Orthodontic treatment in a periodontal patient with pathologic migration of anterior teeth
Orthodontic treatment in a periodontal patient with pathologic migration of anterior teeth
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前牙病理性移位牙周患者的正畸治疗
DOI：
10.1016/j.ajodo.2013.08.018
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发表时间：
2014-05-01
影响因子：
3
通讯作者：
Yang, Shuliang
中科院分区：
文献类型：
--
作者：
Xie, Yijia;Zhao, Qing;Yang, Shuliang
一名22岁男性患有严重牙周炎和病理性牙齿移位寻求正畸治疗。通过有效控制正畸力的强度和方向，牙周与正畸相结合的治疗，获得成功。经过22个月的正畸治疗，牙齿病理性移位造成的咬合创伤得到缓解，实现了稳定的咬合，防止了咬合创伤与牙周炎的相互加重。此外，患者的面部美观度和自信心也得到了改善。在一些吸收严重的区域的根尖周X线片中可以看到新形成的骨小梁。本病例报告表明，牙槽骨吸收是可以预防的，多学科正畸治疗对患有病理性牙齿移位的牙周患者是有效且有帮助的。
A 22-year-old man with severe periodontitis and pathologic tooth migration sought orthodontic treatment. He was treated successfully with effective control of the strength and the direction of the orthodontic forces, and a combination of periodontic and orthodontic treatment. After 22 months of orthodontic treatment, his occlusal trauma resulting from pathologic tooth migration was relieved, a stable occlusion was achieved, and mutual aggravation of occlusal trauma and periodontitis was prevented. Furthermore, the patient's facial esthetics and self-confidence were improved. Newly formed trabecular bone could be seen in the periapical x-rays in some regions where resorption had been severe. This case report shows that resorption of alveolar bone can be prevented and that multidisciplinary orthodontic treatment of a periodontal patient with pathologic tooth migration is effective and helpful.