正畸治疗前患者牙周状况的评估及正畸时机选择
Periodontal status assessment before orthodontic treatment and opportune moment selection for orthodontic treatment
作者：徐屹, 杨靖梅, 孟姝, 赵蕾
Author：Yi Xu, Jingmei Yang, Shu Meng, Lei Zhao
收稿日期：2018-05-05 年卷（期）页码：2018,36(4):355-355-359
期刊名称：华西口腔医学杂志
Journal Name：West China Journal of Stomatology
关键字：正畸治疗,牙周组织,菌斑控制,探诊出血,附着龈,牙周支持治疗,
Key words：orthodontics therapy,periodontal tissue,plaque control,bleeding on probing,attached gingiva,sup-portive periodontal therapy,
基金项目：
中文摘要
随着社会的发展,人们对美学的要求越来越高。正畸治疗作为口腔美学治疗的一种方式越来越受到人们的重视。正畸治疗主要通过对牙齿施加正畸力,引导牙周组织改建,从而改变牙齿在牙槽骨内的位置。正畸治疗可以改善由于牙列拥挤、牙齿异常排列等导致的咬合关系不良,从而达到牙周组织的长期稳定。我国牙周病患者数量庞大,有正畸需求的牙周病患者也在逐年增多。正畸治疗需要关注牙周健康,而牙周治疗与正畸治疗的关系也密不可分。本文对正畸治疗前牙周状况的评估标准、牙周病患者正畸治疗的时机选择以及治疗后牙周状况的维护进行叙述,从而帮助医生制定个性化治疗方案,以期获得平衡、稳定以及美观的治疗效果。
英文摘要
The aesthetic demands of teeth by the public have improved with the increase in the living standard. Orthodontics, which is a method of aesthetic dentistry, is becoming increasingly important. Orthodontic treatment mainly involves the appli-cation of orthodontic force to the teeth and guides the reconstruction of the periodontal tissue, thereby changing the position of the teeth at the occlusal bone. Orthodontic treatment can also improve the dental occlusion caused by dentition crowding and teeth mobility to achieve long-term stability of periodontal tissue. The number of patients with periodontal disease is high in China, and the number of patients with periodontal disease that are eager to receive orthodontic treatment is increasing. Hence, the periodontal status during the orthodontic therapy should be explored along with periodontal therapy and orthodontic treatment. This article briefly demonstrates the assessment criteria of periodontal status before orthodontic treatment, the oppor-tune moment selection for orthodontic treatment, and the supportive periodontal therapy. This study helps dentists develop individualized treatment programs and win a balanced, stable, and aesthetic impression.
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