口腔医学研究

口腔医学研究 ›› 2026, Vol. 42 ›› Issue (1): 80-84.DOI: 10.13701/j.cnki.kqyxyj.2026.01.016

• 研究生病例精粹——口腔正畸学系列(1) • 上一篇    

成人骨性Ⅲ类错𬌗伴后牙段反𬌗患者掩饰性正畸治疗1例

王云龙1,2*, 简铭1,2   

  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.武汉大学口腔医学院口腔正畸一科 湖北 武汉 430079
  • 收稿日期:2025-12-01 出版日期:2026-01-28 发布日期:2026-01-23
  • 通讯作者: *王云龙,E-mail:yunlong@whu.edu.cn
  • 作者简介:王云龙(1988~ ),男,湖北襄阳人,副主任医师,博士,研究方向:正畸牙移动生物学研究。

Camouflage Orthodontic Treatment for Adult Patient with Skeletal Class Ⅲ Malocclusion and Posterior Crossbite

WANG Yunlong1,2*, JIAN Ming1,2   

  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. Department of Orthodontics, School ＆ Hospital of Stomatology, Wuhan University, Wuhan 430079, China
  • Received:2025-12-01 Online:2026-01-28 Published:2026-01-23

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摘要： 本文较为系统地报道了1例成人骨性Ⅲ类错牙合伴后牙段反牙合患者的检查、诊断及治疗经过。针对患者在三维方向上存在的骨性和牙性问题,结合患者主诉,先后分别采用微种植体辅助的上颌扩弓、微种植体辅助的下牙列远移、直丝弓矫治等技术予以应对。矫治后患者在牙齿排列、咬合关系、面部美观、牙周健康等方面均获得了显著改善。

关键词: 骨性Ⅲ类错牙合, 掩饰性正畸治疗, 微种植体支抗

Abstract: This case report systematically documents the examination, diagnosis, and treatment of an adult patient presenting with skeletal Class Ⅲ malocclusion accompanied by posterior crossbite. To address the three-dimensional skeletal and dental discrepancies, in accordance with the patient's chief complaints, a sequential treatment approach was adopted involving micro-implant-assisted maxillary expansion, micro-implant-assisted mandibular dentition distalization, and straight-wire appliance technique. Post-treatment evaluation revealed significant improvements in dental alignment, occlusal relationship, facial profile, and periodontal health.

Key words: skeletal Class Ⅲ malocclusion, camouflage orthodontic treatment, micro-implant anchorage