跨弧 (TPA) 在摩拉运动中的有效性:系统性审查和元分析
Matine Gharavi1, Alireza Jafari-Naeimi2, Seyyed Amir Yasin Ahmadi3
1Department of Pediatrics, Faculty of Dentistry, Tehran Medical Sciences, Islamic Azad University, Tehran, Iran.
Medical journal of the Islamic Republic of Iran
|July 31, 2025
概括
跨门 (TPA) 有效地控制了关节的运动,并在正牙治疗中提供了固定位置. 本次审查量化了其对部,垂直和倾斜运动的影响,证实了其临床实用性.
科学领域:
- 矯正牙科 矯正牙科是一種矯正牙科.
- 牙科的生物材料
- 生物机械工程 生物机械工程
背景情况:
- 在正牙科中,对于定和闭合的结果,动控制至关重要.
- 横侧门 (TPA) 是用于固强化和关节运动的广泛使用的器件.
- 对TPA在摩尔运动中的定量有效性数据有限,需要进一步调查.
研究的目的:
- 系统地审查和定量评估跨侧门 (TPA) 在控制牙治疗期间的牙运动中的有效性.
- 综合现有证据,对TPA对面部,垂直和倾斜位移的影响.
- 提供关于TPA定量有效性的聚合数据的元分析.
主要方法:
- 在主要的电子数据库中进行了系统的文献搜索,直到2023年.
- 鉴定了评估TPA在牙运动中的应用的研究,并提取了数据.
- 对9项选定的研究进行了元分析,以汇集移动的定量结果.
主要成果:
- 14项研究进行了定性综合,偏差风险各不相同.
- 对9项研究的元分析显示了显著的综合变化:
- 月球运动 (U6-PTV):2.73毫米 (95% CI:1.90-3.50)
- 垂直运动 (U6-PP): 1.24 毫米 (95% CI: 0.96-1.52) 的时间.
- 垂直移动 (U6-FH): 1.34 毫米 (95% CI: 0.36-2.32) 的时间.
- 月球倾斜 (U6-FH):2.94° (95% CI:1.51-4.37) 在月球上.
结论:
- 跨门 (TPA) 证明了多功能性和有效性,作为一个正义牙固定装置.
- 进一步的研究应该探索超越骨架 anchorage比较的TPA应用.
- 未来的研究应该利用3D模型,并考虑青春期的成长,以提高准确性.
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