微种植体在隐形矫治中的应用
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摘要
目的:评价和分析微种植体结合隐形矫治在治疗上颌前突或严重拥挤患者中的效果。方法 :选择上颌前突或严重拥挤的患者30例,其中15例选择进行无托槽隐形矫治技术,其余15例选择传统金属托槽矫治器治疗,在种植钉植入后及取出前均拍摄锥形束计算机断层扫描以评估后牙的移动量。结果:用隐形矫治和传统金属托槽矫治器矫治后的患者后牙前移均<2 mm,两组患者后牙的前移量比较差异无统计学意义(P>0.05)。结论:在治疗复杂的正畸患者过程中,在微种植体的辅助下,隐形矫治能达到和固定金属拖槽一样的效果。
Objective: To evaluate and analyze the effect of microimplant combined with invisibility treatment in patients with maxillary precursors or severe overcrowding. Methods: Among the 30 patients with maxillary precursors or severe overcrowding, 15 of them chose to carry out the unassisted rectification technique, and the remaining 15 patients chose to carry out the traditional metal bracket corrector. Cone beam CT was used to assess the movement of the posterior teeth before and after planting. Results: The anterior teeth were less than 2 mm after the orthodontic treatment with the orthopedics and the traditional metal bracket, and there was no significant difference between the two groups(P>0.05). Conclusion: In the treatment of complicated orthodontic patients, with the aid of microimplant, the invisible correction can achieve the same effect as the metal towing tank.
Objective: To evaluate and analyze the effect of microimplant combined with invisibility treatment in patients with maxillary precursors or severe overcrowding. Methods: Among the 30 patients with maxillary precursors or severe overcrowding, 15 of them chose to carry out the unassisted rectification technique, and the remaining 15 patients chose to carry out the traditional metal bracket corrector. Cone beam CT was used to assess the movement of the posterior teeth before and after planting. Results: The anterior teeth were less than 2 mm after the orthodontic treatment with the orthopedics and the traditional metal bracket, and there was no significant difference between the two groups(P>0.05). Conclusion: In the treatment of complicated orthodontic patients, with the aid of microimplant, the invisible correction can achieve the same effect as the metal towing tank.
引文
[1]徐鸿骏,王峰.使用隐形矫治器矫治替牙期反牙合[J].牙体牙髓牙周病学杂志,2012,22(7):407-409.
[2]BOYD RL.Esthetic orthodontic treatment using the invisalign appliance for moderate to complex malocclusions[J].J Dental Edu,2008,72(8):948-967.
[3]高一,郭宏铭,周洁珉.3D整合牙颌模型在无托槽隐形矫治器设计中的应用[J].北京口腔医学,2011,19(5):276-279.
[4]傅民魁.口腔正畸学[M].6版.北京:人民卫生出版社,2017:80-83.
[5]白玉兴,任超超.无托槽隐形矫治技术临床应用中的相关问题[J].中国实用口腔科杂志,2009,2(1):13-16.
[6]夏舒迟,卢燕勤,韩景芸,等.不同硬度隐形矫治器关闭中切牙间隙的有限元分析[J].医用生物力学,2013,28(6):654-658.
[7]高美琴,顾永佳,吴燕平,等.微螺钉型种植体支抗与传统强支抗在上颌前突正畸治疗中的对比研究[J].口腔医学,2007,27(9):466-468.
[8]KARKHANECHI M,CHOW D,SIPKIN J.Periodontal status of adult patients treated with fixed buccal appliances and removable aligners over one year of active orthodontic therapy[J].Angle Orthod,2013,83(1):146-151.
[2]BOYD RL.Esthetic orthodontic treatment using the invisalign appliance for moderate to complex malocclusions[J].J Dental Edu,2008,72(8):948-967.
[3]高一,郭宏铭,周洁珉.3D整合牙颌模型在无托槽隐形矫治器设计中的应用[J].北京口腔医学,2011,19(5):276-279.
[4]傅民魁.口腔正畸学[M].6版.北京:人民卫生出版社,2017:80-83.
[5]白玉兴,任超超.无托槽隐形矫治技术临床应用中的相关问题[J].中国实用口腔科杂志,2009,2(1):13-16.
[6]夏舒迟,卢燕勤,韩景芸,等.不同硬度隐形矫治器关闭中切牙间隙的有限元分析[J].医用生物力学,2013,28(6):654-658.
[7]高美琴,顾永佳,吴燕平,等.微螺钉型种植体支抗与传统强支抗在上颌前突正畸治疗中的对比研究[J].口腔医学,2007,27(9):466-468.
[8]KARKHANECHI M,CHOW D,SIPKIN J.Periodontal status of adult patients treated with fixed buccal appliances and removable aligners over one year of active orthodontic therapy[J].Angle Orthod,2013,83(1):146-151.