迷你助力快速口腔扩张 (MARPE):影响规划的因素
Cristiane Barros André1, Bruno de Paula Machado Pasqua2, Gustavo de Andrade Jacquier3
1University of Mogi das Cruzes, Technology Research Center (Mogi das Cruzes/SP, Brazil).
Dental press journal of orthodontics
|August 14, 2024
概括
男性患者在迷你植入物插入部位的骨厚度较大,用于迷你助力快速 palatal 扩张 (MARPE). 这一发现凸显了基于个体骨解剖学和厚度的定制MARPE器件设计的需要.
科学领域:
- 矯正牙科 矯正牙科是一種矯正牙科.
- 牙科植入物学 牙科植入物学
- 面外科手术 面外科手术
背景情况:
- 迷你螺丝辅助快速 palatal 扩张 (MARPE) 是一个常见的正牙技术,用于大扩张.
- 数字化规划对于优化MARPE设备设计和迷你植入物放置至关重要.
- 了解潜在的迷你植入物插入部位的骨厚度对于成功的治疗结果至关重要.
研究的目的:
- 为了评估MARPE的迷你植入物插入部位的骨厚度.
- 确定影响MARPE设备数字规划的因素.
- 为了评估两性之间的骨厚度差异以及与MARPE设计有关的差异.
主要方法:
- 横截面研究分析了135个MARPE数字图纸.
- 扩展器螺丝尺寸,迷你植入器定位,类型和位置的评估.
- 在迷你植入物轨迹区域测量骨厚度.
- 使用ANOVA进行性别比较的统计分析 (5%显著性).
主要成果:
- 73个计划使用4个迷你植入物,6个计划使用6个.
- 在90%的病例中,牙16号和26号是支点;13毫米膨胀螺丝是最常见的.
- 与女性相比,男性的前部MARPE微型植入物骨插入深度更大,前部/横部骨厚度更大.
结论:
- 额外的戒指可以促进更明显的骨插入.
- 在男性中,较大的骨厚度可能表明 sutural 融合增加,可能会影响扩张.
- 气囊过程是小型植入物在减少参数介质骨厚的情况下的可行部位.
- 由于患者特定的骨厚度和解剖学变异,MARPE设备的定制至关重要.
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