与霍利和固定粘接保持器相比,真空形成的保持器可以在使用固定器件处理后保持形尺寸和对齐吗? 一个系统的审查和元分析
Umar Hussain1, Sara Shahid Kunwar2, Umair Wali Khan3
1Department of Orthodontics, Saidu College of Dentistry, Swat, Khyber Pakhtunkhwa 19200, Pakistan.
European journal of orthodontics
|August 23, 2024
概括
真空形成的保持器 (VFRs) 有效地保持弧形尺寸和对齐,类似于霍利保持器 (HRs). 虽然固定粘合式保持器 (FBR) 显示出稍微更好的下弓对齐,但这种差异在临床上并不显著.
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:
- 保持装置对于维持正牙治疗结果至关重要.
- 在保持形尺寸和对齐方面,各种支器的有效性仍然不清楚.
- 真空形成的保持器 (VFR) 是一种常见的牙科保持器.
研究的目的:
- 为了比较VFRs对霍利保持器 (HRs) 和固定绑定保持器 (FBRs) 的有效性.
- 为了评估门宽度,门长度和前面对齐的保存.
- 为了评估顶和下两侧门的结果.
主要方法:
- 在2024年3月之前,对五个数据库进行系统的文献搜索.
- 包括随机和非随机临床研究,将VFR与HR或FBR进行比较.
- 随机效应的元分析,元回归和证据质量的GRADE评估.
主要成果:
- 与HR相比,VFR在保持门宽度和长度方面没有显著差异.
- 在改善上前部对齐方面,VFR比HR更有效 (Little的不规则指数).
- VFR和FBR显示出类似的疗效,除了FBR在下弓对齐方面更好,尽管在临床上没有显著意义.
结论:
- 低到中等的证据表明,VFR与HR在保持形尺寸和对齐方面是可比的.
- 低质量的证据表明,VFR和FBR具有相似的有效性,FBR在下对齐方面提供了轻微的,非临床显著的优势.
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