精准牙-骨移动的手术先行正颌正畸联合治疗——数字医学时代的理念与尝试

doi:10.13591/j.cnki.kqyx.2022.01.004

口腔医学 ›› 2022, Vol. 42 ›› Issue (1): 20-28.doi: 10.13591/j.cnki.kqyx.2022.01.004

精准牙-骨移动的手术先行正颌正畸联合治疗——数字医学时代的理念与尝试

何东明, 毛丽霞, 刘凯, 江凌勇, 沈国芳, 朱敏, 王旭东

上海交通大学医学院附属第九人民医院口腔颅颌面科,上海交通大学口腔医学院,国家口腔医学中心,国家口腔疾病临床医学研究中心,上海市口腔医学重点实验室,中国医学科学院口腔颌面再生医学创新单元,上海(200011)

修回日期:2021-11-21 出版日期:2022-01-28 发布日期:2022-01-28
通讯作者: 王旭东 E-mail:xudongwang70@hotmail.com
作者简介:王旭东,医学博士,主任医师,教授,博士研究生导师。现任上海交通大学医学院附属第九人民医院副院长,口腔颅颌面科主任、支部书记,国家口腔医学中心(上海)副主任,上海交通大学数字医学研究院副院长,上海交通大学口腔医学院口腔颌面外科学系系副主任、口腔颅颌面科教研室主任,国际内固定组织(AOCMF)国际讲师、线上讲师和大师班讲师,德国国立杜易斯堡-埃森大学口腔医学院客座教授。兼任上海市儿童颅颌面畸形筛查诊治中心主任,中华口腔医学会第一届口腔遗传病与罕见病专委会副主任委员,中华口腔医学会第一届口腔颌面创伤及正颌专委会副主任委员,中国整形美容协会精准与数字医学分会第一届理事会副会长,中国整形美容协会精准与数字医学分会第一届颅颌面整复专业委员会主任委员,中国整形美容协会精准与数字医学分会第一届精准鼻整形专业委员会副主任委员,中国整形美容协会颅颌面外科分会第一届理事会常务理事,上海市口腔医学会第一届口腔遗传病与罕见病专业委员会主任委员,上海市口腔医学会第四届理事会常务理事,上海市医学会数字医学专科分会第二届委员会副主任委员,上海市医学会医学美学与美容专科分会第八届委员会委员,上海市医学会医学遗传专科分会第五届委员会委员。主要研究疑难先天性或后天性牙颌面畸形正颌外科与牵引成骨的精准及微创治疗,荣获上海市科技启明星、优秀青年医学人才计划、银蛇奖(提名奖)、优秀技术带头人、上海市育才奖、宝钢优秀教师奖、上海交通大学凯原十佳教师等荣誉。发表第一作者/通信作者论文89篇(SCI收录56篇),授权专利40余项,转化专利6项。
基金资助:
国家自然科学基金(82071096);上海“科技创新行动”技术带头人项目(20XD1433100);中国医学科学院医学与健康科技创新工程项目(2019-I2M-5-037);申康临床科技创新项目(SHDC12019103);上海市临床重点专科(shslczdzk01601);上海市口腔疾病临床医学研究中心(19MC1910600);上海市卫生和计划生育委员会面上项目(201740035)

Combined orthodontic and orthognathic treatment by using “accurate tooth-bone movement surgery first approach”, ideas and trials in digital medicine era

HE Dongming, MAO Lixia, LIU Kai, JIANG Lingyong, SHEN Guofang, ZHU Min, WANG Xudong

Department of Oral & Craniomaxillofacial Surgery, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine; College of Stomatology, Shanghai Jiao Tong University; National Center for Stomatology; National Clinical Research Center for Oral Diseases; Shanghai Key Laboratory of Stomatology; Research Unit of Oral and Maxillofacial Regenerative Medicine, Chinese Academy of Medical Sciences, Shanghai 200011, China

Revised:2021-11-21 Online:2022-01-28 Published:2022-01-28

摘要/Abstract

摘要： 牙颌面畸形常采用正颌正畸联合治疗,以纠正颌骨位置不调和咬合错乱。治疗流程分为经典的正畸先行模式和近几年逐渐发展的手术先行模式,后者因可快速改变面型而更符合患者期望,然而一些不足使手术先行模式尚未被广泛接受。随着数字化技术的发展,手术先行模式的不足正逐渐被改善。本文将对手术先行模式的发展作一阐述,并介绍我们在“精准牙-骨移动的手术先行”的尝试,提出新的治疗策略,探索符合新时代患者需求的正颌正畸治疗模式。

关键词: 精准正颌外科, 数字化正畸, 手术先行, 正颌正畸联合治疗, 牙颌面畸形

Abstract: Combined orthodontic and orthognathic surgical treatment is often used to correct skeletal malocclusion. The treatment process is divided into orthodontic first or surgery first, the latter can better meet patients' expectation due to the rapid change of face shape. However, some deficiencies restrict the extensive use of surgery first approach. With the development of digital technology, disadvantages of surgery first approach are gradually being improved. This research will elaborate on the development of surgery first approach, introduce our improved fully digital “accurate tooth-bone movement surgery first approach”, and put forward new indications and treatment strategies.

Key words: precise orthognathic surgery, digital orthodontic, surgery first approach, joint orthognathic and orthodontic treatment, dento-maxillofacial deformities

中图分类号:

R782.2

何东明, 毛丽霞, 刘凯, 江凌勇, 沈国芳, 朱敏, 王旭东. 精准牙-骨移动的手术先行正颌正畸联合治疗——数字医学时代的理念与尝试[J]. 口腔医学, 2022, 42(1): 20-28.

HE Dongming, MAO Lixia, LIU Kai, JIANG Lingyong, SHEN Guofang, ZHU Min, WANG Xudong. Combined orthodontic and orthognathic treatment by using “accurate tooth-bone movement surgery first approach”, ideas and trials in digital medicine era[J]. Stomatology, 2022, 42(1): 20-28.

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精准牙-骨移动的手术先行正颌正畸联合治疗——数字医学时代的理念与尝试

Combined orthodontic and orthognathic treatment by using “accurate tooth-bone movement surgery first approach”, ideas and trials in digital medicine era

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