pmjТихоокеанский медицинский журналPacific Medical Journal1609-1175TGMU10.34215/1609-1175-2020-2-10-13pmj-445Research ArticleОБЗОРЫREVIEWSОсобенности подхода к ортодонтическому лечению пациентов с учетом биотипа пародонтаFeatures of the approach to orthodontic treatment of patients taking into account the periodontal biotypehttps://orcid.org/0000-0003-3453-1689БоловинаЯ. П.BolovinaY. P.

Боловина Янина Петровна – канд. мед. наук, доцент кафедры стоматологии Института непрерывного медицинского и фармацевтического образования ВолгГМУ, заместитель главного врача Детской клинической стоматологической поликлиники № 2

400131, г. Волгоград, пл. Павших борцов, 1400005, г. Волгоград, 7-я Гвардейская ул., 19а

Yanina P. Bolovina, MD, PhD, associate professor, Department of Dentistry, Institute of Continuing Medical and Pharmaceutical Education, Volgograd State Medical University, Deputy chief doctor of Children’s Clinical Stomatologic Polyclinic No. 2

1, Pavshih Bortsov Sq. Volgograd, 40013119a, 7th Guardeiscaya St., Volgograd, 400005

yabolowina@yandex.ruВологинаМ. В.VologinaV. M.

Волгоград

Volgograd

ИбрагимФ.IbrahemF.

Волгоград

Volgograd

Волгоградский государственный медицинский университет; Детская клиническая стоматологическая поликлиника № 2РоссияVolgograd State Medical University; Children’s clinical stomatologic polyclinic No. 2Russian FederationВолгоградский государственный медицинский университетРоссияVolgograd State Medical UniversityRussian Federation202028062020021013Copyright © Боловина Я.П., Вологина М.В., Ибрагим Ф., 20202020Боловина Я.П., Вологина М.В., Ибрагим Ф.Bolovina Y.P., Vologina V.M., Ibrahem F.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.tmj-vgmu.ru/jour/article/view/445

Особенность анатомии пародонта, при которой определяется близость корней зубов к кортикальным пластинкам или участки корней зубов, не включенных в костную ткань, способствует началу рецессии десны или ее прогрессированию во время или после ортодонтического лечения. Когда перемещение зубов происходит в направлении кортикальной пластинки, может произойти ее разрушение. В то же время перемещение зубов по направлению к центру альвеолярного отростка часто вызывает образование костной ткани с вестибулярной стороны, что способствует улучшению фиксирующей способности пародонта. В ситуации, когда вестибулооральный размер корней зубов превышает объем тканей пародонта, ортодонты применяют методы лечения, способствующие созданию места в пределах зубного ряда без изменения его размера: пришлифовывание апроксимальных поверхностей и избирательное удаление зубов. Понимая и учитывая биотипы пародонта, клиницисты могут прогнозировать ход лечения, применять соответствующие методы ортодонтических пособий для минимизации альвеолярной резорбции и обеспечения благоприятных результатов.

A feature of periodontal anatomy, in which the proximity of the roots of the teeth to the cortical plates or the sections of the roots of the teeth is determined and that are not included in the bone tissue, contributes to the onset of gum recession or its progression during or after orthodontic treatment. When teeth move towards the cortical plate, it can be destroyed. At the same time, teeth moving towards the center of alveolar ridge often causes the formation of bone tissue from the vestibular side that contributes to the improvement of fixing ability of the periodontium. In case when oral vestibular size of the roots of the teeth exceeds the volume of periodontal tissues, orthodontists use treatment methods that contribute to creating space within the dentition without changing its size: grinding of approximate surfaces and selective extraction of teeth. Knowing and considering periodontal biotypes, clinicians can predict the course of treatment, apply appropriate methods of orthodontic benefits to minimize alveolar resorption and ensure favorable results.

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The authors declare that there are no conflicts of interest present.