牙周再生性手术联合正畸移动治疗垂直型骨缺损

Periodontal regenerative surgery combined with orthodontic movement for the treatment of vertical bone defects

牙周再生性手术能够使牙周炎患者的垂直型骨缺损获得最佳的治疗效果,正畸患者在牙周手术后炎症得到控制,正畸牙齿的移动也相对安全。牙周再生性手术后,可通过早期牙齿移动,使牙根在不牺牲安全性的情况下尽早进入移植部位,手术过程中使用的骨替代物或屏障膜等移植材料可能会阻碍牙齿移动,但是另一方面也会降低牙根吸收发生的概率。牙周再生性手术联合正畸治疗垂直型骨缺损能否维持长期较好的临床效果,受到牙周维护频率、正畸加力频率及大小等多方面因素的影响,术后疗效有待进一步观察和研究。

Periodontal regenerative surgery can achieve the most effective results for vertical bone defects in patients with periodontitis.The inflammation of the vertical bone defects in orthodontic patients was controlled after periodontal surgery,and the orthodontic tooth movement was relatively safe.After periodontal regenerative surgery,the roots of teeth can enter the surgical site as soon as possible without sacrificing the safety by early tooth movement.Graft materials such as bone substitutes or barrier membranes used during surgery may hinder tooth movement,but on the other hand,it will also reduce the probability of root resorption.Whether the periodontal regenerative surgery combined with orthodontic treatment can maintain a long-term good clinical effect is affected by multiple factors,such as the frequency of periodontal maintenance,the frequency and intensity of orthodontic force,and the postoperative effect needs further observation and research.