ortho-perio

  • 文章类型: Journal Article
    正畸矫治器显着影响口腔内的微生物动力学,将共生关系转化为可导致牙周疾病的失调状态。这篇综述综合了目前关于正畸治疗的研究结果,特别是固定和可移动的电器,培养细菌积累的生态位和复杂的口腔卫生维护。采用先进的非培养方法来鉴定向厌氧菌和致病菌的转变,与固定电器显示更明显的影响相比,清晰的对齐。该研究强调了细致的口腔卫生实践和常规牙科监测对有效管理这些微生物变化的重要性。通过突出显示设备类型之间的关系,表面特性,治疗持续时间,和微生物的变化,本综述旨在提高牙科专业人员对正畸矫治器相关牙周风险的认识,以及减轻这些风险的策略。这些发现旨在指导临床医生优化正畸护理以预防斑块相关疾病,确保接受正畸治疗的患者更好的牙周健康结果。
    Orthodontic appliances significantly influence the microbiological dynamics within the oral cavity, transforming symbiotic relationships into dysbiotic states that can lead to periodontal diseases. This review synthesizes current findings on how orthodontic treatments, particularly fixed and removable appliances, foster niches for bacterial accumulation and complicate oral hygiene maintenance. Advanced culture-independent methods were employed to identify shifts toward anaerobic and pathogenic bacteria, with fixed appliances showing a more pronounced impact compared to clear aligners. The study underscores the importance of meticulous oral hygiene practices and routine dental monitoring to manage these microbial shifts effectively. By highlighting the relationship between appliance type, surface characteristics, treatment duration, and microbial changes, this review aims to enhance dental professionals\' understanding of periodontal risks associated with orthodontic appliances and strategies to mitigate these risks. The findings are intended to guide clinicians in optimizing orthodontic care to prevent plaque-associated diseases, ensuring better periodontal health outcomes for patients undergoing orthodontic treatment.
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  • 文章类型: Case Reports
    牙龈炎症和纤维型过度生长,或两者的组合可导致牙龈肿大(GE),这主要对咀嚼功能和美学产生负面影响,有时会引起患者的心理问题。牙龈疾病的典型特征是牙龈过度生长,这可能是由纤维过度生长引起的,牙龈发炎,或两者的组合。它是由环境与宿主或不同刺激之间的相互作用引起的复杂疾病。患者经常有错位的牙齿,这会促进细菌菌斑的积聚,并无意中助长牙龈炎症。固定的正畸设备可以纠正这种错位,但它们也可能促进牙菌斑的积聚和随后的发展。牙龈内陷,和全身性增生性牙龈炎.施用的附着和可辨别的龈上和龈下菌斑数量的增加会导致微生物生长的变化。此外,治疗中使用的力往往会激活牙龈软组织的反应。临床后果,如持续感染,炎性增生,牙龈衰退,附着损失,或牙龈过度生长后可能会出现设备放置。\'菌斑诱导\'和\'非菌斑诱导\'牙龈疾病,如牙龈过度生长,可以区分;然而,更精确的基本病因通常是可辨别的。几个世袭,系统性,或传染病不依赖于斑块诱导。在某些情况下伴随的斑块积聚可能会使临床表现恶化。这里描述的病例是一名21岁的女性患者,患有上颌前GE,并伴有正畸治疗的侧切牙。进行了手术治疗,为患者提供了出色的美学效果。
    Gingival inflammation and fibrous type of overgrowth, or a combination of both can lead to gingival enlargement (GE), and this negatively affects mainly masticatory function and esthetics, and sometimes causes psychological issues in patients. A typical characteristic of gingival diseases is gingival overgrowth, which can be brought on by fibrous overgrowth, gingival inflammation, or a combination of the two. It is a complex ailment arising from interactions between the environment and the host or different stimuli. Patients frequently have misaligned teeth, which encourages the buildup of bacterial plaque and unintentionally fuels gingival inflammation. Fixed orthodontic equipment can rectify this misalignment but they may also promote plaque buildup and the ensuing development of GE, gingival invaginations, and generalized hyperplastic gingivitis. The attachment of application and the rise in the amount of discernible supra- and subgingival plaque cause changes in microbial growth. Moreover, the force used in the treatment tends to activate the gingival soft tissue response. Clinical consequences such as persistent infection, inflammatory hyperplasia, gingival recession, attachment loss, or gingival overgrowth may arise after the device is placed. \'Plaque-induced\' and \'non-plaque-induced\' gingival disorders, such as gingival overgrowth, can be distinguished; however, a more precise fundamental etiology is frequently discernible. Several hereditary, systemic, or infectious diseases do not depend on plaque induction. Accompanying plaque accumulation in certain circumstances may make the clinical appearance worse. The case described here is of a 21-year-old female patient presenting with anterior maxillary GE associated with lateral incisors with orthodontic therapy. Surgical therapy was carried out to provide an excellent esthetic outcome for the patient.
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  • 文章类型: Case Reports
    在正畸闭合期间或之后,持续的纵隔通常是高系带依恋的结果。唇系切除术是指完全切除系带附件,通常连接到上两个前牙和上唇中心之间的空间。如果由于系带在牙龈上过高而在牙齿之间存在空间,则可能需要。许多手术技术的修改,包括米勒的技术,Z-成形术,和V-Y成形术,自从最初提出传统的经典系切除术以来,已经建立起来,以应对与异常的唇系相关的困难。该病例报告表明,使用Z-成形术方法去除21岁女性患者的高乳头型唇缘附件,以及正畸治疗如何导致中线舒张闭合。出于几个原因,Z型成形术的全系切除术被证明是可靠的,并且对于去除异常的唇系连接产生了出色的美学效果。了解Z-成形术将实现基于主要意图的组织愈合,降低组织挛缩的风险,缩短病人的康复时间,并提高患者的美学效果。
    During or after the orthodontic closure, persistent diastemas are frequently the result of a high frenum attachment. A labial frenectomy is a complete removal of the frenum attachment, which typically attaches to the space between the upper two anterior teeth and the centre of the upper lip. It might be required if there is space between the teeth due to a frenulum positioned too high on the gums. Many surgical technique modifications, including Miller\'s technique, Z-plasty, and V-Y-plasty, have been established since the conventional classical frenectomy procedure was initially presented to cope with the difficulties associated with an aberrant labial frenum. This case report demonstrates that a Z-plasty approach was used to remove the 21-year-old female patient\'s high papillary-type labial frenum attachment and how orthodontic treatment led to the closure of the midline diastema. For several reasons, the frenectomy procedure with Z-plasty proved to be reliable and yielded outstanding aesthetic outcomes for the removal of the aberrant labial frenum connection. Understanding Z-plasty will enable primary intention-based tissue healing, reduce the risk of tissue contractures, shorten the patient\'s recovery, and enhance the patient\'s aesthetic outcomes.
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