Cao X, Zheng X X, Jin Y H, Yang J
Department of Periodontology, The Affiliated Stomatological Hospital of Nanchang University & The Key Laboratory of Oral Biomedicine, Jiangxi Province, Nanchang 330006, China.
Zhonghua Kou Qiang Yi Xue Za Zhi. 2020 Apr 9;55(4):271-275. doi: 10.3760/cma.j.cn112144-20190723-00285.
With the increase of adult patients seeking for orthodontic treatment, the influence of periodontal tissue on orthodontic treatment has gradually become the focus. For patients with periodontitis, it is essential to controlling the severity of periodontitis prior to orthodontic treatment. Periodontal disease can cause additional bone loss and make the orthodontic treatment complicated. Reducing the risk of orthodontic treatment in this situation is our major concern. In addition to periodontitis, orthodontic treatment may also cause gingival recession. On the other hand, the alveolar bone defects such as bone fenestration and bone dehiscence are common in some patients without periodontitis. For these patients, we should take more care of the interrelationship between bone defects and orthodontic treatment. This article briefly demonstrates the risk considerations of periodontal supporting tissue in orthodontic therapy focusing on the influence of periodontitis, gingival recession and alveolar bone fenestration and dehiscence.
随着寻求正畸治疗的成年患者数量增加，牙周组织对正畸治疗的影响逐渐成为焦点。对于牙周炎患者，在正畸治疗前控制牙周炎的严重程度至关重要。牙周病会导致额外的骨质流失，并使正畸治疗变得复杂。降低这种情况下正畸治疗的风险是我们主要关注的问题。除了牙周炎，正畸治疗也可能导致牙龈退缩。另一方面，在一些没有牙周炎的患者中，牙槽骨缺损如骨开窗和骨裂开很常见。对于这些患者，我们应该更加关注骨缺损与正畸治疗之间的相互关系。本文简要阐述了正畸治疗中牙周支持组织的风险考量，重点关注牙周炎、牙龈退缩以及牙槽骨开窗和裂开的影响。
