Kuijpers-Jagtman A M, Al Yami E A, van 't Hof M A
Afdeling Orthodontie en Orale Biologie en de vakgroep Medische Informatiekunde en Statistiek van de Katholieke Universiteit Nijmegen.
Ned Tijdschr Tandheelkd. 2000 Apr;107(4):178-81.
Aim of this study was to assess long-term stability of orthodontic treatment in a sample of 1016 patients until 10 years postretention. Treatment outcome was measured with the PAR-index at 6 different stages. The mean age of the patients was 12.0 +/- 3.1 year at the start of treatment to 26.3 +/- 2.9 year 10 years postretention. The results show that 67% of the orthodontic treatment result, as measured with the PAR-index, was maintained 10 years postretention. The PAR-scores for the midline and the open bite remained about the same over the years. However, the scores for the lateral occlusion, overjet, reversed overjet, overbite, and contact point displacement of the upper and lower front teeth increased gradually over time. Nearly 50% of the total relapse took place the first two years after retention. The largest change was found for the position of the lower incisors. Ten years postretention their position was even worse than at the start of treatment.
本研究的目的是评估1016例患者样本正畸治疗至保持后10年的长期稳定性。在6个不同阶段用PAR指数测量治疗结果。患者开始治疗时的平均年龄为12.0±3.1岁,保持后10年为26.3±2.9岁。结果显示,用PAR指数测量,67%的正畸治疗结果在保持后10年得以维持。多年来中线和开牙合的PAR评分基本保持不变。然而,侧方咬合、覆盖、反覆盖、覆牙合以及上下前牙接触点移位的评分随时间逐渐增加。近50%的总复发发生在保持后的头两年。发现变化最大的是下切牙的位置。保持后10年,其位置甚至比治疗开始时更差。