ортогнатик手术诱导的骨改造和 ортодонтика牙运动的加速:一个范围审查
Camila Massaro1,2, Karine Evangelista1, Graziela De Luca Canto3
1Department of Orthodontics, School of Dentistry, Federal University of Goiás, Goiânia, Goiás, Brazil.
European journal of orthodontics
|July 18, 2025
概括
整形手术增加了骨活动,可能加速牙的移动. 然而,确定的人类证据是有限的,大多数动物模型的数据表明暂时的影响.
科学领域:
- ортодонтика 和 牙科 手术
- 口腔和牙面部外科手术
- 骨生物学 骨生物学 骨生物学
背景情况:
- 经过orthognathic手术后的加速牙运动是一个公认的临床现象.
- 反应性骨改造与手术后的牙移动有关.
- 现有的文献需要绘制地图来证实这种加速.
研究的目的:
- 系统地审查和绘制有关正统手术后加速正统牙移动的文献.
- 调查反应性骨改造在术后牙移动中的作用.
- 综合人类和动物研究的证据.
主要方法:
- 进行了一项全面的覆盖范围文献审查.
- 搜索包括六个电子数据库和灰色文献,更新至2025年1月.
- 研究评估了骨切除术后人类和动物的牙移动速度,骨重塑和骨密度变化.
主要成果:
- 包括八项研究 (2008-2021年) 在内.
- 动物模型显示骨切除术后牙移动速度可变.
- 人类研究表明,代谢性骨变化和膜骨密度降低.
结论:
- 在人体和动物模型中,在经过orthognathic手术后细胞和分子活性增加是显而易见的.
- 这种与外科创伤相关的活动增强了骨重塑,并暂时降低了骨密度.
- 虽然动物研究很强大,但对于加速牙运动的确切人类证据是有限的,需要进一步研究.
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