口腔医学研究

口腔医学研究 ›› 2026, Vol. 42 ›› Issue (6): 545-550.DOI: 10.13701/j.cnki.kqyxyj.2026.06.016

• 研究生病例精粹——口腔正畸学系列(6) • 上一篇    

隐形矫治器联合正颌手术治疗成人骨性Ⅲ类错𬌗畸形1例

黄珈昕1,2,3, 王蕴蕾1,4, 贺红1,2,3,4*, 杜明远1,2,3*   

  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.武汉大学口腔医院正畸一科 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.武汉大学口腔医院光谷院区正畸与儿童口腔中心 湖北 武汉 430000
  • 收稿日期:2026-05-28 出版日期:2026-06-28 发布日期:2026-06-23
  • 通讯作者: *贺红,E-mail:drhehong@whu.edu.cn; 杜明远,E-mail:dumydent@whu.edu.cn
  • 作者简介:黄珈昕(2000~),女,台湾嘉义人,硕士在读,医师,研究方向:正畸学与口腔睡眠医学。

Clear Aligner Combined with Orthognathic Surgery for Skeletal Class Ⅲ Malocclusion in Adult: A Case Report

HUANG Jiaxin1,2,3, WANG Yunlei1,4, HE Hong1,2,3,4*, DU Mingyuan1,2,3*   

  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;
    3. Hubei Provincial Clinical Research Center for Dentofacial Deformities in Children, School & Hospital of Stomatology, Wuhan University, Wuhan 430079, China;
    4. Center for Orthodontics and Pediatric Dentistry at Optics Valley Branch, School and Hospital of Stomatology, Wuhan University, Wuhan, 430000, China
  • Received:2026-05-28 Online:2026-06-28 Published:2026-06-23

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摘要： 本文系统地报道了1例成人骨性Ⅲ类错??采用无托槽隐形矫治联合正颌外科的完整诊疗经过。针对患者在三维方向上存在的骨性和牙性问题,以及同时存在的龋齿及根尖周炎的问题,结合患者主诉,通过无托槽隐形矫治技术联合正颌外科手术,显著改善了患者的牙齿排列、咬合关系、面部美观和牙周健康。

关键词: 骨性Ⅲ类错??畸形, 无托槽隐形矫治, 磨牙近移

Abstract: This paper systematically reports the complete diagnosis and treatment process of an adult patient with skeletal Class Ⅲ malocclusion treated by clear aligner orthodontics combined with orthognathic surgery. Based on the patient’s skeletal and dental problems in three dimensions, as well as the concurrent dental caries and periapical periodontitis, combined with the patient’s chief complaint, clear aligner technology combined with orthognathic surgery significantly improved the patient’s tooth arrangement, occlusal relationship, facial aesthetics, and periodontal health.

Key words: skeletal class Ⅲ malocclusion, clear aligner orthodontics, mesial movement of molar