口腔医学研究

口腔医学研究 ›› 2026, Vol. 42 ›› Issue (2): 168-174.DOI: 10.13701/j.cnki.kqyxyj.2026.02.016

• 研究生病例精粹——口腔正畸学系列(2) • 上一篇    

个性化舌侧矫治技术治疗安氏Ⅱ类错牙合伴髁突形态异常1例

王雅璐1,2, 胡志杰1,2, 黑伟红1,2*   

  1. 1.武汉大学口腔医学院,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,湖北省儿童牙颌面畸形临床医学研究中心 湖北 武汉 430079;
    2.武汉大学口腔医学院正畸一科 湖北 武汉 430079
  • 收稿日期:2026-01-11 发布日期:2026-02-28
  • 通讯作者: *黑伟红,E-mail: orthoheiwh@whu.edu.cn
  • 作者简介:王雅璐(1997~ ),女,新疆塔城人,本科,医师,研究方向:口腔医学与组织工程学。

Lingual Orthodontic Treatment for Angle Class Ⅱ Malocclusion with Bilateral Condylar Abnormalities: A Case Report

WANG Yalu1,2, HU Zhijie1,2, HEI Weihong1,2*   

  1. 1. State Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration, Key Laboratory of Oral Biomedicine Ministry of Education, Hubei Key Laboratory of Stomatology, Children Dentofacial Deformities Clinical Research Center, Wuhan 430079, China;
    2. Department of Orthodontics Ⅰ, School of Stomatology, Wuhan University, Wuhan 430079, China
  • Received:2026-01-11 Published:2026-02-28

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摘要： 本文较为系统地报道了1例个性化舌侧矫治技术在安氏Ⅱ类错牙合伴髁突形态异常患者中的临床应用,从检查、诊断、治疗经过、治疗前后对比及保持稳定性等几个方面依次展开。针对患者的检查结果、主诉及美观需求,先后采用了个性化舌侧矫治技术、种植钉支抗技术、片段弓联合双轨法关闭缝隙技术等进行治疗;矫治后患者在牙齿排齐,咬合关系,面部美观,牙周健康,关节稳定等方面均有显著改善。对安氏Ⅱ类错牙合伴髁突形态异常患者,舌侧矫治技术可通过有效生物力学控制实现牙颌面畸形矫正,兼顾美观与健康,临床效果可靠。

关键词: 个性化舌侧矫治技术, 安氏Ⅱ类错牙合, 凸面型, 拔牙矫治, 微种植钉支抗

Abstract: This article systematically reported the clinical application of personalized lingual orthodontic treatment in a patient with Angle Class Ⅱ malocclusion accompanied by condylar morphological abnormalities, including examination, diagnosis, treatment process, pre and post treatment comparisons, and retention. Based on the patient’s examination results, chief complaints, and aesthetic requirements, personalized lingual orthodontics, miniscrew anchorage, and segmental arch technique combined with the dual track method for space closure were sequentially implemented. Dental alignment, occlusal relationship, facial aesthetics, periodontal health, and temporomandibular joint stability were significantly improved after treatment. For patients with Angle Class Ⅱ malocclusion and bilateral condylar morphological abnormalities, lingual orthodontic technique can correct dentofacial deformities through precise biomechanical control, while avoiding excessive joint load, balancing aesthetics and joint safety, with reliable clinical effects.

Key words: personalized lingual orthodontics, Angle Class Ⅱ malocclusion, convex profile, extraction orthodontics, miniscrew anchorage