上颌磨牙缺失合并对颌牙伸长的多学科联合诊疗1例

doi:10.12337/zgkqjxjyzz.2024.04.010

中国口腔医学继续教育杂志 ›› 2024, Vol. 27 ›› Issue (4): 340-351.DOI: 10.12337/zgkqjxjyzz.2024.04.010

上颌磨牙缺失合并对颌牙伸长的多学科联合诊疗1例

彭乔^1,2, 赵华翔^1,3, 孟兆理^1,4, 张细萱^1,2, 陈方慧^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

发布日期:2025-01-09
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）

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

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

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

Published:2025-01-09
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:
; Supported by:National Science Foundation of China-Young Scientist Fund（No.81901019）

摘要/Abstract

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。

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

Abstract: 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.

Key words: molar absence, pathological tooth displacement, severe periodontitis, suprascrestal annulotomy, sulti-disciplinary treatment

彭乔, 赵华翔, 孟兆理, 张细萱, 陈方慧, 刘子菲, 朱春晖. 上颌磨牙缺失合并对颌牙伸长的多学科联合诊疗1例[J]. 中国口腔医学继续教育杂志, 2024, 27(4): 340-351.

Qiao Peng, Huaxiang Zhao, Zhaoli Meng, Xixuan Zhang, Fanghui Chen, Zifei Liu, Chunhui Zhu. Multidisciplinary Fusion in The Treatment of Maxillary Molar Missing Combined With Opposite Teeth Elongation: A Case Report[J]. Chinese Journal of Stomatological Continuing Education, 2024, 27(4): 340-351.

参考文献

[1] Cui Y, Tian G, Li R, et al.Epidemiological and sociodemographic transitions of severe periodontitis incidence, prevalence, and disability-adjusted life years for 21 world regions and globally from 1990 to 2019: an age-period-cohort analysis[J]. J Periodontol. 2023; 94(2):193-203.
[2] Chodankar VR, Baheti NR, Karemore VA, et al.Guided tissue regeneration and orthodontic movement for the treatment of pathological migration in esthetic zone[J]. J Indian Soc Periodontol. 2023; 27(5):541-546.
[3] 李成章, 邓少林, 尚姝环, 等. 牙周非手术治疗病理性移位牙齿的自发回位[J].中华口腔医学杂志, 2020, 55(1):38-41.
[4] Brunsvold MA.Pathologic tooth migration[J]. J Periodontol. 2005; 76(6):859-866.
[5] 高展翼, 白艳杰, 王京旗, 等. Ⅳ期C级牙周炎的口腔综合治疗1例[J].中国口腔医学继续教育杂志, 2023, 26(4):294-307.
[6] 束蓉, 倪靖.2018牙周病和植体周病国际新分类——牙周炎分期分级疾病定义系统临床应用体会[J].口腔医学, 2020, 40(1):1-6.
[7] McGuire MK, Nunn ME. Prognosis versus actual outcome. Ⅱ. The effectiveness of clinical parame-ters in developing an accurate prognosis[J]. J Periodontol. 1996; 67(7): 658-665.
[8] Lang NP, Tonetti MS.Periodontal risk assessment (PRA) for patients in supportive periodontal therapy (SPT)[J]. Oral Health Prev Dent. 2003; 1(1):7-16.
[9] 释栋, 姜若萍, 王帅. 慢性牙周炎多学科综合治疗长期观察一例[J]. 中华口腔医学杂志, 2012, 47(2):85-89.
[10] 谢雨航, 杨莉莉, 彭艺, 等. 广泛型牙周炎Ⅲ期C级口腔综合治疗1例[J].中国口腔医学继续教育杂志, 2023, 26(4):308-323.
[11] Tonetti MS, Sanz M.Implementation of the new classification of periodontal diseases: Decision-making algorithms for clinical practice and education. [J] Clin Periodontol. 2019; 46(4):398-405.
[12] Moka L, Boyapati R, Salavadhi S, et al.Determinants of pathological tooth migration[J]. J Dr NTR Univ Health Sci. 2018; 7(2):89-93.
[13] 谢成佳, 姚卜瑜, 张广灿, 等. 慢性牙周炎伴前牙病理性移位的多学科联合治疗1例[J].中国口腔医学继续教育杂志, 2023, 26(1):73-79,84.
[14] 施捷. 牙周病患者的正畸治疗[J]. 中华口腔医学杂志, 2020, 55(7):455-460.
[15] 王敏雅, 马凯, 李悦, 等. 对牙伸长致种植义齿修复间隙不足不同处理方法疗效评价[J]. 中国实用口腔科杂志, 2016, 9(8):468-471.
[16] Hot A, Jaisson I, Girard C, et al.Yield of bone marrow examination in diagnosing the source of fever of unknown origin[J]. Arch Intern Med. 2009; 169(21):2018-2023.
[17] 中华口腔医学会, 俞光岩,王勤涛,等. 维护牙周健康的中国口腔医学多学科专家共识(第一版)[J]. 中华口腔医学杂志, 2021, 56(2):127-135.
[18] 施捷. 牙周病患者的正畸治疗[J]. 中华口腔医学杂志, 2020, 55(07):455-460.
[19] Cardaropoli D, Re S, Corrente G, et al.Intrusion of migrated incisors with infrabony defects in adult periodontal patients[J]. Am J Orthod Dentofacial Orthop. 2001; 120(6):671-675.
[20] 雷利红, 胡华姣, 俞媛媛, 等. 重度广泛型侵袭性牙周炎牙周-正畸联合治疗九年纵向观察一例[J] . 中华口腔医学杂志, 2018, 53(2) :116-119.
[21] 袁建桥, 张月兰, 刘林嶓, 等. 牙龈环切辅助牙周炎患牙正畸压入治疗效果的对比研究[J]. 实用口腔医学杂志, 2014, 30(1):118-120.
[22] 董莹丽, 张月兰, 袁建桥. 二次嵴上纤维环切术结合正畸治疗牙周病的临床观察[J].实用口腔医学杂志, 2015, 31(5):674-677.
[23] 姜卫, 李晓智. 嵴上纤维环切辅助正畸压低牙周炎患牙的研究进展[J]. 北京口腔医学, 2019, 27(1):58-60.

