快速大扩张三种不同器械的长期影响:系统性审查和元分析
Jingyi Yu1, Feng Qiu1, Mengfei Xu1
1Department of Orthodontics, School and Hospital of Stomatology, Cheeloo College of Medicine, Shandong University & Shandong Key Laboratory of Oral Tissue Regeneration & Shandong Engineering Research Center of Dental Materials and Oral Tissue Regeneration & Shandong Provincial Clinical Research Center for Oral Diseases, Jinan, China.
International dental journal
|November 21, 2025
概括
牙式 (TB),牙骨式 (BB) 和骨式 (BB) 器件显示出类似的长期结果,用于快速的上扩张,包括牙和骨扩张,骨倾斜和骨再吸收.
科学领域:
- 矯正牙科 矯正牙科是一種矯正牙科.
- 面生物学 面生物学
- 牙科材料 牙科材料
背景情况:
- 快速大扩张 (RME) 是一种常见的正牙手术.
- 不同的器件设计,包括牙传播 (TB),牙传播 (BB) 和骨传播 (BB),用于RME.
- 对这些设备的长期比较数据有限.
研究的目的:
- 为了比较骨传 (BB) 和牙传 (BB) 器件的长期影响 (≥6个月) 与牙传 (TB) 器件的快速扩张.
- 为了评估与不同类型的RME设备相关的牙和骨变化,牙倾斜和口腔骨再吸收.
主要方法:
- 在多个数据库中进行了全面的电子文献搜索.
- 使用推,评估,开发和评估 (GRADE) 方法来评估证据质量.
- 随机效应模型用于对平均差异的元分析,重点是三维评估方法 (CBCT/CT).
主要成果:
- 包括9项研究 (3项RCT,2项追溯研究,1项队列),偏差风险各不相同.
- 在TB,牙BB和BB器件之间,在牙或骨大扩张方面没有发现显著差异.
- 戴在牙上的设备可能会导致更大的牙倾斜,但在一年内没有观察到口腔骨再吸收的差异.
结论:
- 牙式 (TB),牙骨式 (BB) 和骨式 (BB) 器件在快速上扩张方面产生可比的长期结果.
- 这些结果包括牙和骨扩张的程度,牙倾斜和口腔骨的吸收.
- 设备的选择可能以超出这些可比的长期效果的特定临床考虑为指导.
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