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Ⅳ期牙周炎牙周-正畸联合治疗的关键因素考量OA

Key considerations in combined periodontal-orthodontic treatment for stage Ⅳ periodontitis

中文摘要英文摘要

Ⅳ期牙周炎患者因牙周支持组织严重破坏,常伴随牙齿移位、咬合紊乱及功能丧失,其治疗需通过多学科协作实现功能重建与牙周健康维护.在此过程中,正畸治疗作为核心环节之一,不仅承担着纠正病理性牙齿移位、重建稳定咬合关系的重任,更需通过精准的生物力学控制与牙周支持组织动态适配,在最大限度减少牙周组织损伤的同时,为牙周再生与功能恢复创造条件.鉴于Ⅳ期牙周炎正畸治疗难度大且复杂,文章就其牙周-正畸联合治疗的关键考量因素做一阐述,以期确保治疗的安全性与有效性.

Patients with stage Ⅳ periodontitis often suf-fer from severe destruction of periodontal supporting tissues,which is frequently accompanied by tooth displacement,occlu-sal disorders,and functional loss.The treatment requires mul-tidisciplinary collaboration to achieve functional reconstruc-tion and periodontal health maintenance.During this process,orthodontic treatment,as one of the core components,not only shoulders the crucial responsibilities of correcting pathologi-cal tooth displacement and reconstructing stable occlusal rela-tionships but also requires dynamic adaptation of precise bio-mechanical control to periodontal supporting tissues.This ap-proach aims to minimize damage to periodontal tissues while creating favorable conditions for periodontal regeneration and functional recovery.Given the great difficulty and complexity of orthodontic treatment for stage Ⅳ periodontitis,this article will elaborate on the key considerations in combined periodon-tal-orthodontic treatment,aiming to ensure the safety and ef-fectiveness of the treatment.

赵佳慧;刘俊超;张冬梅

中国医科大学口腔医学院·附属口腔医院牙周病科,辽宁沈阳 110002中国医科大学口腔医学院·附属口腔医院牙周病科,辽宁沈阳 110002中国医科大学口腔医学院·附属口腔医院牙周病科,辽宁沈阳 110002

医药卫生

Ⅳ期牙周炎牙周-正畸联合治疗治疗时机

stage Ⅳ periodontitiscombined periodon-tal-orthodontic treatmenttreatment timing

《中国实用口腔科杂志》 2026 (4)

415-421,7

辽宁省科技计划联合计划项目(自然科学基金-面上项目)(2025-MSLH-772)

10.19538/j.kq.2026.04.005

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