Abstract:

Aggressive periodontitis（AgP）is a type of periodontitis with early onset and rapid progression，which mostly affects young adults. The most common problems found in AgP patients include severe periodontal destruction and pathologic tooth migration（PTM），which impair function and aesthetics of the stomatognathic system. Effective orthodontic treatment not only provides an acceptable functional and aesthetic occlusion，and corrects traumatic occlusion，but also stimulates rebuilding of the original periodontal architecture and achieves long-term stability. Hence，it is of utmost importance for an orthodontist to have knowledge and ability to manage the case of aggressive periodontitis with multidisciplinary approach，create harmonious cooperation with the periodontist，initiate the orthodontic treatment after the achievement of proper plaque control，and stick to the strategy of proper design of active treatment，placement with light force，strict control of oral hygiene，regular periodontal maintenance and careful monitoring of the whole course.

Key words: aggressive periodontitis, interdisciplinary treatment, periodontology, orthodontics, aesthetics

摘要：

侵袭性牙周炎是一类在青年人中常见的牙周炎，发病早、进展快、牙周组织破坏严重，牙齿发生病理性移位，严重影响美观、口腔健康和功能。这类患者在牙周治疗基础上应及时进行正畸治疗，恢复正常的生理性牙位及咬合接触关系，消除咬合创伤。恰当的正畸治疗，不仅能改善美观，恢复牙齿正常功能，而且有利于控制侵袭性牙周炎的病情，促进已破坏的牙周组织发生良好改建，提高临床疗效的稳定性和远期预后效果。正畸医生对侵袭性牙周炎要充分认识，应与牙周专科医生密切合作，在牙周有效治疗的前提下进行正畸，遵循个性化合理设计、细丝轻力、严格控制菌斑、定期牙周维护、全程谨慎监控的原则。

关键词: 侵袭性牙周炎, 多学科联合治疗, 牙周病学, 正畸学, 美学