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青少年牙周炎患者下颌磨牙通过严重萎缩无牙间隙的前移

Protraction of mandibular molars through a severely atrophic edentulous space in a case of juvenile periodontitis.

作者信息

Wu Jian-Chao, Zheng Yu-Ting, Dai Yi-Jun

机构信息

Department of Stomatology, The Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, China.

Department of Orthodontics, Affiliated Hospital of Stomatology, School of Medicine, Zhejiang University, Hangzhou, China.

出版信息

Korean J Orthod. 2020 Mar;50(2):145-154. doi: 10.4041/kjod.2020.50.2.145. Epub 2020 Mar 24.

DOI:10.4041/kjod.2020.50.2.145
PMID:32257940
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7093668/
Abstract

Moving the mandibular posterior teeth into a severely atrophic edentulous space is a challenge. A carefully designed force-and-moment system that results in bodily protraction of the posterior teeth with balanced bone resorption and apposition is needed in such cases. This report describes the treatment of a 19-year-old woman with missing mandibular first molars due to juvenile periodontitis. Miniscrews were used as absolute anchorage during protraction of the mandibular second and third molars. Bodily mesial movement of the mandibular second and third molars was achieved over a distance of 11 to 17 mm after 39 months of orthodontic treatment.

摘要

将下颌后牙移入严重萎缩的无牙间隙是一项挑战。在这种情况下,需要精心设计一个力与力矩系统,以使后牙整体前移,同时实现骨吸收与骨沉积的平衡。本报告描述了一名19岁女性因青少年牙周炎导致下颌第一磨牙缺失的治疗情况。在下颌第二和第三磨牙前移过程中,使用微螺钉作为绝对支抗。经过39个月的正畸治疗,下颌第二和第三磨牙实现了11至17毫米的整体近中移动。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9c2e/7093668/00eb322250fa/kjod-50-145-g011.jpg
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本文引用的文献

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Am J Orthod Dentofacial Orthop. 2017 Mar;151(3):572-582. doi: 10.1016/j.ajodo.2016.01.019.
2
Mandibular molar protraction as an alternative treatment for edentulous spaces: Focus on changes in root length and alveolar bone height.下颌磨牙前移作为无牙间隙的替代治疗方法:关注牙根长度和牙槽骨高度的变化。
J Am Dent Assoc. 2015 Nov;146(11):820-9. doi: 10.1016/j.adaj.2015.04.025.
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Orthodontic tooth movement through the maxillary sinus in an adult with multiple missing teeth.
成年人上颌窦内多颗缺牙的正畸牙移动。
Am J Orthod Dentofacial Orthop. 2014 Oct;146(4):493-505. doi: 10.1016/j.ajodo.2014.03.025.
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Protraction of mandibular second and third molars into missing first molar spaces for a patient with an anterior open bite and anterior spacing.下颌第二和第三磨牙的伸长以进入缺失的第一磨牙间隙,用于治疗前牙开颌和前牙间隙患者。
Am J Orthod Dentofacial Orthop. 2012 Jun;141(6):783-95. doi: 10.1016/j.ajodo.2010.07.031.
5
Treatment of an adult with several missing teeth and atrophic old mandibular first molar extraction sites.治疗一位缺失多颗牙齿且下颌第一磨牙陈旧性萎缩的成年人。
Am J Orthod Dentofacial Orthop. 2011 Dec;140(6):869-78. doi: 10.1016/j.ajodo.2010.06.027.
6
Titanium screw anchorage for protraction of mandibular second molars into first molar extraction sites.用于将下颌第二磨牙牵引至第一磨牙拔牙位点的钛螺钉支抗
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