无托槽隐形矫治器治疗牙周炎致前牙扇形移位1例报告及文献复习

doi:10.13481/j.1671-587X.20230428

Abstract

Abstract:

Objective To observe the effect of invisible orthodontic appliance without brackets in the treatment of the patient with anterior teeth fan-shaped displacement caused by periodontitis， and to provide the clinical basis for the clinical orthodontists in the treatment of these patients. Methods One patient with anterior teeth fan-shaped displacement caused by periodontitis， received the periodontal-orthodontic combination treatment with the invisible orthodontic appliance without brackets. After the periodontal basic treatment， the patient’s periodontal condition was stabilized，The extraoral photographs， intraoral photographs，and imagological examination data of the patient before and after treatment were collected， combined with the literature review， the diagnotic plans，treatment plans， and key points of treatment of the patient were discussed. Results One 43-year-old female patient with Angle Class Ⅱ malocclusion complicated with anterior teeth fan-shaped displacement caused by periodontitis received the periodontal-orthodontic combination treatment with invisible orthodontic appliances without brackets. The extraoral and intraoral photographs before and after correction were compared， the patient’s periodontal condition was stable， and the orthodontic treatment successfully decreased the anterior teeth and closed the gap； the normal overjet and overbite and normal canine and molar relationship were established. The imagological examination before and after correction were compared， the anterior teeth of the patient were significantly adducted， and the height of the alveolar bone was basically the same as that before correction. Conclusion The periodontal- orthodontic combination treatment with invisible orthodontic appliance without brackets has a good effect in the patient with fan-shaped anterior teeth displacement caused by periodontitis， which is conducive to the long-term stability of periodontal condition of the patients.

Key words: Orthodontic treatment, Periodontitis, Invisible orthodontic appliance without brackets, Fan-shaped displacement

CLC Number:

R783.5

Xinyu LIU,Kepeng ZHANG,Xinyi LI,Han BAO,Haoyan ZHANG,Ling HU,Xianchun ZHU. Treatment of anterior teeth fan-shaped displacement caused by periodontitis with invisible orthodontic appliance without brackers: A case report and literature review[J].Journal of Jilin University(Medicine Edition), 2023, 49(4): 1046-1052.

Figures/Tables 7

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References 28

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Measurement item	Mean value	Standard deviation	Detected value
Measurement item	Mean value	Standard deviation	Before treatment	After treatment
SNA(θ/°)	82.8	4.0	80.6	80.0
SNB(θ/°)	80.1	3.9	76.0	75.0
ANB(θ/°)	2.7	2.0	4.8	4.7
U1-SN(θ/°)	105.7	6.3	106.2	97.1
U1-NA(θ/°)	22.8	5.7	25.6	17.1
L1-NB(θ/°)	30.5	5.8	29.9	29.2
L1-MP(θ/°)	93.9	6.2	94.6	93.5
U1-L1(θ/°)	124.2	8.2	119.9	128.7
FH-MP(θ/°)	31.1	5.6	24.7	27.6
FMIA(θ/°)	54.6	6.5	60.7	58.9
UL-EP(l/mm)	2.0	2.0	－0.9	－2.1
LL-EP(l/mm)	3.0	2.0	1.0	－0.1
Wits(l/mm)	0.0	2.0	2.0	0.5

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Treatment of anterior teeth fan-shaped displacement caused by periodontitis with invisible orthodontic appliance without brackers: A case report and literature review

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