口腔医学研究

口腔医学研究 ›› 2026, Vol. 42 ›› Issue (7): 630-634.DOI: 10.13701/j.cnki.kqyxyj.2026.07.015

• 研究生病例精粹——口腔正畸学系列(7) • 上一篇    

伴重度牙周炎骨性Ⅱ类错牙合畸形患者正畸-正颌联合治疗1例

萧柔1,2,3, 马博懿2*, 周顺泉1,2,3,4*   

  1. 1.口颌系统重建与再生全国重点实验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 湖北 武汉 430079;
    3.湖北省儿童牙颌面畸形临床医学研究中心 湖北 武汉 430079;
    4.武汉大学口腔医院正畸一科 湖北 武汉 430079
  • 收稿日期:2026-06-24 发布日期:2026-07-22
  • 通讯作者: *马博懿,E-mail:maboyi0524@163.com;周顺泉,E-mail:zhoushunquan723@sina.com
  • 作者简介:萧柔(1998~ )女,马来西亚人,硕士在读,研究方向:口腔正畸学。

Combined Orthodontic and Orthognathic Treatment for Patient with Severe Periodontitis and Skeletal Class Ⅱ Malocclusion: A Case Report

SIEW Rou1,2,3, MA Boyi2*, ZHOU Shunquan1,2,3,4   

  1. 1. National Key Laboratory of Oral and Maxillofacial Reconstruction and Regeneration, Hubei Provincial Key Laboratory of Stomatology, School of Stomatology, Wuhan University, Wuhan 430079, China;
    2. School of Stomatology, Wuhan University, Wuhan 430079, China;
    3. Hubei Provincial Clinical Research Center for Dentofacial Deformities in Children, School & Hospital of Stomatology, Wuhan University, Wuhan 430079, China;
    4. Department of Orthodontics, Stomatological Hospital of Wuhan University, Wuhan 430079, China
  • Received:2026-06-24 Published:2026-07-22

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摘要： 本文报道了1例伴重度牙周炎的骨性Ⅱ类错牙合畸形患者正畸正颌联合治疗的检查、诊断与治疗过程,治疗前患者前牙深覆盖深覆牙合,双侧后牙远中咬合,全口牙槽骨吸收至根尖1/2~1/3处,在完善的牙周系统性治疗后,先进行正颌术前正畸治疗,改善牙齿代偿,再通过正颌手术改善上下颌骨不调,正颌术后再行正畸治疗精细调整咬合。治疗过程中严格定期牙周维护,控制牙菌斑,全程采用轻力矫治。联合治疗后患者咬合明显改善,覆牙合覆盖正常,复查咬合稳定,效果良好。

关键词: 牙周炎, 骨性Ⅱ类错牙合畸形, 正畸-正颌联合治疗

Abstract: This case report presents the examination, diagnosis, and treatment process of a patient with severe periodontitis and skeletal Class Ⅱ malocclusion undergoing combined orthodontic and orthognathic therapy. Before treatment, the patient exhibited deep overjet and deep overbite, bilateral distal occlusion, and extensive alveolar bone loss reaching one-half to one-third of the root length. After comprehensive periodontal systemic treatment, presurgical orthodontic therapy was performed to improve dental compensation, followed by orthognathic surgery to correct the skeletal disharmony between the maxilla and mandible. Postsurgical orthodontic treatment was used to fine-tune the occlusion. Throughout the treatment, strict periodontal maintenance was maintained, plaque control was emphasized, and light forces were applied during orthodontic movement. The combined treatment significantly improved the patient's occlusion, resulting in normal overbite and overjet, with stable and satisfactory occlusal outcomes observed at follow-up.

Key words: periodontitis, skeletal class Ⅱ malocclusion, combined orthodontic-orthognathic treatment