直接与完全数字间接支架结合:分口随机临床试验的准确性
Pauline M J Hoekstra-van Hout1, Jan Willem M Hoekstra2, Robin Bruggink3
1Department of Dentistry Section Orthodontics and Craniofacial Biology, Radboud university medical center, (THK 309), P.O. Box 9101, Nijmegen, 6500 HB, The Netherlands.
Clinical oral investigations
|September 28, 2024
概括
数字间接支架结合 (IDB) 与直接支架结合 (DBB) 相比,在正牙支架定位方面提供了更高的准确性. 虽然IDB具有更高的结合失败率,但由于减少临床椅子时间,患者更喜欢它.
科学领域:
- 矯正牙科 矯正牙科是一種矯正牙科.
- 数字牙科数字牙科
- 生物材料是一种生物材料.
背景情况:
- 传统的直接支架粘合 (DBB) 是正牙科的标准.
- 数字间接支架绑定 (IDB) 提供了一个潜在的更准确的替代方案.
- 评估IDB与DBB的比较准确性和临床结果对于推进正牙治疗至关重要.
研究的目的:
- 为了比较数字间接支架结合 (IDB) 和传统直接支架结合 (DBB) 之间的支架定位的准确性.
- 为了评估两种技术之间的支架粘合失败,重新定位的需要,临床医生的经验和患者满意度的差异.
主要方法:
- 一个潜在的分口随机临床试验,涉及35名患者,随访6个月.
- 从计划的支架位置转移和方向偏差的定量评估.
- 通过调查评估临床医生的经验和患者满意度.
主要成果:
- 与直接支架结合 (DBB) 相比,数字间接支架结合 (IDB) 的转换 (0.34 mm) 和定向 (4.80°) 偏差明显较小.
- 与DBB相比,IDB的立即 (3.9%) 和延迟 (5.4%) 债券失败率高于DBB (0%立即,2.5%延迟).
- 与DBB相比,临床医生和患者都报告IDB的临床椅子时间较短.
结论:
- 数字间接支架结合 (IDB) 与直接支架结合 (DBB) 相比,在与数字规划相关的正牙支架定位方面提供了更高的准确性.
- 尽管结合失败增加,但由于临床椅子时间显著减少,大多数患者更喜欢IDB.
- 这项研究为IDB在临床正牙科中的应用提供了有价值的证据,强调了其对患者满意度的好处,并承认了其技术局限性.
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