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

PDF (PC)

可视化

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 6

编辑推荐

Metrics

本文评价

[1]	张佳喻, 刘娜, 石旭妍, 陈悦. 内窥镜辅助龈下刮治、根面平整治疗牙周炎III期C级1例[J]. 中国口腔医学继续教育杂志, 2024, 27(4): 282-293.
[2]	郑琪凡, 赵佳慧, 罗诗音, 应悦, 刘楠, 王柳, 徐桐, 姜艾佳, 潘亚萍, 张冬梅. 伴贫血的Ⅳ期C级牙周炎序列治疗引发的思考[J]. 中国口腔医学继续教育杂志, 2024, 27(4): 306-315.
[3]	刘杨, 雷容, 田磊, 赵雅娟, 陈永进. 复杂牙外伤的多学科联合诊疗1例[J]. 中国口腔医学继续教育杂志, 2023, 26(5): 411-420.
[4]	谢成佳, 姚卜瑜, 张广灿, 王喜军, 葛少华. 慢性牙周炎伴前牙病理性移位的多学科联合治疗1例[J]. 中国口腔医学继续教育杂志, 2023, 26(1): 73-79.
[5]	张力伟, 董唯吉, 雷洋, 陈迪, 郭泾. 目标引导的骨性III类错多学科联合治疗一例[J]. 中国口腔医学继续教育杂志, 2021, 24(5): 303-314.
[6]	雷丹, 黄倩倩, 卞晶, 李苏伶, 张翼. 牙周-正畸-种植修复联合治疗重度牙周炎病例一例[J]. 中国口腔医学继续教育杂志, 2021, 24(2): 107-118.