国际口腔医学杂志 ›› 2020, Vol. 47 ›› Issue (2): 206-211.doi: 10.7518/gjkq.2020047

• 综述 • 上一篇    下一篇

牙周加速成骨正畸临床应用效果的研究进展

李寒月1,夏露露1,华先明1,2()   

  1. 1. 口腔基础医学省部共建国家重点实验室培育基地和口腔生物医学教育部重点实验室 武汉大学口腔医学院 武汉 430079
    2. 武汉大学口腔医院正畸科 武汉 430079
  • 收稿日期:2019-06-02 修回日期:2019-08-12 出版日期:2020-03-01 发布日期:2020-03-12
  • 通讯作者: 华先明
  • 作者简介:李寒月,硕士,Email: lihanyue@whu.edu.cn
  • 基金资助:
    武汉市科技局应用基础研究计划(2015060101010052)

Clinical advances of periodontally accelerated osteogenic orthodontics

Li Hanyue1,Xia Lulu1,Hua Xianming1,2()   

  1. 1. The State Key Laboratory Breeding Base of Basic Science of Stomatology (Hubei-MOST) & Key Laboratory of Oral Biomedicine Ministry of Education, School & Hospital of Stomatology, Wuhan University, Wuhan 430079, China
    2. Dept. of Orthodontics, Hospital of Stomatology, Wuhan University, Wuhan 430079, China
  • Received:2019-06-02 Revised:2019-08-12 Online:2020-03-01 Published:2020-03-12
  • Contact: Xianming Hua
  • Supported by:
    This study was supported by Application Basic Research Plan of Wuhan Municipal Science and Technology Bureau(2015060101010052)

摘要:

牙周加速成骨正畸(PAOO)是指对牙槽骨进行骨皮质切开,并在切开骨表面进行颗粒骨移植以辅助正畸治疗。骨皮质切开诱导的局部加速现象可诱导破骨活性增加,加速骨代谢,从而有效加速正畸牙移动,缩短疗程,并可以减少牙根吸收等正畸并发症的发生。颗粒骨的植入能扩大正畸牙的移动范围,拓宽正畸治疗的适应证,保证牙周健康,提高治疗稳定性。本文就PAOO对正畸治疗中牙移动速率、骨增量效果以及牙根吸收的临床效果作一综述,以便为该技术的临床应用提供参考。

关键词: 牙周加速成骨正畸, 加速, 骨增量, 牙根吸收

Abstract:

Periodontally accelerated osteogenic orthodontics (PAOO) involves alveolar bone corticotomy and particulate bone grafting. Regional acceleratory phenomena (RAP) induced by corticotomy stimulates osteoclast activity and alveolar bone remodeling. The stimulation results in orthodontic tooth movement acceleration, reduced treatment duration, and decreased root resorption. Alveolar augmentation expands tooth moving boundaries and benefits periodontal conditions. The present article reviews the evaluation of the clinical effects of PAOO on tooth movement acceleration, bone augmentation, and root resorption to provide references for clinical application.

Key words: periodontally accelerated osteogenic orthodontics, accelerate, alveolar augmentation, tooth resorption

中图分类号: 

