无托槽隐形矫治器治疗重度慢性牙周炎病理性移位致咬合创伤1例

doi:10.12337/zgkqjxjyzz.2024.06.003

中国口腔医学继续教育杂志 ›› 2024, Vol. 27 ›› Issue (6): 468-478.DOI: 10.12337/zgkqjxjyzz.2024.06.003

无托槽隐形矫治器治疗重度慢性牙周炎病理性移位致咬合创伤1例

朱子璐¹, 陈柳菁¹, 邢辰阳¹, 赵亦兵², 施捷^1,*, 杨瑞莉^1,*

¹北京大学口腔医学院·口腔医院口腔正畸科,国家口腔医学中心,国家口腔疾病临床医学研究中心,口腔生物材料和数字诊疗装备国家工程研究中心;
²北京大学口腔医学院·口腔医院牙周科

出版日期:2024-11-30 发布日期:2025-06-06
通讯作者: ^*杨瑞莉、施捷,联系方式：010-82195128,电子邮箱：ruiliyang@bjmu.edu.cn;sjlily@yeah.net,通讯地址：北京市海淀区中关村南大街22号,100081
基金资助:
北京市自然科学基金（项目编号：L232107）,北京大学临床科学家培养计划（项目编号：BMU2024PYJH019）,北京大学口腔医院教育教学研究项目（项目编号：2024-ZD-02）,新技术新疗法重点项目：中重度牙周炎患者病理性移位患牙隐形矫治的临床研究（项目编号：PKUSSNCT-22G05）

Invisible Aligner Treatment for Pathological Displacement Causing Occlusal Trauma in Severe Chronic Periodontitis: A Case Report

Zilu Zhu¹, Liujing Chen¹, Chenyang Xing¹, Yibing Zhao², Jie Shi^1,*, Ruili Yang^1,*

¹Department of Orthodontics, Peking University School of Stomatology, National Center for Stomatology, National Clinical Research Center for Oral Diseases, National Engineering Research Center for Oral Biomaterials and Digital Diagnosis Equipment, Beijing, P.R. China;
²Department of Periodontology, Peking University School of Stomatology, Beijing, P.R. China

Online:2024-11-30 Published:2025-06-06
Contact: Ruili Yang, Jie Shi. Tel: 010-82195128. Email: ruiliyang@bjmu.edu.cn; sjlily@yeah.net. Address: No. 22, South Zhongguancun Street, Haidian District, Beijing 100081, P.R. China.
Supported by:
Beijing Natural Science Foundation (No.L232107),Peking University Clinical Scientist Training Program(No.BMU2024PYJH019),Education and Teaching Research Project of Peking University School &Hospital of Stomatology（No.2024-ZD-02）,Key Project of New Technology and New Therapy: Clinical study on the treatment of pathologically displaced teeth in patients with moderate and severe periodontitis with invisible aligner（No.PKUSSNCT-22G05）

摘要/Abstract

摘要： 目的：探讨利用隐形矫治器治疗重度慢性牙周炎去除咬合创伤的临床治疗效果。诊治经过：53岁男性患者,重度慢性牙周炎,上下前牙散在间隙,前牙深覆𬌗、深覆盖,磨牙中性关系,尖牙近中关系;前牙反覆盖2mm;下前牙松动Ⅲ度。通过牙周治疗控制炎症,利用隐形矫治器进行正畸治疗,去除咬合创伤。结果： 该病例经牙周-正畸联合治疗后,去除咬合创伤,建立了稳定的咬合,改善侧貌,患者对治疗效果满意。结论： 隐形矫治器具有组牙支抗和分步移动的优势,有助于去除咬合创伤。

关键词: 正畸治疗, 隐形矫治, 牙周炎, 咬合创伤, 病理性牙移位

Abstract: Objective: To evaluate the clinical effectiveness of using invisible aligners to remove occlusal trauma caused by pathological displacement in severe chronic periodontitis. Diagnosis and Treatment: A 53-year-old male patient presented with severe chronic periodontitis, scattered spaces among the upper and lower anterior teeth, deep overbite and overjet, molar neutral occlusion, and canine mesial occlusion. The anterior teeth exhibited a 2mm reverse overjet, significant spacing between the upper and lower central incisors, and the midline could not be recorded. The lower anterior teeth showed gradeⅢmobility. Periodontal treatment was performed to control inflammation, and orthodontic treatment with invisible aligners was used to eliminate occlusal trauma. Results: After combined orthodontic-periodontal treatment, occlusal trauma was eliminated, stable occlusion was established, the patient’s profile was improved, and the patient was satisfied with the treatment outcome. Conclusions: Invisible aligners, with their advantages of grouped anchorage and staged movement, facilitate the elimination of occlusal trauma.

Key words: orthodontic treatment, invisible aligners, periodontitis, occlusion trauma, pathologic tooth migration

朱子璐, 陈柳菁, 邢辰阳, 赵亦兵, 施捷, 杨瑞莉. 无托槽隐形矫治器治疗重度慢性牙周炎病理性移位致咬合创伤1例[J]. 中国口腔医学继续教育杂志, 2024, 27(6): 468-478.

Zilu Zhu, Liujing Chen, Chenyang Xing, Yibing Zhao, Jie Shi, Ruili Yang. Invisible Aligner Treatment for Pathological Displacement Causing Occlusal Trauma in Severe Chronic Periodontitis: A Case Report[J]. Chinese Journal of Stomatological Continuing Education, 2024, 27(6): 468-478.

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无托槽隐形矫治器治疗重度慢性牙周炎病理性移位致咬合创伤1例

Invisible Aligner Treatment for Pathological Displacement Causing Occlusal Trauma in Severe Chronic Periodontitis: A Case Report

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