清晰对齐器对关节的影响:系统性审查
Lucca Sicilia1, Giza Helen Nonato Miranda2, Liana Fattori3
1Department of Restorative Dentistry, School of Dentistry, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil.
Orthodontics & craniofacial research
|December 29, 2025
概括
清晰对齐器治疗 (CAT) 可能会导致关节 (TMJ) 尺寸的适度变化,包括尾体积和关节空间. 然而,目前的证据有限,关于临床意义的确定性很低.
科学领域:
- ортодонтика和牙科生物材料
- 放射学和成像学 放射学和成像学
- 生物力学 生物力学
背景情况:
- ортодонтика治疗可以影响关节 (TMJ).
- 关于清晰对齐器疗法 (CAT) 对关节结构的具体影响,有有限的可靠证据.
- 了解TMJ对CAT的反应对于患者的治疗结果至关重要.
研究的目的:
- 系统地审查和综合有关CAT对关节结构参数的影响的现有证据.
- 评估有关CAT对关节的影响现有证据的质量和确定性.
主要方法:
- 在多个数据库中进行全面的电子文献搜索 (PubMed,科学网,Scopus等). ) 的情况.
- 根据PECOS框架 (永久牙,CAT,基线参数,关节结构参数) 的资格标准.
- 使用JBI检查表和ROBINS-E进行偏差风险评估;用GRADE评估证据的确定性.
主要成果:
- 包括五项研究,揭示了CAT与状骨体积,表面积,关节空间和沟深度增加以及状骨密度降低有关.
- 没有观察到状耳倾斜或位置的显著变化.
- 由于研究设计的局限性和异质性,证据确定性低至非常低.
结论:
- 看来,CAT在关节空间和穴深度中引起了适度的,主要是增加的变化.
- 这些CAT诱导的关节变化的临床意义尚不清楚.
- 通过标准化TMJ成像进行进一步的高质量研究对于建立明确证据至关重要.
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