评估智能保持器对正牙保持的有效性:系统性审查和元分析
Ashish Kumar Singh1, Dhruv Ahuja1, Puneet Batra1
1Department of Orthodontics and Dentofacial Orthopedics, Manav Rachna Dental College, Faridabad, Manav Rachna International Institute of Research and Studies (MRIIRS), 121004 Haryana, India.
International orthodontics
|November 21, 2025
概括
智能保持器可以客观地监测正牙治疗的合规性. 然而,目前的证据不证实患者坚持或减少复发的持续改善,需要进一步研究.
科学领域:
- ортодонтика和牙科技术 牙科和牙科技术
- 生物医学工程 生物医学工程
- 医疗信息学 医疗信息学
背景情况:
- 在正牙科保留期间患者的遵守对于治疗稳定性至关重要.
- 监测保持器磨损的传统方法往往是主观的.
- 集成传感器的智能保持器提供客观的磨损时间数据和潜在的行为反.
研究的目的:
- 系统地评估智能保持器在改善患者在正义牙科保持期间的服从方面的有效性.
- 评估各种智能支器系统的准确性和临床可行性.
- 为了确定智能保持器对保持器磨损时间和治疗复发的影响.
主要方法:
- 在主要数据库 (PubMed,Scopus,Web of Science等) 的系统文献搜索. 对于过去20年发表的研究.
- 包括随机对照试验,队列研究和观察设计,评估带有传感器的智能支器.
- 数据提取,质量评估 (ROB-2,JBI) 和关键结果的元分析 (GRADE框架),如磨损时间,复发和牙周指数.
主要成果:
- 十五项研究评估了智能保持器系统 (例如,TheraMon®,Smart Retainer®),TheraMon®显示出高跟踪精度.
- 监控意识提高了短期合规性,但提醒系统的结果不一.
- 对八项研究 (439名参与者) 的分析发现,穿戴时间没有统计学上显著的改善 (SMD=0.21,I2=85-88%),但具有显著的异质性.
结论:
- 智能支器提供了对支器磨损的客观监测,但并不能始终提高患者的遵从性.
- 虽然有些系统是准确和可行的,但汇集的合规数据是无意义的和异质的.
- 需要进一步进行精心设计的长期随机对照试验,以确定智能留住剂对复发预防和治疗稳定性的最终影响.
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