上颌埋伏尖牙正畸牵引后牙周组织与牙龈生物型的相关性分析

doi:10.19438/j.cjoms.2025.06.006

中国口腔颌面外科杂志 ›› 2025, Vol. 23 ›› Issue (6): 573-577.doi: 10.19438/j.cjoms.2025.06.006

上颌埋伏尖牙正畸牵引后牙周组织与牙龈生物型的相关性分析

张莎莎¹, 王智¹, 孙鸣², 朱超¹

1.锦州医科大学临沂市人民医院研究生培养基地,辽宁锦州 315302;
2.青岛大学附属医院口腔科,山东青岛 266075

收稿日期:2024-12-20 修回日期:2025-05-14 出版日期:2025-11-20 发布日期:2025-12-04
通讯作者: 朱超,E-mail: zhuchao31400@163.com
作者简介:张莎莎（1989-）,女,在读硕士研究生,E-mail: zhangss8921@163.com
基金资助:
山东省医药卫生科技发展计划项目（202208011100）

Analysis of the correlation between periodontal tissues and gingival biotype after orthodontic traction of maxillary impacted canines

Zhang Shasha¹, Wang Zhi¹, Sun Ming², Zhu Chao¹

1. Graduate Training Base of Linyi People's Hospital, Jinzhou Medical University. Jinzhou 315302, Liaoning Province;
2. Department of Stomatology, Affiliated Hospital of Qingdao University. Qingdao 266075, Shandong Province, China

Received:2024-12-20 Revised:2025-05-14 Online:2025-11-20 Published:2025-12-04

摘要/Abstract

摘要： 目的：分析上颌埋伏尖牙正畸牵引后牙周组织状态与牙龈生物型的相关性,为临床治疗方案优化提供参考。方法：选取2019年10月—2023年10月青岛大学附属医院收治的82 例上颌埋伏尖牙患者,通过数字化影像技术及牙周探针透视法评估牙龈生物型,分为薄龈生物型组（47 例）和厚龈生物型组（35 例）。所有患者均接受正畸牵引治疗,比较两组治疗后牙槽骨厚度、高度、附着龈宽度等牙周组织指标,以及牙周袋深度、临床附着丧失、牙龈指数等牙周健康指标的变化。结果：厚龈生物型组的唇侧牙槽骨厚度、根尖牙槽骨厚度、唇侧牙槽骨高度及附着龈宽度显著大于薄龈生物型组（P<0.05）;厚龈生物型唇侧、根尖牙槽骨厚度及高度差值、附着龈宽度差值显著小于薄龈生物型（P<0.05）;薄龈生物型组的牙周袋深度、牙龈指数及临床附着丧失显著高于厚龈生物型组（P<0.05）。结论：厚龈生物型患者在上颌埋伏尖牙正畸牵引后,牙周组织形态变化更小,牙周健康状态恢复更优,提示术前评估牙龈生物型对预后判断及治疗方案制定具有重要意义。

关键词: 上颌埋伏尖牙, 正畸牵引, 牙龈生物型, 牙周组织, 牙槽骨

Abstract: PURPOSE: To analyze the correlation between the periodontal tissue status and gingival biotype after orthodontic traction of maxillary impacted molars, and to provide a reference for the optimization of clinical treatment plans. METHODS: A total of 82 patients with maxillary impacted canines admitted to Affiliated Hospital of Qingdao University from October 2019 to October 2023 were selected. The gingival biotype was evaluated by digital imaging technology and periodontal probe,and the patients were divided into the thin gingival biotype group(n=47) and the thick gingival biotype group(n=35). All patients received orthodontic traction treatment. The periodontal tissue indicators such as alveolar bone thickness, height, and attached gingival width after treatment, as well as the periodontal health indicators such as periodontal pocket depth, clinical attachment loss, and gingival index were compared between the two groups. RESULTS: The labial alveolar bone thickness, apical alveolar bone thickness, labial alveolar bone height, and attached gingival width in the thick gingival biotype group were significantly greater than those in the thin gingival biotype group (P<0.05); the differences in labial and apical alveolar bone thickness and height, and the difference in attached gingival width in the thick gingival biotype group were significantly smaller than those in the thin gingival biotype group(P<0.05); periodontal pocket depth, gingival index, and clinical attachment loss in the thin gingival biotype group were significantly higher than those in the thick gingival biotype group(P<0.05). CONCLUSIONS: Patients with thick gingival biotype have smaller changes in periodontal tissue morphology and better recovery of periodontal health status after orthodontic traction of maxillary impacted canines, suggesting that preoperative evaluation of gingival biotype is of great significance for prognosis judgment and treatment plan formulation.

