在永久牙开始时,长期的闭塞牙磨损
Thomas Schmid1, Konstantinos Dritsas1, Meret Gebistorf1
1Department of Orthodontics and Dentofacial Orthopedics, School of Dental Medicine, University of Bern, Freiburgstrasse 7, CH-3010, Bern, Switzerland.
Clinical oral investigations
|February 17, 2024
概括
长期研究表明,在年轻人中,明显的后牙磨损是常见的. 监测对于识别有过度封闭性磨损风险的个体至关重要.
科学领域:
- 牙科科学 牙科科学
- 生物材料科学是生物材料的科学.
- 矯正牙科 矯正牙科是一種矯正牙科.
背景情况:
- 闭口磨损是自然牙中常见的现象.
- 了解长期磨损模式对于预测牙健康结果至关重要.
- 之前的研究还没有完全量化长期接受正牙治疗的个体的磨损.
研究的目的:
- 为了量化自然后牙的长期封闭性磨损.
- 调查牙磨损与特定牙类型之间的关联.
- 在12.7年的随访期内分析正牙治疗受试者的磨损模式.
主要方法:
- 使用3D扫描和叠加70名接受 ортодонтика治疗的受试者的牙成型.
- 分析了治疗后 (T1) 和后续 (T2) 的牙造型.
- 采用非参数统计和协差分析来评估密闭性磨损体积和模式.
主要成果:
- 每个后牙的平均闭口磨损为2.3毫米3,其中65.2%超过1毫米3.
- 男性,下牙和第一牙的磨损略大于女性,大牙和前牙的磨损.
- 第一前和下第二前的口腔主要受到影响;性别之间的相关性有所不同.
结论:
- 后牙磨损在永久牙开始后大约13年非常普遍.
- 观察到的磨损模式与从狗指导阻塞到群体协同作用的转变保持一致.
- 高患病率和变异性需要个性化监测,以便早期检测高风险患者.
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