使用固定设备进行的正牙治疗是否会导致初始病变?
Rahma ElNaghy1, Mona El Sayed2, Radwa Alsherbiny Alnaghy3
1Graduate Orthodontics, University of Detroit Mercy School of Dentistry, Detroit, MI, USA. elnaghra@udmercy.edu.
Evidence-based dentistry
|June 13, 2024
概括
使用固定器械进行正牙治疗会增加初始病变 (ICL) 的风险. 患ICL的风险和发病率随治疗时间的增加而增加,强调需要采取预防措施.
科学领域:
- 牙科研究 牙科研究
- 矯正牙科 矯正牙科是一種矯正牙科.
- 牙 预防 预防 牙
背景情况:
- 使用固定器械进行正义牙科治疗是纠正 malocclusions 的常见方法.
- 在正统牙科治疗期间牙损伤风险增加的可能性是患者和临床医生的重要关注点.
研究的目的:
- 系统地审查和元分析初始病变 (ICL) 的发生率和患病率,在接受固定器械正牙治疗的患者中.
- 评估治疗持续时间和人口统计学/治疗相关变量与ICL发展之间的关联.
主要方法:
- 对RCT,NRSI,队列和横截面研究进行系统审查和元分析.
- 在PubMed,Scopus和Embase的电子搜索 (1990年至2023年5月).
- 用于审查问题的PICOS框架;对比较研究进行的元分析,评估ICL流行率和发病率.
主要成果:
- 包括21项研究,19项在元分析中. 在ICL的患病率:57%的患者,2.24病变/患者,22%的表面受到影响.
- ICL的发生率:48%的患者,2.29新病变/患者,15%的表面受到影响.
- 患病率和发病率都与牙科治疗持续时间正相关;没有发现年龄相关性.
结论:
- 固定器械的正牙治疗与发展初始病变的风险增加有关.
- 治疗持续时间是影响ICL发展的重要因素.
- 在正牙治疗期间实施预防策略对于减轻牙风险至关重要.
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