使用清晰对齐器与口腔固定器件的年轻成年人治疗效果在I类恶性闭塞中,使用ABO-Objective分级系统进行第一个前额提取:一种随机对照临床试验
Samer T Jaber1, Mohammad Y Hajeer2, Ahmad S Burhan2
1Department of Orthodontics, Faculty of Dentistry, Al-Wataniya Private University, Hama, Syria.
International orthodontics
|October 14, 2023
概括
清晰对齐器疗法 (CAT) 和固定器械疗法 (FAT) 在治疗前拔除病例严重拥挤时没有显著差异. 固定器件显示出更好的闭合接触和更高的成功率,值得临床考虑.
科学领域:
- 矯正牙科 矯正牙科是一種矯正牙科.
- 牙科技术 牙科技术
- 基于证据的牙科.
背景情况:
- 严重的拥挤和前牙提取病例带来了复杂的正义牙科挑战.
- 传统的固定设备长期以来一直是这种治疗的标准.
- 透明对齐器提供了一个现代化的替代品,需要进行比较有效性研究.
研究的目的:
- 为了比较透明调整器与传统固定设备的有效性.
- 为了评估复杂的正牙病例需要前提取的治疗结果.
- 为了客观评估,使用美国正统牙科委员会客观评分系统 (ABO-OGS).
主要方法:
- 一项随机对照试验 (RCT) 涉及40名患有严重拥挤的患者,需要进行第一个前骨提取.
- 患者被随机分配到明确对齐器治疗 (CAT) 或固定器械治疗 (FAT) 中.
- 使用不一致指数 (DI) 评估治疗复杂性;用ABO-OGS测量结果.
主要成果:
- 在CAT和FAT组之间的总体ABO-OGS得分中没有发现统计学上显著的差异 (P=0.05).
- 固定器件在与透明对齐器相比,在闭合接触方面显示出明显更好的结果.
- 虽然在统计学上并不显著,但固定家电组在获得通过分数的成功率高出30%.
结论:
- 清晰的对齐器和固定器件在需要前提取的严重拥挤的情况下产生了可比的整体结果.
- 固定设备在实现优越的闭合接触方面具有优势.
- 在治疗复杂的正牙病例时,临床医生应考虑固定器械的更高的成功率和闭口接触优势.
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