口腔医学研究

口腔医学研究 ›› 2026, Vol. 42 ›› Issue (10): 906-910.DOI: 10.13701/j.cnki.kqyxyj.2026.10.015

• 研究生病例精粹——口腔正畸学系列(10) • 上一篇    

青少年骨性Ⅱ类错牙合畸形隐形矫治1例

张旭菡1, 蔡萍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.武汉大学口腔医院口腔正畸一科 湖北 武汉 430079
  • 收稿日期:2026-09-28 发布日期:2026-10-23
  • 通讯作者: * 蔡萍,E-mail:1174182634@qq.com
  • 作者简介:张旭菡(2001~ ),女,湖南常德人,硕士在读,住院医师,研究方向:口腔正畸。

Clear Aligner Therapy for Skeletal Class Ⅱ Malocclusion in Adolescent: A Case Report

ZHANG Xuhan1, CAI Ping1,2*   

  1. 1. State Key Laboratory of Oral and Maxillofacial Reconstruction and Regeneration, Key Laboratory of Oral Biomedicine Ministry of Education, Hubei Key Laboratory of Stomatology, School and Hospital of Stomatology, Wuhan University, Wuhan 430079, China;
    2. Department of Orthodontics Division 1, Hospital of Stomatology, Wuhan University, Wuhan430079, China
  • Received:2026-09-28 Published:2026-10-23

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摘要： 本病例报告系统地介绍了1例青少年骨性Ⅱ类错牙合畸形无托槽隐形矫治的治疗过程。结合患者主诉、临床检查以及影像学资料,本病例使用无托槽隐形矫治器,采取拔除4颗前磨牙并配合Ⅱ类牵引的矫治方案进行矫治。矫治结束后患者面部美观、牙齿排列、咬合关系得到明显改善,充分利用了患者的生长潜力,避免了严重骨性Ⅱ类错牙合畸形在成年后需行正颌手术的问题。

关键词: 骨性Ⅱ类错牙合畸形, 无托槽隐形矫治器

Abstract: This case report systematically presents the treatment process of an adolescent patient with skeletal class Ⅱ malocclusion using clear aligner therapy. Based on the patient's chief complaint, clinical examination, and radiographic data, the case employed clear aligners without brackets, utilizing a treatment plan that involved the extraction of four premolars combined with class Ⅱ traction. After the treatment, the patient's facial aesthetics, dental alignment, and occlusal relationship were significant improved, effectively leveraging the patient's growth potential and avoiding the need for orthognathic surgery in adulthood due to severe skeletal class Ⅱ malocclusion.

Key words: skeletal class Ⅱ malocclusion, clear aligners