口腔医学研究

口腔医学研究 ›› 2025, Vol. 41 ›› Issue (11): 1009-1014.DOI: 10.13701/j.cnki.kqyxyj.2025.11.016

• 研究生病例精粹———牙周病系列(11) • 上一篇    

双侧牙周加速成骨正畸术辅助治疗骨性Ⅲ类错𬌗畸形患者:4年随访1例

张茂奇1,2, 吴靖1, 贺红1,3, 曹正国1,4*, 王晓璇1,4*   

  1. 1.口颌系统重建与再生全国重点实验室,口腔生物医学教育部重点实验室,口腔医学湖北省重点实验室,武汉大学口腔医学院 湖北 武汉 430079;
    2.南昌大学附属口腔医院,口腔疾病江西省重点实验室,江西省口腔疾病临床医学研究中心 江西 南昌 330006;
    3.武汉大学口腔医院正畸一科 湖北 武汉 430079;
    4.武汉大学口腔医院牙周科 湖北 武汉 430079
  • 收稿日期:2025-10-31 出版日期:2025-11-28 发布日期:2025-11-25
  • 通讯作者: *曹正国,E-mail:caozhengguo@whu.edu.cn; 王晓璇,E-mail:wangxiaoxuan@whu.edu.cn
  • 作者简介:张茂奇(1996~ ),四川绵阳人,医师,硕士,研究方向:牙周病学。
  • 基金资助:
    中华口腔医学会青年临床科研基金口腔修复生物膜研究项目(编号:CSA-SIS2022-12)

Bilateral Periodontally Accelerated Osteogenic Orthodontics as Adjuvant Therapy for Patient with Skeletal Class Ⅲ Malocclusion: A 4-Year Follow-Up Case Report

ZHANG Maoqi1,2, WU Jing1, HE Hong1,3, CAO Zhengguo1,4*, WANG Xiaoxuan1,4*   

  1. 1. State Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration, Key Laboratory of Oral Biomedicine Ministry of Education, Hubei Key Laboratory of Stomatology, School & Hospital of Stomatology, Wuhan University, Wuhan 430079, China;
    2. The Affiliated Stomatological Hospital, Jiangxi Medical College, Nanchang University, Jiangxi Provincial Key Laboratory of Oral Diseases. Jiangxi Provincial Clinical Research Center for Oral Diseases, Nanchang 330006, China;
    3. Department of Orthodontic, School & Hospital of Stomatology, Wuhan University, Wuhan 430079, China;
    4. Department of Periodontology, School & Hospital of Stomatology, Wuhan University, Wuhan 430079, China
  • Received:2025-10-31 Online:2025-11-28 Published:2025-11-25

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摘要： 骨性Ⅲ类错牙合畸形患者常需要正畸-正颌联合治疗以解决其复杂的形态和功能问题。“薄扇型”牙周表型更是给这类患者的正畸-正颌联合治疗带来了巨大的挑战。应运而生的牙周辅助加速成骨正畸术(periodontally accelerated osteogenic orthodontics, PAOO)极大地增加了此类患者联合治疗的安全性和可行性。本文报道了1例采用双侧PAOO技术辅助治疗骨性Ⅲ类错牙合畸形患者的4年随访病例。结果显示,PAOO显著地降低了骨性Ⅲ类错牙合畸形伴“薄扇型”牙周表型患者正畸-正颌联合治疗的风险,术区唇舌侧牙槽骨厚度增加,前庭沟加深,疗效长期稳定,且无感染、牙龈退缩等手术并发症。

关键词: 牙周加速成骨正畸, 双侧, 骨性Ⅲ类错牙合畸形, 正畸-正颌联合治疗

Abstract: Patients with skeletal Class Ⅲ malocclusion typically need combined orthodontic-orthognathic treatment for complex morphological and functional issues, and the "thin-scalloped" periodontal phenotype further complicates this treatment. Periodontally accelerated osteogenic orthodontics (PAOO) significantly improves the safety and feasibility of such combined treatment. This article presents a 4-year follow-up of a skeletal Class Ⅲ malocclusion patient who underwent bilateral PAOO as auxiliary therapy. Results demonstrated that PAOO notably reduced the treatment risk, increased buccal and lingual bone thickness in the surgical area, deepened the vestibular sulcus, maintained long-term stable therapeutic effects, and caused no complications like infection or gingival recession.

Key words: periodontally accelerated osteogenic orthodontics, bilateral, skeletal class Ⅲ malocclusion, combined orthodontic-orthognathic treatment