  • R783.5
[1] Wilcko WM, Wilcko T, Bouquot JE , et al. Rapid orthodontics with alveolar reshaping: two case re-ports of decrowding[J]. Int J Periodontics Restorative Dent, 2001,21(1):9-19.
[2] Frost HM . The regional acceleratory phenomenon: a review[J]. Henry Ford Hosp Med J, 1983,31(1):3-9.
[3] 王思雨, 王震东, 严斌 . 牙周骨皮质切开术式的研究进展[J]. 华西口腔医学杂志, 2018,36(2):220-225.
Wang SY, Wang ZD, Yan B . Advances in surgical techniques of periodontal corticotomy[J]. West China J Stomatol, 2018,36(2):220-225.
[4] Hassan AH, Al-Fraidi AA, Al-Saeed SH . Corticotomy- assisted orthodontic treatment: review[J]. Open Dent J, 2010,4(1):159-164.
[5] Amit G, Jps K, Pankaj B , et al. Periodontally acce-lerated osteogenic orthodontics (PAOO)—a review[J]. J Clin Exp Dent, 2012,4(5):e292-e296.
[6] 杨雨虹, 唐倩 . 牙周辅助加速成骨正畸治疗技术[J]. 中华口腔医学研究杂志(电子版), 2017,11(1):49-52.
Yang YH, Tang Q . Periodontally accelerated osteo-genic orthodontics[J]. Chin J Stomatol Res (Electron Ed), 2017,11(1):49-52.
[7] Al-Naoum F, Hajeer MY, Al-Jundi A . Does alveolar corticotomy accelerate orthodontic tooth movement when retracting upper canines? A split-mouth design randomized controlled trial[J]. J Oral Maxillofac Surg, 2014,72(10):1880-1889.
[8] Viwattanatipa N, Charnchairerk S . The effectiveness of corticotomy and piezocision on canine retraction: a systematic review[J]. Korean J Orthod, 2018,48(3):200-211.
[9] Aboul-Ela SM, El-Beialy AR, El-Sayed KM , et al. Miniscrew implant-supported maxillary canine re-traction with and without corticotomy-facilitated orthodontics[J]. Am J Orthod Dentofacial Orthop, 2011,139(2):252-259.
[10] Jahanbakhshi MR, Motamedi AM, Feizbakhsh M , et al. The effect of buccal corticotomy on accelerating orthodontic tooth movement of maxillary canine[J]. Dent Res J (Isfahan), 2016,13(4):303-308.
[11] Addanki P, Gooty JR, Palaparthy R . Clinical and radiographic comparative evaluation of buccal and palatal corticotomy with buccal corticotomy in periodontally accelerated osteogenic orthodontics with surgical bur[J]. Contemp Clin Dent, 2017,8(2):321-326.
[12] 菲德瑞科·布鲁纳米, 奥方索·卡亚佐 . 正畸驱动的骨皮质切开术:以增强正畸和多学科治疗为目的的组织工程学[M]. 周征, 译. 南京: 江苏凤凰科学技术出版社, 2017: 112-114.
Brugnami F, Caiazzo A. Orthodontically driven cor-ticotomy: tissue engineering to enhance orthodontic and multidisciplinary treatment[M]. Translated by Zhou Z. Nanjing: Phoenix Science and Technology Press, 2017: 112-114.
[13] Dibart S, Sebaoun JD, Surmenian J . Piezocision: a minimally invasive, periodontally accelerated ortho-dontic tooth movement procedure[J]. Compend Contin Educ Dent, 2009, 30(6): 342-344, 346, 348-350.
[14] Dibart S, Yee C, Surmenian J , et al. Tissue response during Piezocision-assisted tooth movement: a his-tological study in rats[J]. Eur J Orthod, 2014,36(4):457-464.
[15] Yi JR, Xiao JN, Li Y , et al. Efficacy of piezocision on accelerating orthodontic tooth movement: a syste-matic review[J]. Angle Orthod, 2017,87(4):491-498.
[16] Aksakalli S, Calik B, Kara B , et al. Accelerated tooth movement with piezocision and its periodontal-transversal effects in patients with class Ⅱ maloc-clusion[J]. Angle Orthod, 2016,86(1):59-65.
[17] Alfawal AMH, Hajeer MY, Ajaj MA , et al. Eva-luation of piezocision and laser-assisted flapless corticotomy in the acceleration of canine retraction: a randomized controlled trial[J]. Head Face Med, 2018,14(1):4.
[18] Charavet C, Lecloux G, Bruwier A , et al. Localized piezoelectric alveolar decortication for orthodontic treatment in adults: a randomized controlled trial[J]. J Dent Res, 2016,95(9):1003-1009.
[19] Binderman I, Adut M, Zohar R , et al. Alveolar bone resorption following coronal versus apical approach in a mucoperiosteal flap surgery procedure in the rat mandible[J]. J Periodontol, 2001,72(10):1348-1353.
[20] Binderman I, Gadban N, Bahar H , et al. Commentary on: periodontally accelerated osteogenic orthodontics (PAOO)— a clinical dilemma[J]. Int Orthod, 2010,8(3):268-277.
[21] Braut V, Bornstein MM, Belser U , et al. Thickness of the anterior maxillary facial bone wall-a retrospe-ctive radiographic study using cone beam computed tomography[J]. Int J Periodontics Restorative Dent, 2011,31(2):125-131.
[22] Wang B, Shen GF, Fang B , et al. Augmented cortico-tomy-assisted presurgical orthodontics of class Ⅲ malocclusions: a cephalometric and cone-beam com-puted tomography study[J]. J Craniofac Surg, 2013,24(6):1886-1890.
[23] Brugnami F, Caiazzo A, Mehra P . Can corticotomy (with or without bone grafting) expand the limits of safe orthodontic therapy[J]. J Oral Biol Craniofac Res, 2018,8(1):1-6.
[24] Agrawal AA, Kolte AP, Kolte RA , et al. Comparative CBCT analysis of the changes in buccal bone mor-phology after corticotomy and micro-osteoperforations assisted orthodontic treatment—case series with a split mouth design[J]. Saudi Dent J, 2019,31(1):58-65.
