中国实用口腔科杂志

• 专题笔谈 • 上一篇    下一篇

弯根牙的临床综合治疗及正畸早期矫治的可能性

李小兵   

  1. 四川大学华西口腔医学院儿童口腔医学与正畸学系,四川  成都  610041
  • 出版日期:2016-09-15 发布日期:2016-12-15
  • 作者简介:李小兵,教授、主任医师、博士研究生导师。现任四川大学华西口腔医学院儿童口腔医学与正畸学系副主任、儿童口腔科副主任、儿童错牙合畸形早期矫治特色门诊主任。兼任国际牙医学院院士、中华医学会儿科学分会口腔医学学组组长、中华口腔医学会儿童口腔专业委员会委员、四川省口腔医学会正畸学会常务委员、四川省侨联特聘专家委员会特聘专家等职。从事儿童错牙合畸形的预防矫治、阻断性矫治及固定矫治近20年,具有丰富的教学、医疗和科研经验,在国内开创性提出“咬合发育管理,儿童错牙合畸形的早期序列矫治”观念。为我国儿童错牙合早期矫治领域领军人物。

  • Online:2016-09-15 Published:2016-12-15

摘要:

弯根牙是指由于各种原因造成的牙冠与牙根(或部分牙根)形成一定弯曲角度的牙齿。文章总结了临床弯根牙的病因、形成机制、临床错牙合表现、治疗原则、治疗时机选择、治疗的生物学及生物力学考虑;介绍了临床正畸治疗方法与原则,并且着重对牙根正在形成的前牙弯根牙的临床治疗体会及临床治疗对前牙发育的优势进行了阐释,认为早期弯根牙治疗能促进牙根形成、避免弯根严重化及弯曲牙根暴露。同时,文章还强调并提出前牙弯根阻生牙需早期矫治的临床证据,探讨了前牙弯根牙早期治疗的可能性,为弯根牙的临床早期正畸治疗提供了新思路。

关键词: 弯根牙, 弯根阻生, 牙根形态发育, 早期正畸综合治疗

Abstract:

Tooth dilaceration is considered as a dental deformity characterized by pronounced angulations of the longitudinal tooth axis. This article reviewed the etiology, mechanism, clinical features, treatment principles, treatment timing and treatments based on biological and biomechanical thoughts of tooth dilaceration. This article especially illustrated early orthodontic intervention for impacted and dilacerated maxillary central incisors. The early orthodontic intervention showed that the successful tooth alignment could be achieved, the forms of dilacerated root were improved, and the chance of root exposure in oral cavity when angular teeth were aligned was reduced. The author suggested the early orthodontic intervention of impacted teeth with dilacerated root was better for root morphologic development and could be a clinical choice for the tooth dilaceration treatment.

Key words: root dilaceration, tooth impaction, root morphological development, early orthodontic intervention