半切除与常规提取作为先天缺少下第二前的拦截治疗:一个随机对照的分口试验
Sarah Abdul Jabbar1, Shaker Nawaia2, Vini Rughwani2
1University Clinic of Orthodontics, Gothenburg, Public Dental Service, Region Västra Götaland, 54130, Sweden.
European journal of orthodontics
|June 12, 2025
概括
不建议对先天缺少下第二前进行半切割,因为益处最小,并发症增加. 传统的拔牙是治疗这种常见的牙异常的更具成本效益和更安全的替代方案.
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.
- 在口腔外科手术.
背景情况:
- 内第二前的先天性缺失是一种常见的牙异常.
- 传统的拔牙可以导致不必要的牙移动,而半截牙提供了另一种控制方法.
- 对于这种情况,仅有有限的证据可以比较半切割和常规提取.
研究的目的:
- 为了比较传统的提取与半截取下主要第二牙.
- 该研究评估了空间封闭,牙角,并发症和经济因素.
- 关注的重点是先天缺少下第二前的患者.
主要方法:
- 采用了前性,随机的,纵向的分口研究设计.
- 随机分配了40名双边发生病的患者进行提取或半截取.
- 临床和放射性评估是在4.2年的平均随访期间进行的,并进行了成本最小化分析.
主要成果:
- 第一个永久和第一个前之间的残余空间没有显著差异 (p=0.053).
- 半切割显示,第一个前和狗之间的残余空间更大 (p=0.045).
- 半切割导致更多的并发症 (p=0.0176) 和更高的成本 (p<0.0001).
结论:
- 半截切不建议用于管理先天缺失的下第二前.
- 半截取和常规提取之间的临床差异是最小的,并且在临床上没有意义.
- 与传统提取相比,半切除与增加的并发症和经济负担有关.
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