Diplomate, American Board of Orofacial Pain, Private Practice, Rak Dental Care & Implant Centre, Ras Al Khaimah, United Arab Emirates.
Diplomate American Board of Orthodontics, Department of Orthodontics, Rutgers School of Dental medicine, 110 Bergen Street, Newark, NJ 07101, USA.
Dent Clin North Am. 2024 Oct;68(4):693-706. doi: 10.1016/j.cden.2024.05.004. Epub 2024 Jul 8.
This article explores the intersection of various systemic conditions with orthodontic treatment. Renal diseases, including chronic kidney disease and renal transplant, present challenges such as delayed tooth eruption and gingival overgrowth, necessitating careful orthodontic planning and collaboration with physicians. Liver diseases, particularly hepatitis, heighten the risk of periodontal disease and mandate strict infection control measures during orthodontic procedures. Ehlers-Danlos syndrome poses challenges related to collagen fragility, rapid tooth movement, and orthodontic relapse. Autoimmune diseases like diabetes mellitus and juvenile idiopathic arthritis require tailored orthodontic approaches considering oral complications and joint involvement.
本文探讨了各种系统性疾病与正畸治疗的交集。肾脏疾病，包括慢性肾脏病和肾移植，会导致牙齿延迟萌出和牙龈过度生长等问题，需要仔细的正畸计划和与医生的合作。肝脏疾病，特别是肝炎，会增加牙周病的风险，因此在正畸过程中需要严格控制感染。埃勒斯-当洛斯综合征（Ehlers-Danlos syndrome）会导致胶原脆弱、牙齿快速移动和正畸复发等问题。糖尿病和青少年特发性关节炎等自身免疫性疾病需要考虑口腔并发症和关节受累，采用量身定制的正畸方法。
