国际口腔医学杂志

国际口腔医学杂志 ›› 2026, Vol. 53 ›› Issue (3): 424-432.doi: 10.7518/gjkq.2026221

• 综述 • 上一篇    

正畸邻面去釉对牙体及牙周组织影响的研究进展

于晶晶1(),张欢欢1,刘馨蕾1,秦丹晨2,3,赵婷婷3,花放1,2,4()   

  1. 1.口颌系统重建与再生全国重点实验室;口腔生物医学教育部重点实验室;口腔医学湖北省重点实验室 武汉大学口腔医（学）院 武汉 430079
    2.武汉大学口腔医院循证口腔医学中心 武汉 430079
    3.武汉大学口腔医院口腔正畸一科 武汉 430079
    4.武汉大学口腔医院光谷院区正畸与儿童口腔中心 武汉 430223
  • 收稿日期:2024-12-30 修回日期:2025-07-10 出版日期:2026-05-01 发布日期:2026-04-24
  • 通讯作者: 花放
  • 作者简介:于晶晶，硕士，Email：jingjingyu@whu.edu.cn
  • 基金资助:
    国家自然科学基金(81901044);中国牙防基金会“爱笑少年”儿童青少年生长发育和口腔疾病防治项目(A2023-008)

Research progress in the impact of orthodontic interproximal enamel reduction on teeth and periodontium

Jingjing Yu1(),Huanhuan Zhang1,Xinlei Liu1,Danchen Qin2,3,Tingting Zhao3,Fang Hua1,2,4()   

  1. 1.State Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration, Key Laboratory of Oral Biomedicine Ministry of Education, Hubei Key Laboratory of Stomatology, School & Hospital of Stomatology, Wuhan University, Wuhan 430079, China
    2.Center for Evidence-Based Stomatology, School & Hospital of Stomatology, Wuhan University, Wuhan 430079, China
    3.Dept. of Orthodontics Division 1, School & Hospital of Stomatology, Wuhan University, Wuhan 430079, China
    4.Center for Orthodontics and Pediatric Dentistry at Optics Valley Branch, School & Hospital of Stomatology, Wuhan University, Wuhan 430223, China
  • Received:2024-12-30 Revised:2025-07-10 Online:2026-05-01 Published:2026-04-24
  • Contact: Fang Hua
  • Supported by:
    National Natural Science Foundation of China(81901044);China Oral Health Foundation Smile Teena-gers Research Fund(A2023-008)

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摘要：

邻面去釉是正畸治疗中的一种常用临床操作，可用于存在轻中度牙列拥挤、牙齿形态不协调、前牙区黑三角、Bolton指数不调等的正畸患者。目前学界对于邻面去釉的安全性存在争议，关于其对牙体及牙周组织的影响尚缺乏共识。本文对近年来正畸邻面去釉对牙体及牙周组织影响的相关研究进行综述，以期为正畸医师制定相关临床决策及实施方案提供参考。

关键词: 邻面去釉, 牙面粗糙度, 釉质元素成分, 牙髓温度刺激, 牙周稳态, 龋易感性

Abstract:

Interproximal enamel reduction is a common clinical strategy in orthodontic treatment. It can be used for orthodontic patients with mild to moderate dentition crowding, tooth morphology incoordination, black triangle in ante-rior tooth areas, and Bolton index imbalance. At present, the safety of interproximal enamel reduction is controversial, and a consensus on its impact on teeth and periodontium is lacking. In this article, the recent research on the effect of interproximal enamel reduction on teeth and periodontium is reviewed to provide reference for orthodontists to make clinical decisions and implementation plans.

Key words: interproximal enamel reduction, surface enamel roughness, surface enamel composition, temperature rise in the pulp, periodontal homeostasis, susceptibility to dental caries

中图分类号: 

  • R783.5
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