在青少年中,MARPE提高了大扩张的长期稳定性
Ezgi Cansu Firinciogullari1, Aslihan Ertan Erdinc2, Tugce Celenk-Koca3
1Department of Developmental Biology, Harvard School of Dental Medicine, Boston, Massachusetts, USA.
Orthodontics & craniofacial research
|March 25, 2025
概括
与传统的快速 palatal 扩张 (RPE) 相比,迷你螺丝辅助快速 palatal 扩张 (MARPE) 提供了优越的长期骨稳定性和较少的牙副作用. 在10年后,MARPE治疗显示上宽度的复发明显减少.
科学领域:
- 矯正牙科 矯正牙科是一種矯正牙科.
- 头骨面部的发展
- 牙科的生物材料
背景情况:
- 传统的快速 palatal 扩张 (RPE) 被广泛用于纠正大腹低成形.
- 在RPE后的长期骨和牙气囊稳定性可能是可变的.
- 迷你螺丝辅助快速 palatal 扩张 (MARPE) 已经出现作为一个可能改善结果的替代方案.
研究的目的:
- 在青少年患者中,比较传统RPE与MARPE的长期骨和牙气囊结局.
- 为了评估大扩张的稳定性,治疗后10年.
- 评估与每个扩张方法相关的牙和气囊骨变化.
主要方法:
- 一项回顾性研究利用圆束计算机断层扫描 (CBCT) 来扫描14名青少年患者,治疗后随访时间超过10年.
- 在治疗前 (T0),扩张后/保留 (T1) 和10年随访 (T2) 时分析的CBCT数据.
- 测量包括骨宽度,口腔状况,骨厚度,牙倾斜和膜骨曲;通过曼-惠特尼U测试进行统计分析.
主要成果:
- 与传统的RPE相比,MARPE表现出明显更稳定的骨扩张.
- 在RPE组10年后,口腔上宽度复发率为80%,而MARPE组复发率为30%.
- 马尔佩治疗导致牙科副作用减少,并改善了长期牙骨稳定性.
结论:
- 与传统的RPE相比,MARPE提供了更稳定的长期骨扩张.
- 马尔佩带来了较少的牙科副作用,并提高了治疗后10年的长期稳定性.
- 这表明MARPE是一种有利的替代方案,可以在青少年中实现持久的上扩张.
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