Key words: Maxillary impacted canine, Orthodontic traction, Gingival biotype, Periodontal tissue, Alveolar bone

中图分类号:

R782.1

张莎莎, 王智, 孙鸣, 朱超. 上颌埋伏尖牙正畸牵引后牙周组织与牙龈生物型的相关性分析[J]. 中国口腔颌面外科杂志, 2025, 23(6): 573-577.

Zhang Shasha, Wang Zhi, Sun Ming, Zhu Chao. Analysis of the correlation between periodontal tissues and gingival biotype after orthodontic traction of maxillary impacted canines[J]. China J Oral Maxillofac Surg, 2025, 23(6): 573-577.

参考文献

[1] Grisar K, Luyten J, Preda F, et al.Interventions for impacted maxillary canines: a systematic review of the relationship between initial canine position and treatment outcome[J]. Orthod Craniofac Res, 2021, 24(2): 180-193.
[2] Ng WL, Cunningham A, Pandis N, et al.Impacted maxillary canine: assessment of prevalence, severity and location of root resorption on maxillary incisors: a retrospective CBCT study[J]. Int Orthod, 2024, 22(3):100890.
[3] Qali M, Li C, Chung CH, et al. Periodontal and orthodontic management of impacted canines[J]. Periodontol2000, 2024 Nov 16.[Online ahead of print].
[4] Aquino-Valverde AJ, Barrientos-Sanchez DM, Atoche-Socola KJ.Orthodontic treatment in impacted maxillary canines. a review of the literature[J]. Rev Cient Odontol (Lima), 2021, 9(4): e085.
[5] Li J, Feng X, Lin Y, et al.The stability guided multidisciplinary treatment of skeletal Class Ⅲ malocclusion involving impacted canines and thin periodontal biotype: a case report with eight-year follow-up[J]. Medicina (Kaunas), 2022, 58(11): 1588.
[6] de Souza Fernandes AC, Barreto Nascimento GI, de Souza Pereira F, et al. Gingival biotype and its relationship with the maxillary membrane and lateral wall thickness[J]. J Oral Implantol, 2021, 47(4): 280-286.
[7] Kan JY, Rungcharassaeng K, Umezu K, et al.Dimensions of peri-implant mucosa:an evaluation of maxillary anterior single implants in humans[J]. J Periodontol, 2003, 74(4): 557-562.
[8] Stabryła J, Zadurska M, Plakwicz P, et al.Comparisons of dental anomalies in orthodontic patients with impacted maxillary and mandibular canines[J]. Diagnostics (Basel), 2023, 13(17): 2766.
[9] Mousa MR, Hajeer MY, Burhan AS, et al.Assessment of patient-centered outcomes when treating palatally impacted canines using conventional versus accelerated minimally invasive corticotomy-assisted orthodontic treatment: a randomized controlled trial[J]. Cureus, 2022, 14(10): e30392.
[10] 郭琦. 改良Nance托牵引装置联合外科导萌术与正畸固定矫正技术治疗上颌埋伏尖牙患者的效果比较[J]. 河南医学研究, 2019, 28(22): 4075-4076.
Guo Q.Comparison of the effects of the modified Nance traction device combined with surgical guiding and orthodontic fixed correction techniques in the treatment of patients with maxillary impacted canines[J]. Henan Medical Research, 2019, 28(22): 4075-4076.
[11] Shafizadeh M, Amid R, Tehranch A, et al.Evaluadon of the association between ginglval phenotype and alveolar bone thickness: a systematic review and meta-analysis[J]. Arch Oral Biol, 2022, 133: 105287.
[12] Wallner G, Rieder D, Wichmann MG, et al.Peri-implant bone loss of tissue-level and bone-level implants in the esthetic zone with gingival biotype analysis[J]. Int J Oral Maxillofac Implants, 2018, 33(5): 1119-1125.
[13] Cernochova P, Cernoch C, Klimo Kanovska K, et al.Treatment options for impacted maxillary canines and occurrence of ankylotic and resorptive processes: a 20-year retrospective study[J]. BMC Oral Health, 2024, 24(1): 877-895.
[14] Ruíz-Mora GA, Arriola-Guillén LE, Rodríguez-Cárdenas YA, et al.Changes in alveolar bone morphology after traction of buccally vs palatally unilateral maxillary impacted canines: a cone-beam computed tomography study[J]. Am J Orthod Dentofacial Orthop, 2021, 159(3): 258-227.
[15] 初可嘉, 王海慧, 郑之峻, 等. 牙龈生物型对上颌埋伏尖牙正畸牵引后牙周组织的影响[J]. 口腔医学研究, 2023, 39(4): 353-356.
Chu KJ, Wang HH, Zheng ZJ, et al.Effect of gingival biotype on periodontium of maxillary impacted canine after orthodontic traction[J]. Journal of Oral Science Research, 2023, 39(4): 353-356.
[16] 尹凡, 韩爽, 安琪, 等. 应用激光散斑衬比成像探究牙龈生物型对正畸加力下牙龈血流变化的影响[J]. 口腔医学研究, 2024, 40(6): 530-536.
Yin F, Han S, An Q, et al.Effect of gingival biotype on changes in gingival blood flow under orthodontic forces investigated by laser speckle contrast imaging[J]. Journal of Oral Science Research, 2024, 40(6): 530-536.
[17] Herrera-Serna BY, López-Soto OP, Chacón T, et al.Relationship between the gingival biotype and the results of root covering surgical procedures: a systematic review[J]. J Clin Exp Dent, 2022, 14(9): e762-e768.
[18] Anand PS, Bansal A, Shenoi BR, et al.Width and thickness of the gingiva in periodontally healthy individuals in a central Indian population: a cross-sectional study[J]. Clin Oral Investig, 2022, 26(1): 751-759.