[25] Bhattacharya P, Bhattacharya H, Anjum A , et al. Assessment of corticotomy facilitated tooth move-ment and changes in alveolar bone thickness—a CT scan study[J]. J Clin Diagn Res, 2014, 8(10): ZC26-ZC30.
[26] Wilcko MT, Ferguson DJ, Makki L , et al. Keratinized gingiva height increases after alveolar corticotomy and augmentation bone grafting[J]. J Periodontol, 2015,86(10):1107-1115.
[27] Makki L, Ferguson DJ, Wilcko MT , et al. Mandibular irregularity index stability following alveolar cortico-tomy and grafting: a 10-year preliminary study[J]. Angle Orthod, 2015,85(5):743-749.
[28] Ahn HW, Seo DH, Kim SH , et al. Morphologic eva-luation of dentoalveolar structures of mandibular anterior teeth during augmented corticotomy-assisted decompensation[J]. Am J Orthod Dentofacial Orthop, 2016,150(4):659-669.
[29] Coscia G, Coscia V, Peluso V , et al. Augmented cor-ticotomy combined with accelerated orthodontic forces in class Ⅲ orthognathic patients: morphologic as-pects of the mandibular anterior ridge with cone-beam computed tomography[J]. J Oral Maxillofac Surg, 2013, 71(10): 1760.e1-1760.e9.
[30] Wang B, Shen GF, Fang B , et al. Augmented cortico-tomy-assisted surgical orthodontics decompensates lower incisors in class Ⅲ malocclusion patients[J]. J Oral Maxillofac Surg, 2014,72(3):596-602.
[31] Ma ZG, Yang C, Xie QY , et al. A novel surgical te-chnique for augmented corticotomy-assisted orthodontics: bone grafting with periosteum[J]. J Oral Maxillofac Surg, 2016,74(1):170-180.
[32] Ma ZG, Zheng JS, Yang C , et al. A new modified bone grafting technique for periodontally accelerated osteogenic orthodontics[J]. Medicine (Baltimore), 2018,97(37):e12047.
[33] Behring J, Junker R, Walboomers XF , et al. Toward guided tissue and bone regeneration: morphology, attachment, proliferation, and migration of cells cul-tured on collagen barrier membranes. A systematic review[J]. Odontology, 2008,96(1):1-11.
[34] Lee DY, Ahn HW, Herr Y , et al. Periodontal responses to augmented corticotomy with collagen membrane application during orthodontic buccal tipping in dogs[J]. Biomed Res Int, 2014: 873918.
[35] Wessing B, Lettner S, Zechner W . Guided bone rege-neration with collagen membranes and particulate graft materials: a systematic review and meta-ana-lysis[J]. Int J Oral Maxillofac Implants, 2018,33(1):87-100.
[36] Owman-Moll P, Kurol J, Lundgren D . Continuous versus interrupted continuous orthodontic force re-lated to early tooth movement and root resorption[J]. Angle Orthod, 1995,65(6):395-402.
[37] Thind SK, Chatterjee A, Arshad F , et al. A clinical comparative evaluation of periodontally accelerated osteogenic orthodontics with piezo and surgical bur: an interdisciplinary approach[J]. J Indian Soc Perio-dontol, 2018,22(4):328-333.
[38] Moon CH, Wee JU, Lee HS . Intrusion of overerupted molars by corticotomy and orthodontic skeletal an-chorage[J]. Angle Orthod, 2007,77(6):1119-1125.
[39] Prabhakar R, Karthikeyan MK, Saravanan R , et al. Anterior maxillary intrusion and retraction with cor-ticotomy-facilitated orthodontic treatment and burs-tone three piece intrusive arch[J]. J Clin Diagn Res, 2013,7(12):3099-3101.
[40] Abbas NH, Sabet NE, Hassan IT . Evaluation of cor-ticotomy-facilitated orthodontics and piezocision in rapid canine retraction[J]. Am J Orthod Dentofacial Orthop, 2016,149(4):473-480.
[41] Iino S, Sakoda S, Ito G , et al. Acceleration of ortho-dontic tooth movement by alveolar corticotomy in the dog[J]. Am J Orthod Dentofacial Orthop, 2007, 131(4): 448.e1-448.e8.
[42] Patterson BM, Dalci O, Papadopoulou AK , et al. Effect of piezocision on root resorption associated with orthodontic force: a microcomputed tomo-graphy study[J]. Am J Orthod Dentofacial Orthop, 2017,151(1):53-62.
[43] Teixeira CC, Khoo E, Tran J , et al. Cytokine ex-pression and accelerated tooth movement[J]. J Dent Res, 2010,89(10):1135-1141.
[1] 蒋青松,赖文莉,王艳. 骨增量技术在口腔正畸领域的研究进展[J]. 国际口腔医学杂志, 2023, 50(2): 243-250.
[2] 周梦琪,陈学鹏,傅柏平. 正畸治疗中牙槽骨骨开窗骨开裂的预防和应对策略[J]. 国际口腔医学杂志, 2021, 48(5): 600-608.
[3] 王宁祥,刘帅,林良缘,吴娟. 多发性特发性根颈部吸收的研究进展[J]. 国际口腔医学杂志, 2021, 48(3): 362-366.
[4] 周懿婕,宋光泰. 年轻恒牙挫入性损伤的处理策略[J]. 国际口腔医学杂志, 2021, 48(2): 135-140.
[5] 赵玉洁,管晓燕,李小兰,陈琦君,王倩,刘建国. 巨噬细胞极化参与正畸牙移动的研究进展[J]. 国际口腔医学杂志, 2020, 47(4): 478-483.
[6] 陈雪,李纾. 牙颈部外吸收[J]. 国际口腔医学杂志, 2019, 46(5): 516-521.
[7] 高鑫,曾融生. 骨保护素在口腔领域的研究进展[J]. 国际口腔医学杂志, 2019, 46(3): 316-319.
[8] 崔跃, 姜欢, 胡敏. 破骨细胞蛋白酪氨酸磷酸酶与正畸移动牙牙根吸收的关系[J]. 国际口腔医学杂志, 2017, 44(1): 87-91.
[9] 雷文龙1 施斌1,2. 血小板衍生生长因子-BB在口腔种植领域中的作用[J]. 国际口腔医学杂志, 2014, 41(2): 199-203.
[10] 刘林1 王生瑜2综述 袁小平1审校. 甲状旁腺素及其相关蛋白对正畸牙根吸收后修复相关细胞的作用[J]. 国际口腔医学杂志, 2012, 39(3): 376-379.
[11] 张晓丹 胡丹青综述 平飞云审校. 牵张成骨和引导骨再生术在垂直骨增量上的比较研究[J]. 国际口腔医学杂志, 2012, 39(2): 190-193.
[12] 陆史俊1综述 王林2 王震东2审校. 前牙压低技术在深覆牙合患者矫治中的应用进展[J]. 国际口腔医学杂志, 2011, 38(6): 674-676.
[13] 王智, 靳淑梅综述 张君审校. 牙根吸收的原因与机制[J]. 国际口腔医学杂志, 2010, 37(01): 101-101~105.
[14] 王娇翠综述 赵玮审校. 乳牙根生理性吸收的研究现状[J]. 国际口腔医学杂志, 2009, 36(3): 300-302.
[15] 左志刚综述 胡敏审校. 正畸治疗导致牙根吸收的影响因素和诊断评估[J]. 国际口腔医学杂志, 2009, 36(1): 111-111~113.
Viewed
Full text


