牙槽骨再生正畸治疗伴牙槽骨缺损的成人错畸形远期疗效评价

上海口腔医学 ›› 2015, Vol. 24 ›› Issue (5): 420-424.

牙槽骨再生正畸治疗伴牙槽骨缺损的成人错畸形远期疗效评价

王博^1*, 于洪波^1*, 孙良龑¹, 沈国芳¹, 王旭东¹, 房兵, 刘加强¹, 欧阳宁鹃¹, 郭秋曼

1.上海交通大学医学院附属第九人民医院·口腔医学院口腔颅颌面科,2.牙周病科, 上海市口腔医学重点实验室,上海 200011

收稿日期:2014-11-24 修回日期:2015-03-06 出版日期:2015-10-20 发布日期:2015-11-03
通讯作者: 房兵,Tel:021-23271699-5735,E-mail:braces_dr@hotmail.com;
作者简介:王博（1985-）,男,硕士,主治医师,E-mail：wb228@126.com；于洪波（1976-）,男,博士,副主任医师,E-mail：yuhb@sdu.edu.cn。

Long-term effectiveness of periodontal micro-osteotomy assisted orthodontic treatment of adult patients with malocclusion alveolar defect

WANG Bo¹, YU Hong-bo¹, SUN Liang-yan¹, SHEN Guo-fang¹, WANG Xu-dong¹, FANG Bing¹, LIU Jia-qiang¹, OU YANG Ning-juan¹, GUO Qiu-man²

1.Department of Oral and Craniomaxillofacial Science, 2. Department of Periodontology, Shanghai Ninth People’s Hospital, College of Stomatology, Shanghai Jiao Tong University School of Medicine; Shanghai Key Laboratory of Stomatology. Shanghai 200011, China

Received:2014-11-24 Revised:2015-03-06 Online:2015-10-20 Published:2015-11-03

摘要/Abstract

摘要： 目的：评价牙槽骨再生正畸治疗伴牙槽骨缺损的成人错畸形的远期疗效。方法伴牙槽骨缺损的成人错畸形3例,平均年龄29岁。经正颌-正畸联合会诊制订治疗计划,按照牙槽骨再生正畸及正颌-正畸联合治疗模式,分别进行系统治疗并随访2~3 a。结果3例患者均顺利完成治疗,面型及咬合关系获得良好改善;牙槽骨缺损区正畸牙移动到位且未见医源性牙周并发症,牙槽骨缺损区骨量增加明显且远期效果稳定。结论针对伴牙槽骨缺损的成人患者,牙槽骨再生正畸是一种较为理想的技术。

关键词: 牙槽骨再生正畸, 牙槽骨缺损, 锥形束CT

Abstract: PURPOSE:To investigate the long-term effectiveness of periodontal micro-osteotomy assisted orthodontic treatment of adult patients with malocclusion and alveolar defect. METHODS: A joint orthodontic and orthognathic consultation was performed on 3 adult patients with malocclusion and alveolar defect with an average age of 29 years. Periodontal micro-osteotomy assisted orthodontic treatment and combined orthodontic and orthognathic therapy were carried out with long-term follow-up of 2-3 years. RESULTS: Periodontal micro-osteotomy assisted orthodontic treatment and combined orthodontic and orthognathic therapy resulted in normal facial appearance and occlusal relationship without the occurrence of periodontal iatrogenic sequelae. The long-term effectives of alveolar augmentation were maintained at the surgical sites. CONCLUSIONS: Periodontal micro-osteotomy assisted orthodontic treatment was a promising technique for the treatment of adult patients with malocclusion and alveolar defect.

Key words: Supported, by, Youth, Research, Fund, of, Shanghai, Municipal, Commission, of, Health, and, Family, Planning, (20144Y0125), and, Science, and, Technological, Fund, of, Shanghai, Jiao, Tong, University, School, of, Medicine(12XJ10055).

王博, 于洪波, 孙良龑, 沈国芳, 王旭东, 房兵, 刘加强, 欧阳宁鹃, 郭秋曼. 牙槽骨再生正畸治疗伴牙槽骨缺损的成人错畸形远期疗效评价[J]. 上海口腔医学, 2015, 24(5): 420-424.

WANG Bo, YU Hong-bo, SUN Liang-yan, SHEN Guo-fang, WANG Xu-dong, FANG Bing, LIU Jia-qiang, OU YANG Ning-juan, GUO Qiu-man. Long-term effectiveness of periodontal micro-osteotomy assisted orthodontic treatment of adult patients with malocclusion alveolar defect[J]. Shanghai Journal of Stomatology, 2015, 24(5): 420-424.

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