Pan X G
Department of Orthodontics, Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine & Shanghai Key Laboratory of Stomatology & Shanghai Research Institute of Stomatology & National Clinical Research Center of Stomatology, Shanghai 200011, China.
Zhonghua Kou Qiang Yi Xue Za Zhi. 2020 Aug 9;55(8):546-550. doi: 10.3760/cma.j.cn112144-20200517-00282.
Clear aligner is a kind of removable orthodontic appliance, which designed and manufactured using digital technology. It is more and more widely used in adults and patients with periodontal disease. Clear aligner treatment in patients with moderate and mild periodontal diseases can achieve good result. Meanwhile, there are still risks in the clear aligner treatment in patients with severe periodontal diseases, so it is necessary to strictly control the indications. Multidisciplinary treatment of complex periodontal disease is important before the start of orthodontics. The objective of orthodontic treatment in patients with periodontal disease should be made clear and the range of tooth movement must be strictly controlled. In the application of the clear aligner, the feasible target position of clear aligner should be designed. According to patient's periodontal condition, staging should be designed and the reasonable attachment should be set. The shape of the aligner should be designed to reduce the gingival stimulation. Clear aligner treatment could play an important role in multidisciplinary treatment, and improve the overall effect in patients with periodontal disease. The application of clear aligner in the treatment of periodontal diseases was discussed in various aspects, providing a reference for rational clinical use.
透明矫治器是一种可摘式正畸矫治器，采用数字技术设计和制造。它在成人和牙周病患者中应用越来越广泛。轻中度牙周病患者采用透明矫治器治疗可取得较好效果。同时，重度牙周病患者采用透明矫治器治疗仍存在风险，因此有必要严格控制适应证。正畸治疗开始前，复杂牙周病的多学科治疗很重要。应明确牙周病患者正畸治疗的目标，严格控制牙齿移动范围。在应用透明矫治器时，应设计透明矫治器可行的目标位置。根据患者牙周状况进行分期设计并设置合理的附件。矫治器的形状应设计为减少对牙龈的刺激。透明矫治器治疗在多学科治疗中可发挥重要作用，提高牙周病患者的整体疗效。从多个方面探讨了透明矫治器在牙周病治疗中的应用，为临床合理使用提供参考。
