牙周-正畸-种植多学科联合治疗Ⅳ期C级牙周炎1例

doi:10.12337/zgkqjxjyzz.2025.04.008

中国口腔医学继续教育杂志 ›› 2025, Vol. 28 ›› Issue (4): 246-258.DOI: 10.12337/zgkqjxjyzz.2025.04.008

牙周-正畸-种植多学科联合治疗Ⅳ期C级牙周炎1例

陈方慧^1,2, 彭乔^1,2, 赵华翔^1,3, 孟兆理^1,4, 张细萱^1,2, 刘子菲^1,2, 朱春晖^1,2,*

¹陕西省牙颌疾病临床研究中心;
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

出版日期:2025-07-31 发布日期:2025-07-31
通讯作者: ^*朱春晖,联系方式：029-87216572,电子邮箱: zhuchunhui1985@xjtu.edu.cn,通讯地址：陕西省西安市新城区西五路98号,710004
基金资助:
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）

Periodontal-orthodontic-implant Multidisciplinary Collaboration for Stage IV Grade C Periodontitis: A Case Report

Fanghui Chen^1,2, Qiao Peng^1,2, Huaxiang Zhao^1,3, Zhaoli Meng^1,4, Xixuan Zhang^1,2, Zifei Liu^1,2, Chunhui Zhu^1,2,*

¹Clinical Research Center of Shaanxi Province for Dental and Maxillofacial Diseases, Xi'an, Shaanxi Province, P.R. China;
²Department of Periodontology, College of Stomatology, Xi'an Jiaotong University, Xi'an, Shaanxi Province, P.R. China;
³Department of Craniomaxillofacial Complex Development, College of Stomatology, Xi'an Jiaotong University, Xi'an, Shaanxi Province, P.R. China;
⁴Center of Implantology, College of Stomatology, Xi'an Jiaotong University, Xi'an, Shaanxi Province, P.R. China

Online:2025-07-31 Published:2025-07-31
Contact: Chunhui Zhu. Tel: 029-87216572. Email: zhuchunhui1985@xjtu.edu.cn. Address: No. 98, Xiwu Road, Xincheng District, Xi'an 710004, Shaanxi Province, P.R. China.
Supported by:
National Science Foundation of China-Young Scientist Fund-The regulatory role of the SIRT1-activated mitophagy intervention mechanism in the osteogenic differentiation of PDLSCs under the influence of AGEs.（No.81901019）

摘要/Abstract

摘要： 目的：本文报道1例广泛型Ⅳ期C级牙周炎青年患者的系统诊疗过程。诊治经过：患者,20岁,男性,诊断为广泛型Ⅳ期C级牙周炎,临床检查发现多数功能牙缺失,多颗牙病理性移位,继发咬合创伤。口腔医师通过牙周基础治疗联合过渡性活动义齿早期咬合干预,衔接正畸排齐与种植修复,制定“炎症控制-咬合卸载-功能重建”的系统治疗方案。结果：通过多学科联合治疗恢复患者的牙周组织健康、缓解咬合创伤、重建功能牙列,取得了良好治疗效果。结论：炎症控制-咬合卸载-功能重建”的分阶段治疗体系可获得咬合功能改善、牙周稳定和美观的修复效果。

关键词: Ⅳ期C级牙周炎, 牙齿病理性移位, 多学科联合治疗, 嵴上纤维环切术, 咬合功能重建

Abstract: Objective: This article presented the multidisciplinary management of a young patient with generalized Stage IV Grade C periodontitis, offering a novel approach to the treatment of severe and complex periodontitis patients. Diagnosis and treatment: A 20-year-old male patient diagnosed with generalized StageⅣ Grade C periodontitis, of which included the loss of multiple functional teeth, pathological tooth migration, and secondary occlusal trauma. A systematic therapeutic protocol termed inflammation control-occlusal unloading-functional reconstruction was implemented, integrating periodontal treatment with early occlusal intervention using interim removable dentures, followed by orthodontic alignment and subsequent implant restoration. Results: The multidisciplinary treatment strategy successfully restored periodontal health, resolved occlusal trauma, and reestablished a functional dentition, leading to a favorable clinical outcome. Conclusions: The staged treatment system of inflammation control-bite unloading-functional reconstruction can achieve improved bite function, periodontal stability, and aesthetic restoration effects.

Key words: StageⅣGrade C periodontitis, pathological tooth migration, multidisciplinary treatment, supracrestal fiberotomy, occlusal rehabilitation

陈方慧, 彭乔, 赵华翔, 孟兆理, 张细萱, 刘子菲, 朱春晖. 牙周-正畸-种植多学科联合治疗Ⅳ期C级牙周炎1例[J]. 中国口腔医学继续教育杂志, 2025, 28(4): 246-258.

Fanghui Chen, Qiao Peng, Huaxiang Zhao, Zhaoli Meng, Xixuan Zhang, Zifei Liu, Chunhui Zhu. Periodontal-orthodontic-implant Multidisciplinary Collaboration for Stage IV Grade C Periodontitis: A Case Report[J]. Chinese Journal of Stomatological Continuing Education, 2025, 28(4): 246-258.

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牙周-正畸-种植多学科联合治疗Ⅳ期C级牙周炎1例

Periodontal-orthodontic-implant Multidisciplinary Collaboration for Stage IV Grade C Periodontitis: A Case Report

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