Abstract

Cited

  Shared   
  Discussed   
[1] 张新春. 桩冠修复与无髓牙的保护[J]. 国际口腔医学杂志, 1999, 26(06): .
[2] 王昆润. 长期单侧鼻呼吸对头颅发育有不利影响[J]. 国际口腔医学杂志, 1999, 26(05): .
[3] 彭国光. 颈淋巴清扫术中颈交感神经干的解剖变异[J]. 国际口腔医学杂志, 1999, 26(05): .
[4] 杨凯. 淋巴化疗的药物运载系统及其应用现状[J]. 国际口腔医学杂志, 1999, 26(05): .
[5] 康非吾. 种植义齿下部结构生物力学研究进展[J]. 国际口腔医学杂志, 1999, 26(05): .
[6] 柴枫. 可摘局部义齿用Co-Cr合金的激光焊接[J]. 国际口腔医学杂志, 1999, 26(04): .
[7] 孟姝,吴亚菲,杨禾. 伴放线放线杆菌产生的细胞致死膨胀毒素及其与牙周病的关系[J]. 国际口腔医学杂志, 2005, 32(06): 458 -460 .
[8] 费晓露,丁一,徐屹. 牙周可疑致病菌对口腔黏膜上皮的粘附和侵入[J]. 国际口腔医学杂志, 2005, 32(06): 452 -454 .
[9] 赵兴福,黄晓晶. 变形链球菌蛋白组学研究进展[J]. 国际口腔医学杂志, 2008, 35(S1): .
[10] 庞莉苹,姚江武. 抛光和上釉对陶瓷表面粗糙度、挠曲强度及磨损性能的影响[J]. 国际口腔医学杂志, 2008, 35(S1): .