附属口腔医院牙周病学科·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;
    2浙江大学医学院附属口腔医院口腔正畸学科·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
  • 出版日期:2025-07-31 发布日期:2025-07-31
  • 通讯作者: *李晓军,联系方式:0571-87215797,电子邮箱:ddslee312@zju.edu.cn,通讯地址:浙江省杭州市上城区秋涛北路166号,310016
  • 基金资助:
    浙江大学医学院附属口腔医院探索与研发项目(项目编号:RD2022DXKB03)

Combined Periodontal-orthodontic Treatment in Generalized Stage III Grade C Periodontitis: A Case Report

Ganggang Qi1, Yixiang Wang1, Qian Liu1, Xiaoyan Chen2, Xiaojun Li1,*   

  1. 1Department of Periodontics, Stomatology Hospital,School of Stomatology, Zhejiang University School of Medicine, Zhejiang Provincial Clinical Research Center for Oral Diseases, Key Laboratory of Oral Biomedical Research of Zhejiang Province, Cancer Center of Zhejiang University, Hangzhou, Zhejiang Province, P.R. China;
    2Department of Orthodontics, Stomatology Hospital, School of Stomatology, Zhejiang University School of Medicine, Zhejiang Provincial Clinical Research Center for Oral Diseases, Key Laboratory of Oral Biomedical Research of Zhejiang Province, Cancer Center of Zhejiang University, Hangzhou , Zhejiang Province, P.R. China
  • Online:2025-07-31 Published:2025-07-31
  • Contact: Xiaojun Li. Tel: 0571-87215797. Email: ddslee312@zju.edu.cn. Address: No. 166 Qiutao North Road, Shangcheng District, Hangzhou 310016, Zhejiang Province, P.R. China.
  • Supported by:
    Exploration and Development Project of ZJUSS (No.RD2022DXKB03)

摘要: 目的:报道1例广泛型Ⅲ期C级牙周炎的系统治疗联合正畸治疗的疗效。诊治经过:该病例经牙周基础治疗控制牙周炎症,牙周植骨术改善牙周支持组织,联合正畸治疗重塑牙周组织和𬌗关系,获得牙周炎症控制并长期稳定。结果:治疗后患者牙周炎症得到有效控制,牙周组织结构、功能和美观明显改善,取得了良好的临床效果。结论:本病例诊治过程及结果可提供牙周-正畸联合治疗的个性化治疗方案之一。

关键词: 牙周炎, 系统治疗, 牙周植骨术, 正畸治疗, 联合治疗

Abstract: Objective: Report the efficacy of systematic treatment combined with orthodontic treatment in a case of extensive Stage III Grade C periodontitis. Diagnosis and treatment: In this case, periodontal basic treatment was conducted to control periodontal inflammation, bone grafts were implemented to improve the supporting periodontal tissues, orthodontic treatment was used to manage the periodontal tissues and occlusal balance, ultimately achieving control of periodontal inflammation with long-term stability. Results: This case achieved good clinical results, the patient's periodontal inflammation was effectively controlled, and there was significant improvement in the structure, function, and aesthetics of the periodontal tissues. Conclusions: The diagnosis and treatment process and results of this case can provide one of the personalized treatment plans for periodontal orthodontic combined treatment.

Key words: periodontitis, sequential treatment, bone grafts, orthodontic therapy, combination therapy