牙的旋转 - 一个系统的审查
Ramya Parthiban1, Vignesh Kailasam1, Nivetha Shree Venkatasamy1
1Sri Ramachandra Medical College and Research Institute, Sri Ramachandra Institute of Higher Education and Research, Chennai, India.
Frontiers in oral health
|December 23, 2024
概括
这次审查发现没有足够的分类系统来评估牙旋转,特别是在前和下牙. 现有的后牙旋转评估系统需要标准化和临床实用性.
科学领域:
- 牙科 牙科是指牙科的专业.
- 矯正牙科 矯正牙科是一種矯正牙科.
- 牙科评估 牙科评估
背景情况:
- 牙旋转评估缺乏标准化的方法,对旋转程度,方向和可靠性的研究有限.
- 现有的牙旋转分类系统需要对临床适用性的全面分析.
研究的目的:
- 系统地审查旋转牙的分类系统.
- 评估前后牙的牙旋转,其临床适用性,以及对保留和复发的影响.
主要方法:
- 在六个数据库 (PubMed,Scopus,Ovid,LILACS,Web of Science,Cochrane CENTRAL) 进行了全面的搜索,截至2024年3月.
- 包括回顾性研究,评估任何年龄组的牙旋转,但不包括先前接受过正牙治疗或牙异常的患者.
- 包含了10项研究,其中9项提供了定量结果;偏差风险使用纽卡斯尔-太华规模进行了评估.
主要成果:
- 切割刀的旋转率最高 (7.4°-20.2°),其次是前/狗 (3.3°-9.2°) 和牙 (0.8°-7.4°).
- 在牙科II类患者 (78.6° mesial角) 中,上轮转率更高.
- 没有发现任何显著的性别差异或在侧面或门之间叶旋转的统计差异.
结论:
- 缺乏足够的分类系统来评估前和下牙的旋转.
- 需要一个普遍接受的牙旋转分类系统,有一个共同的参考线.
- 现有的后牙旋转评估系统需要标准化和改善临床实用性.
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