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Updated: Feb 9, 2026

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对Er:YAG激光辅助皮质切除术与使用Keles无钥匙扩展器的MARPE进行比较评估:一个案例报告
Ufuk Ok1, Ahmet Keles2, Tosun Tosun3
1Department of Orthodontics, Faculty of Dentistry, Okan University, Istanbul, Türkiye.
Journal of stomatology, oral and maxillofacial surgery
|February 7, 2026
概括
这项研究比较了两个大扩张方法:激光辅助皮质切除术和MARPE. 两者都显示了骨和牙的变化,但MARPE提供了一个更平行的口,没有骨倾斜.
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:
- 大扩张对于治疗横向差异至关重要.
- 计算机辅助设计/计算机辅助制造 (CAD-CAM) 提供精确的家电制造.
- 激光辅助皮质切除术 (LAC) 和迷你螺杆支持的MARPE是先进的技术.
研究的目的:
- 为了比较两个CAD-CAM大扩张协议的骨,牙和气道影响:使用LAC的Hyrax扩展器与使用小螺丝的MARPE相比.
- 评估LAC在手术辅助快速 palatal 扩张 (SARPE) 的新型应用.
主要方法:
- 两名18岁的女性患者使用Keyless Keles Expander (KKE) 设备进行了大扩张.
- 案例1:Hyrax型扩展器与Er:YAG激光辅助皮质切除术 (LAC).
- 案例二:MARPE设备配有四个口腔小螺丝. 分析了扩张前和扩张后的CBCT扫描.
主要成果:
- 这两种方案都产生了显著的骨,牙和呼吸道变化.
- LAC组表现出更明显的牙效应和口腔牙倾斜度 (7.8°).
- 马尔佩小组表现出明显的骨扩张模式,其中有一个更平行的中侧部口,并且没有显著的口腔骨倾斜 (-1.8°).
结论:
- 无论是LAC还是MARPE都对上腺扩张有效,但结果不同.
- 设备选择和辅助技术影响治疗结果.
- 需要进一步的研究来确认长期稳定性和临床疗效.
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