口腔医学研究 ›› 2025, Vol. 41 ›› Issue (5): 443-448.DOI: 10.13701/j.cnki.kqyxyj.2025.05.016

• 研究生病例精粹——牙周病系列(5) • 上一篇    

联合应用游离龈移植术与牙周辅助加速成骨正畸治疗1例

黄思雨1, 李四红1#, 白雪颖1, 王水凝1, 杨栋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牙周科 湖北 武汉 430079
  • 收稿日期:2024-04-07 出版日期:2025-05-28 发布日期:2025-05-26
  • 通讯作者: *杨栋,E-mail: ydnba@whu.edu.cn #为共同第一作者
  • 作者简介:黄思雨(2001~ ),女,河南周口人,硕士在读,医师,研究方向:牙周病学。李四红(1998~ ),女,湖南浏阳人,硕士,医师,研究方向:牙周病学。

Combined Application of Free Gingival Graft and Periodontally Treatment Accelerated Osteogenic Orthodontics: A Case Report

HUANG Siyu1, LI Sihong1#, BAI Xueying1, WANG Shuining1, YANG Dong1,2*   

  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 Periodontology, School & Hospital of Stomatology, Wuhan University, Wuhan 430079, China
  • Received:2024-04-07 Online:2025-05-28 Published:2025-05-26

摘要: 本研究报道1例Ⅱ期C级牙周炎伴Miller Ⅲ类牙龈退缩及上下前牙区唇侧骨开窗的复杂病例。通过牙周基础治疗及正畸前牙周表型纠正治疗(游离龈移植术和牙周辅助加速成骨正畸),显著改善牙周支持组织条件。正畸治疗顺利进行并同期实现种植修复。

关键词: 牙周表型, 游离龈移植术, 牙周辅助加速成骨正畸, 牙周治疗, 正畸

Abstract: This study reports a complex case of stage Ⅱ grade C periodontitis complicated by Miller Class Ⅲ gingival recession and labial bone dehiscence in the anterior regions of both jaws. Through periodontal initial therapy and pre-orthodontic periodontal phenotype modification therapy (free gingival graft, FGG and periodontally accelerated osteogenic orthodontics, PAOO), significant improvement in periodontal supporting tissue conditions was achieved. Orthodontic treatment progressed successfully with concurrent implementation of implant prosthodontics.

Key words: periodontal phenotype, free gingival graft, periodontal accelerated osteogenic orthodontics, periodontal therapy, orthodontics