在永久牙和落叶牙的快速大扩张后,上部第一牙的3D闭塞变化:一个回顾性的多中心CBCT研究
Marco Serafin1, Rosamaria Fastuca2, Piero Antonio Zecca3
1Department of Biomedical Sciences for Health, University of Milan, Milan, Italy. marco.serafin@unimi.it.
Progress in orthodontics
|July 30, 2023
概括
快速大扩张 (RME) 有效地治疗大横向低成形. 将RME固定在落叶上会增加扭曲,减少嘴角倾斜,而固定在永久上则会显示较少的倾斜变化.
科学领域:
- 矯正牙科 矯正牙科是一種矯正牙科.
- 头骨面部的发展
- 牙科生物力学 牙科生物力学
背景情况:
- 大横向缺血需要有效的治疗.
- 快速大扩张 (RME) 是一种常见的正牙干预.
- 在RME中选择的固定装置可以影响治疗结果.
研究的目的:
- 为了比较3D牙变化在上第一个牙.
- 为了评估RME的骨效应,使用不同的单位.
- 为了评估RME在落叶与永久上.
主要方法:
- 追溯性研究比较RME与落叶 (RME-E) 和永久牙 (RME-6) 定.
- 形束计算断层扫描 (CBCT) 扫描分析了治疗前后的情况.
- 摩拉倾斜,旋转和摩拉间/肌间距离的三维分析.
主要成果:
- RME-E组显示出显著的牙扭曲和语言倾向.
- RME-6组在交叉咬伤侧有显著的口舌倾斜变化.
- 两组人都显示出大大增加了骨干间和骨干间的距离.
- 与RME-6相比,RME-E组表现出更大的牙扭曲和减少口腔倾斜.
结论:
- RME对大椎横向低成形是有效的.
- 固定在落叶上会导致的扭曲变化增加,口腔倾斜减少.
- 固定在永久牙上会导致口腔倾斜的增加,尽管临床影响有限.
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