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Updated: Sep 12, 2025

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清晰对齐器治疗的指示和限制:国际修改的Delphi共识研究

Vincenzo D'Antò¹, Giorgio Oliva², Michele Nieri³

¹University of Naples Federico II, Naples, Italy. vincenzo.danto@gmail.com.

Progress in orthodontics

|August 5, 2025

概括

专家们一致认为,清晰对齐治疗 (CAT) 对轻度缺陷和改善生活质量的疗效. 在了解根吸收,复发和骨效应方面仍然存在差距,需要对清晰对齐器治疗进行进一步研究.

科学领域:

矯正牙科矯正牙科是一種矯正牙科.
牙科技术牙科技术

背景情况:

清晰对齐疗法 (CAT) 在正统牙科中越来越多地被使用.
需要专家的共识来定义其最佳应用,并确定研究缺口.

研究的目的:

在清晰对齐疗法 (CAT) 的基本方面达成专家协议.
在CAT中确定需要进一步科学研究的领域.

主要方法:

修改后的Delphi方法与23名国际正牙专家一起使用.
专家们用五分利克特尺度在三轮中对六个关键CAT领域的25个陈述进行了评估.
缺乏共识的声明被一个指导委员会修改,合并,分割或删除.

主要成果:

在25个声明中,有22个达到了专家共识.
在轻度拥挤和开放咬伤,生物力学极限,改善生活质量和口腔卫生方面的CAT疗效达成一致.
专家们为需要倾斜运动的牙周患者支持CAT,并为成长中的患者偏好 palatal expanders而不是 aligners.

结论:

在许多CAT方面达成了广泛的专家协议.
有关根部再吸收,正牙复发,治疗持续时间,骨生长效应和管理牙周受损患者的重大证据缺口.
需要进一步的研究来解决文献中发现的这些局限性.

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In the bud stage, the tooth germ (an aggregation of cells) starts to form in the developing jawbone. During the cap stage, the tooth germ differentiates into enamel organ, dental papilla, and dental sac, which will later develop into the tooth's enamel, dentin...