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[正畸治疗中前牙唇突的研究进展]

[Research progress on labial protuberances of anterior teeth in orthodontic treatment].

作者信息

Luo Dingwen, Wang Sijie, Gao Lu, Chen Xiaoyan

机构信息

The Stomatology Hospital, Zhejiang University School of Medicine, Zhejiang University School of Stomatology, Zhejiang Provincial Clinical Research Center for Oral Diseases, Zhejiang Provincial Key Laboratory of Oral Biomedical Research, Zhejiang University Cancer Center, Zhejiang Provincial Engineering Research Center of Oral Biomaterials and Devices, Hangzhou 310006, China.

出版信息

Zhejiang Da Xue Xue Bao Yi Xue Ban. 2024 Oct 25;53(5):586-592. doi: 10.3724/zdxbyxb-2024-0019.

DOI:10.3724/zdxbyxb-2024-0019
PMID:39183065
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11528138/
Abstract

During orthodontic treatment, irregular and varying sized nodular bony protrusions may sometimes appear on the labial side of the patient's anterior alveolar bone, which is closely related to the differential bone remodeling on the inner and outer surfaces of the alveolar bone. Labial protuberances not only affect the aesthetic results of orthodontic treatment, but also pose potential risks to periodontal health. Currently, it is believed that the influencing factors of the formation of the labial protuberances may be related to the patient's gender and age, tooth movement speed, and extent of anterior teeth retraction. Labial protuberances typically resolve spontaneously, however, if persistent, alveoloplasty may be necessary for treatment. This review provides a summary on the occurrence, influencing factors of formation, potential biological mechanisms, and corresponding treatment methods of labial protuberances during orthodontic treatment.

摘要

在正畸治疗过程中,患者前牙槽骨唇侧有时会出现不规则且大小不一的结节状骨质突出,这与牙槽骨内外表面的差异性骨重塑密切相关。唇侧突出不仅影响正畸治疗的美学效果,还对牙周健康构成潜在风险。目前认为,唇侧突出形成的影响因素可能与患者的性别、年龄、牙齿移动速度以及前牙内收程度有关。唇侧突出通常会自行消退,然而,如果持续存在,则可能需要进行牙槽成形术来治疗。本文综述了正畸治疗过程中唇侧突出的发生情况、形成的影响因素、潜在生物学机制及相应的治疗方法。

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2
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本文引用的文献

1
Functional non-uniformity of periodontal ligaments tunes mechanobiological stimuli across soft- and hard-tissue interfaces.牙周韧带的功能不均匀性可调节软硬组织界面的力学生物学刺激。
Acta Biomater. 2023 Oct 15;170:240-249. doi: 10.1016/j.actbio.2023.08.047. Epub 2023 Aug 25.
2
Alveolar bone exostoses following orthodontic treatment. Diagnostic considerations and clinical management.正畸治疗后牙槽骨外生骨疣。诊断考量与临床处理
Clin Case Rep. 2023 Mar 7;11(3):e7000. doi: 10.1002/ccr3.7000. eCollection 2023 Mar.
3
Incidence and clinical risk factors associated with the development of labial protuberances after orthodontic treatment.
唇侧突起在正畸治疗后发生的发生率和临床相关危险因素。
Am J Orthod Dentofacial Orthop. 2022 Dec;162(6):890-897. doi: 10.1016/j.ajodo.2021.07.026. Epub 2022 Sep 16.
4
Prevalence of Oral Exostoses in Northern China During the Past Six Millennia-From a Sex and Age Perspective.过去六千年间中国北方口腔外生骨疣的流行情况——从性别和年龄角度来看。
J Craniofac Surg. 2023;34(2):768-771. doi: 10.1097/SCS.0000000000008956. Epub 2022 Aug 25.
5
Difference in the alveolar bone remodeling between the adolescents and adults during upper incisor retraction: a retrospective study.青少年与成年人在上颌前牙内收过程中牙槽骨重塑的差异:一项回顾性研究。
Sci Rep. 2022 Jun 1;12(1):9161. doi: 10.1038/s41598-022-12967-y.
6
Three-Dimensional Digital Image Analysis of Skeletal and Soft Tissue Points A and B after Orthodontic Treatment with Premolar Extraction in Bimaxillary Protrusive Patients.双颌前突患者拔除前磨牙正畸治疗后骨骼和软组织A点与B点的三维数字图像分析
Biology (Basel). 2022 Feb 27;11(3):381. doi: 10.3390/biology11030381.
7
[Periodontal limits of orthodontic tooth movement].
Zhonghua Kou Qiang Yi Xue Za Zhi. 2021 Oct 9;56(10):966-970. doi: 10.3760/cma.j.cn112144-20210810-00360.
8
Management of Alveolar Bone Exostosis after Orthodontic Treatment.正畸治疗后牙槽骨外生骨疣的处理
J Clin Orthod. 2021 Apr;55(4):401-413.
9
Age effect on orthodontic tooth movement rate and the composition of gingival crevicular fluid : A literature review.年龄对正畸牙齿移动速率及龈沟液成分的影响:一项文献综述
J Orofac Orthop. 2020 Mar;81(2):113-125. doi: 10.1007/s00056-019-00206-5. Epub 2020 Jan 9.
10
Differential alveolar bone modeling after orthodontic retraction.正畸牵引后牙槽骨的差异重塑。
J Am Dent Assoc. 2019 Apr;150(4):313-320. doi: 10.1016/j.adaj.2018.12.029.