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用于治疗成人牙周炎患者的数字化正畸设置与透明矫治器系统:一份描述性病例报告。

Digital orthodontic setup and clear aligners system for treating adult patients with periodontitis: a descriptive case report.

作者信息

Ronsivalle Vincenzo, Malara Claudia, Cicciù Marco, Venezia Piero, Lo Giudice Antonino

机构信息

Department of General Surgery and Medical-Surgical Specialties, Dental Clinic - Unit of Oral Surgery, University of Catania, Catania, Italy.

Department of General Surgery and Medical-Surgical Specialties, Dental Clinic - Unit of Orthodontics, University of Catania, Catania, Italy.

出版信息

Front Dent Med. 2024 Feb 5;5:1353114. doi: 10.3389/fdmed.2024.1353114. eCollection 2024.

Abstract

This case report describes the treatment of an adult female patient with a history of periodontitis (Stage 3 -Grade B) and presenting significant crowding in both maxillary and mandibular arches. After periodontal stabilization, the patient underwent orthodontic treatment with clear aligners (CAT) for less than one year. CAT provided an effective quantitative and qualitative control of the forces applied to resolve the malocclusion. This case report provides a detailed description of the clinical strategy and features associated with the clear aligners system which were considered ideal tools for treating periodontal patients during the decisional workflow. The orthodontic treatment goals have been successfully achieved considering functional, periodontal, and aesthetic expectations. Several characteristics of clear aligners could support the recurrence of this orthodontic system for treating patients with a history of periodontitis or at risk of periodontal damage.

摘要

本病例报告描述了一名成年女性患者的治疗情况,该患者有牙周炎病史(3期-B级),上颌和下颌牙弓均存在明显拥挤。在牙周稳定后,患者接受了不到一年的透明矫治器(CAT)正畸治疗。CAT对用于矫正错牙合畸形的力提供了有效的定量和定性控制。本病例报告详细描述了与透明矫治器系统相关的临床策略和特征,这些被认为是在决策工作流程中治疗牙周病患者的理想工具。考虑到功能、牙周和美学期望,正畸治疗目标已成功实现。透明矫治器的几个特点可能支持这种正畸系统在治疗有牙周炎病史或有牙周损伤风险的患者时的复发。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bad2/11797835/c535bcff517a/fdmed-05-1353114-g001.jpg

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