通过清晰对齐器进行摩尔分离,使用顺序分离协议:系统性审查和元分析
Christie Shen1, Tiffany H Park2, Chun-Hsi Chung1
1Department of Orthodontics, School of Dental Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA.
Journal of functional biomaterials
|June 26, 2024
概括
清晰的对齐器允许大约2毫米的尾骨脱稳,使用顺序脱稳协议. 这种方法可能会导致轻微的皇冠远端倾斜,由于研究偏差,需要进一步研究.
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
背景情况:
- 清晰对齐器在正治疗中越来越受欢迎.
- 顺序脱稳协议是使用清晰对齐器进行摩尔脱稳的常见方法.
- 该方案的疗效和副作用需要进一步研究.
研究的目的:
- 为了评估用顺序脱稳协议实现的摩尔脱稳量的量.
- 为了评估伴随着的对角尺寸的副作用.
- 通过元分析综合现有证据.
主要方法:
- 进行了系统性审查和元分析.
- 在七个数据库中进行了搜索,并通过手动参考搜索来补充.
- 使用RStudio进行了偏差风险评估,数据提取和元分析.
主要成果:
- 13篇文章符合纳入标准,具有高或中等偏差风险.
- 大的第一个牙被大约2毫米 (皇冠和尖端) 脱节.
- 牙根的脱变化较小,表明冠状的远端倾斜 (2.19°).
- 观察到门内 anchorage 损失,但在治疗后得到了纠正.
结论:
- 顺序脱稳协议可以实现大约2毫米的尾大脱稳.
- 轻微的冠远端倾斜是一种相关的副作用.
- 现有研究中存在偏差的高风险需要进一步研究.
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