牙周-正畸联合治疗重度牙周炎伴错[牙合]畸形的长期临床效果观察(附1例21年随访报告)

Long-term clinical observation of periodontal-orthodontic treatment for patients with severe periodontitis and malocclusion:a case report of 21-year follow-up

重度牙周炎因牙周支持组织严重破坏和炎症控制不易,治疗难度与复杂程度大幅提高。对于伴有错[牙合]畸形的复杂牙周炎病例,其治疗方案设计与实施尤其需要多学科运用各自专业特色手段联合攻关。文章介绍1例随访21年的广泛型Ⅳ期C级牙周炎病例,通过牙周基础治疗、正畸治疗和牙周维护治疗,最终恢复健康、重建功能、改善美观,并保持长期稳定疗效,为此类重度牙周炎伴错[牙合]畸形患者的牙周-正畸联合治疗提供一定的思路与临床经验。

The difficulty and complexity in management of severe periodontitis have greatly increased due to serious destruction of periodontal supportive tissue and difficult control of inflammation.Multidisciplinary professional means and close cooperation between each other are particularly necessary in the treatment design and implementation for complicated periodontitis cases with malocclusion.This article illustrated a case of generalized stage Ⅳ grade C periodontitis which had been followed-up for 21 years.Through initial periodontal therapy,orthodontic therapy and periodontal maintenance,the patient obtained health,function and aesthetics as well as a long-term stable effect,which provides ideas and clinical experience for combined periodontal and orthodontic treatment of such cases of severe periodontitis with malocclusion.