上颌埋伏尖牙正畸牵引后牙周组织与牙龈生物型的相关性分析

Analysis of the correlation between periodontal tissues and gingival biotype after orthodontic traction of maxillary impacted canines

PDF (PC)

可视化

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 15

编辑推荐

Metrics

本文评价

[1]	刘自华, 徐光宙. 自体骨移植修复牙槽骨缺损的研究进展[J]. 中国口腔颌面外科杂志, 2025, 23(1): 84-93.
[2]	郭秋曼, 于洪波, 夏韫晖, 王博. 35例成人中重度牙周炎患者牙槽骨再生正畸的疗效评价[J]. 中国口腔颌面外科杂志, 2024, 22(6): 553-557.
[3]	祁庆龙, 余红梅, 潘洋. 2种方法治疗下颌第二磨牙远中牙槽骨吸收的效果比较[J]. 中国口腔颌面外科杂志, 2024, 22(5): 463-467.
[4]	裘实, 罗畅, 蔡安庆, 王小菲, 朱挺. 个性化牙龈成型器在不同牙龈生物型及角化龈宽度患者上颌单颗前牙种植中的应用效果[J]. 中国口腔颌面外科杂志, 2024, 22(4): 378-384.
[5]	刘晓东, 张颖, 马金玉, 李玉增. sclerostin在2型糖尿病伴牙周炎大鼠牙槽骨骨重建过程中的表达及意义[J]. 中国口腔颌面外科杂志, 2023, 21(1): 19-23.
[6]	王博, 于洪波, 夏韫晖, 房兵, 郭秋曼. 牙槽骨再生正畸技术治疗成人错畸形伴原发性牙槽骨缺损的远期疗效评价[J]. 中国口腔颌面外科杂志, 2022, 20(3): 225-229.
[7]	唐田, 程群, 丁子清, 朱信灵, 胡英英. MTA与PRF在上颌前牙拔牙患者牙槽骨再生中的应用效果评价[J]. 中国口腔颌面外科杂志, 2022, 20(3): 263-267.
[8]	李慧萍, 刘秀明, 徐伟峰, 甄锦泽, 沈达, 张善勇. 环肌酸抑制大鼠牙周炎周围牙槽骨吸收的实验研究[J]. 中国口腔颌面外科杂志, 2022, 20(2): 111-116.
[9]	朱磊, 刘庆成, 于洪波. 牙槽骨增量骨皮质切开术后2种植骨材料成骨的影像学分析[J]. 中国口腔颌面外科杂志, 2021, 19(6): 525-530.
[10]	费晨艳, 江银华. 生长因子在牙槽骨组织再生中的应用与研究进展[J]. 中国口腔颌面外科杂志, 2021, 19(6): 568-572.
[11]	张楚南, 赵旭, 乔士冲, 张晓梦, 顾迎新. 拔牙窝内植入不同深度骨水平种植体周围软硬组织改建的组织形态变化[J]. 中国口腔颌面外科杂志, 2021, 19(3): 193-196.
[12]	朱磊, 于洪波. 牙槽骨增量骨皮质切开术的发展现状[J]. 中国口腔颌面外科杂志, 2021, 19(2): 181-185.
[13]	邹多宏, 刘昌奎, 薛洋, 胡开进, 杨驰, 张志愿. 帐篷钉技术在牙槽骨修复与再生中的临床应用及操作规范[J]. 中国口腔颌面外科杂志, 2021, 19(1): 1-5.
[14]	杨正祥, 李航, 李鲲. 雷洛昔芬对牙周炎合并系统性绝经后骨质疏松症小鼠模型局部牙槽骨破坏的影响[J]. 中国口腔颌面外科杂志, 2020, 18(5): 407-411.
[15]	李敬华, 姜文静, 王艳辉, 李晓静, 柏娜. 下颌前牙唇侧骨壁厚度及倾斜角度对即刻种植术前设计的影响[J]. 中国口腔颌面外科杂志, 2019, 17(3): 230-234.