国际口腔医学杂志 ›› 2021, Vol. 48 ›› Issue (5): 600-608.doi: 10.7518/gjkq.2021082

• 综述 • 上一篇    下一篇

正畸治疗中牙槽骨骨开窗骨开裂的预防和应对策略

周梦琪(),陈学鹏,傅柏平()   

  1. 浙江大学医学院附属口腔医院·浙江大学口腔医学院·浙江省口腔疾病临床医学研究中心·浙江省 口腔生物医学研究重点实验室·浙江大学癌症研究院 杭州 310006
  • 收稿日期:2020-11-10 修回日期:2021-04-23 出版日期:2021-09-01 发布日期:2021-09-10
  • 通讯作者: 傅柏平
  • 作者简介:周梦琪,学士,Email: 21818689@zju.edu.cn
  • 基金资助:
    浙江省自然科学基金(LY18H140001)

Strategies for preventing alveolar-bone dehiscence and fenestration during orthodontic treatment

Zhou Mengqi(),Chen Xuepeng,Fu Baiping()   

  1. Stomatology Hospital, School of Stomatology, Zhejiang University School of Medicine, Clinical Research Center for Oral Diseases of Zhejiang Province, Key Laboratory of Oral Biomedical Research of Zhejiang Province, Cancer Center of Zhejiang University, Hangzhou 310006, China
  • Received:2020-11-10 Revised:2021-04-23 Online:2021-09-01 Published:2021-09-10
  • Contact: Baiping Fu
  • Supported by:
    Zhejiang Provincial Natural Science Foundation of China(LY18H140001)

摘要:

天然牙列中牙槽骨骨开窗和骨开裂有较高的发生率,其分布位置、发生频率与错𬌗畸形的类型相关。锥形束计算机断层扫描(CBCT)对骨开窗和骨开裂具有一定的诊断价值。正畸治疗可能引起骨开窗和骨开裂,这与患者本身牙槽骨解剖情况、牙齿位置和矫治方式有关。临床医生应把握正畸治疗的界限,选择合适的正畸方式将有助于预防正畸过程中骨开窗、骨开裂的发生。此外,牙周加速成骨正畸技术的应用对牙槽骨骨开窗和骨开裂也有一定的预防和治疗作用。目前,引导骨组织再生术对骨开窗、骨开裂具有治疗作用,自体牙骨移植材料和组织工程技术未来也有望应用于骨开窗和骨开裂的治疗。本文就正畸治疗中牙槽骨骨开窗、骨开裂的预防和应对策略进行综述。

关键词: 骨开窗, 骨开裂, 锥形束计算机断层扫描, 正畸治疗, 牙周加速成骨正畸

Abstract:

Alveolar bone dehiscence and fenestration have high incidence in natural dentition, and their distribution and frequency are related to the malocclusion type. Cone beam computed tomography has a certain value in the diagnosis of dehiscence and fenestration. Dehiscence and fenestration can be caused by orthodontic treatment, which is related to the anatomy of patient’s alveolar bone, dental position, and treatment style. Clinical orthodontists should focus on the boun-dary of orthodontic treatment and select the appropriate orthodontic method, which can help prevent the occurrence of dehiscence and fenestration in orthodontic treatment. The application of periodontally accelerated osteogenic orthodontics can also prevent and treat alveolar bone dehiscence and fenestration. At present, guided bone regeneration also exerts a certain curative effect, whereas autogenous-tooth bone-graft material and tissue-engineering technology are expected to be applied to the treatment of dehiscence and fenestration in the future. This article reviews the strategies for preventing alveolar-bone dehiscence and fenestration during orthodontic treatment.

Key words: dehiscence, fenestration, cone beam computed tomography, orthodontic treatment, periodontally accelerated osteogenic orthodontics

中图分类号: 

  • R783.5
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