CAJ | 학술논문

目的观察无托槽隐形矫治器对中、重度牙周炎错(牙合)患者的治疗效果.方法牙周炎错(牙合)畸形患者9例,其中男性5例,女性4例,平均年龄37.8岁.多数牙齿均有不同程度的牙周附着丧失,少数牙齿为重度牙周附着丧失、牙齿松动Ⅰ～Ⅱ度、牙槽骨吸收至根尖1/3.Ⅰ类错(牙合)患者1例,Ⅱ类错(牙合)患者5例,Ⅲ类错(牙合)患者3例.经牙周基础治疗,控制牙周炎症后开始正畸治疗,均为非拔牙矫治,全部采用无托槽隐形矫治技术矫治.结果隐形矫治疗程最短6个月,最长17个月,平均疗程12.5个月.9例患者咬合关系和面型都得到明显改善,前牙(牙合)创伤消除,牙周炎症控制良好,治疗后牙周探诊深度减小.结论无托槽隐形矫治器对牙周炎错(牙合)患者的治疗是有效的,有利于矫治过程中口腔卫生维护和牙周治疗.
목적 관찰무탁조은형교치기대중、중도아주염착(아합)환자적치료효과.방법 아주염착(아합)기형환자9례,기중남성5례,녀성4례,평균년령37.8세.다수아치균유불동정도적아주부착상실,소수아치위중도아주부착상실、아치송동Ⅰ～Ⅱ도、아조골흡수지근첨1/3.Ⅰ류착(아합)환자1례,Ⅱ류착(아합)환자5례,Ⅲ류착(아합)환자3례.경아주기출치료,공제아주염증후개시정기치료,균위비발아교치,전부채용무탁조은형교치기술교치.결과 은형교치료정최단6개월,최장17개월,평균료정12.5개월.9례환자교합관계화면형도득도명현개선,전아(아합)창상소제,아주염증공제량호,치료후아주탐진심도감소.결론 무탁조은형교치기대아주염착(아합)환자적치료시유효적,유리우교치과정중구강위생유호화아주치료.
Objective To evaluate the treatment effect of clear aligners in malocclusion patients with periodontitis.Methods 9 patients (5 males and 4 females) including 1 Class Ⅰ,5 Class Ⅱ and 3 Class Ⅲ malocclusion patients were chosen.The average age was 37.8 years old.All patients had periodontal disease and peridontal attachment lost.Some teeth suffered from Ⅰ to Ⅱ degree of mobility and their surrounding alveolar bone absorbed till the apical third.Non-extraction orthodontic treatment was performed with clear aligners after periodontal therapy and oral hygiene instruction.Results Orthodontic treatment duration ranged from 6 to 17 months,12.5 months on average.Both occlusion and facial profile was improved.Occlusal trauma were eliminated,probing depth reduced and the height of supporting tissue increased.Conclusions Clear aligners were effective in treating malocclusion patients with periodontitis.Clear aligners were helpful to maintain oral hygiene and periodontal therapy during orthodontic treatment.