ортодонтические对齐器:在激情和科学之间
Suelly Maria Mendes Ribeiro1, Mônica Lídia Santos de Castro Aragón1, Daybelis Del Socorro González Espinosa2
1Universidade Federal do Pará (UFPA), Faculdade de Odontologia, Doutorado em Odontologia (Belém/PA, Brazil).
Dental press journal of orthodontics
|January 10, 2024
概括
ортодонтика对齐器正在发展,旋转和垂直运动带来了挑战. 虽然最初的疼痛感知很低,但复杂的病例需要更多的时间,并且存在诸如根吸收和白斑等潜在风险.
科学领域:
- 矯正牙科 矯正牙科是一種矯正牙科.
- 牙科材料科学 牙科材料科学
- 生物材料是一种生物材料.
背景情况:
- ортодонтика对齐器缺乏强有力的科学证据,严重依赖临床经验.
- 调整器技术的不断发展需要更新制造和处理协议.
- 需要关于附件,骨架固定和材料安全性的证据.
研究的目的:
- 综合现有关于正义牙对齐器有效性和安全性的证据.
- 确定与对齐器治疗相关的挑战和局限性.
- 突出需要进一步科学研究和临床试验的领域.
主要方法:
- 系统审查来自六个主要电子数据库的证据.
- 信息以问答形式呈现,以提高清晰度.
- 在CINAHL,MEDLINE,EMBASE,Psych Info,Cochrane图书馆和Joanna Briggs图书馆进行了全面的搜索.
主要成果:
- 调整器对牙移动具有不同难度;旋转和垂直移动是最具挑战性的.
- 在治疗开始时,疼痛感知较低,但语言变化的复杂病例需要更长的持续时间.
- 调整剂不会阻止根吸收,但可能会减少发病率/严重程度;风险包括白斑,,牙周病.
- 双甲的释放是可能的,并且需要解决对齐器处置对环境的影响.
结论:
- 在实现复杂的牙运动时,使用当前的对齐器技术存在重大挑战.
- 虽然提供了一些好处,但对齐器存在风险,需要仔细的患者管理.
- 迫切需要高质量的随机对照试验来指导对齐器的开发和应用.
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