带有明确对齐的异常变化和病例复杂性的影响:一个纵向队列临床研究
Vanessa Marcelino1, Sofia Baptista1, Sandra Marcelino2
1UNIPRO-Oral Pathology and Rehabilitation Research Unit, University Institute of Health Sciences (IUCS), Cooperativa de Ensino Superior Politécnico e Universitário (CESPU), 4585-116 Gandra, Portugal.
Journal of clinical medicine
|May 27, 2023
概括
清晰对齐器 (CA) 治疗导致闭合接触和区域减少,前部接触超过计划数量. 难以移动的牙包括脱和旋转,而夜间使用对齐器促进了后部接触的增加.
科学领域:
- 矯正牙科 矯正牙科是一種矯正牙科.
- 牙科生物材料的使用
- 生物技术是生物技术.
背景情况:
- 清晰对齐器 (CA) 每天佩戴22小时,可能会影响闭塞.
- 这项研究调查了CA治疗期间的闭塞变化及其与病例复杂性和面部生物型的相关性.
研究的目的:
- 在清晰对齐器治疗的不同阶段分析闭塞变化.
- 将计划中的与已实现的闭合接触进行比较.
- 识别具有挑战性的牙运动及其对治疗完成的影响.
- 评估闭塞变化,病例复杂性和面部生物型之间的关系.
主要方法:
- 纵向队列研究设计,采用82人样本.
- 使用Invisalign®评估工具 (简单,中等,复杂) 分类的恶性闭塞复杂性.
- 使用专门的软件 (Meshlab®,ClinCheck®,My-Itero®) 对闭塞数据进行定量分析.
主要成果:
- 从统计学上显著地减少了从T0到T1的闭合区域和接触点.
- 在超分歧和低分歧的面部生物型之间,封闭区域的变化有显著差异.
- 获得的前闭合接触明显高于计划.
- 在T1和T2 (治疗后) 之间观察到密闭区域和接触的显著增加.
结论:
- 清晰对齐器治疗的结果是减少了闭合接触区域和数量.
- 前部接触往往过度纠正,而后部接触在治疗后增加.
- 分离,旋转和后部挤出是CA治疗中最具挑战性的牙运动.
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