摘要
成人牙周病患者正畸矫治必须在牙周炎症得到控制或牙周病处于静止期时进行,其核心目标在于改善牙列排列及咬合关系、优化口腔卫生维护条件(防止菌斑堆积)、恢复咬合功能及提升美学效果。在矫治过程中正畸医师需全面并持续评估患者的牙周健康情况,采取个性化生物力学控制策略,加强多学科合作,对可能出现的矫治风险作出针对性的预防和处理。本文就成人牙周病患者正畸矫治中的常见临床问题,包括牙周病与错[牙合]畸形发生的关系、矫治目标的制定、适应证与禁忌证、矫治流程控制及要点、影像学检查在矫治中的作用、正畸治疗后保持等方面展开阐述。
The primary objectives of orthodontic treatment in adult patients with periodontal disease are to improve dental alignment and occlusal relationships,optimize oral hygiene conditions,restore masticatory function,and enhance aesthetic outcomes.During treatment,orthodontists should comprehensively and continuously evaluate the patient’s periodontal health status,adopt personalized biomechanical control strategies,enhance multidisciplinary collaboration,and implement targeted prevention and management measures for potential orthodontic risks.This article provides an overview of common clinical issues encountered in the orthodontic treatment of adult periodontal patients.Key areas addressed include the relationship between periodontal disease and the development of malocclusion,the formulation of treatment objectives,indications and contraindications,key aspects of treatment process control,the role of radiographic examination in treatment planning and monitoring,and post-orthodontic retention protocols.
作者
冯格
钟雯婕
宋锦璘
Feng Ge;Zhong Wenjie;Song Jinlin(The Affiliated Stomatological Hospital of Chongqing Medical University&Chongqing Key Laboratory of Oral Diseases&Chongqing Municipal Key Laboratory of Oral Biomedical Engineering of Higher Education&Chongqing Municipal Health Commission Key Laboratory of Oral Biomedical Engineering,Chongqing 401147,China)
出处
《华西口腔医学杂志》
北大核心
2026年第1期34-40,共7页
West China Journal of Stomatology
基金
国家重点研发计划项目(2022YFC2504200)
国家自然科学基金区域创新发展联合基金(U22A20314)。
关键词
成人牙周病
正畸矫治
矫治策略
adult periodontal disease
orthodontic treatment
treatment strategies
