Cornelis Marie A, Scheffler Nicole R, Nyssen-Behets Catherine, De Clerck Hugo J, Tulloch J F Camilla
Experimental Morphology Unit and Department of Orthodontics, Université Catholique de Louvain, Brussels, Belgium.
Am J Orthod Dentofacial Orthop. 2008 Jan;133(1):18-24. doi: 10.1016/j.ajodo.2006.09.049.
Temporary skeletal anchorage is a relatively recent addition to orthodontic treatment. Surgical miniplates, modified with intraoral attachments, provide an alternative to miniscrews for skeletal anchorage. In this study, we wanted to determine patients' and providers' perceptions of miniplate use during orthodontic treatment.
Consecutive patients having miniplates placed as part of their treatment completed questionnaires about their experiences during surgery and orthodontic treatment. A total of 200 miniplates were placed for 97 patients. The 30 orthodontists treating these patients also completed questionnaires concerning miniplate success, handling complexity, and whether these devices simplified treatment.
The success rate was 92.5%. The devices were well tolerated by the patients. After a year, 72% of the patients reported that they did not mind having the implant, and 82% said that the surgical experience was better than expected, with little or no pain. The most frequent problems were postsurgical swelling, lasting 5 days on average, and cheek irritation experienced initially by more than a third of the patients, but it lessened over time. The clinicians reported that these devices were easy to use and greatly simplified orthodontic treatment.
Miniplates are well accepted by patients and providers and are a safe and effective adjunct for complex orthodontic treatments.
临时骨锚固是正畸治疗中相对较新的一项技术。经口内附件改良的外科微型钢板为骨锚固提供了一种替代微型螺钉的方法。在本研究中，我们想确定患者和正畸医生对正畸治疗中使用微型钢板的看法。
作为治疗一部分而植入微型钢板的连续患者完成了关于其手术和正畸治疗期间经历的问卷调查。共为97例患者植入了200块微型钢板。治疗这些患者的30位正畸医生也完成了关于微型钢板成功率、操作复杂性以及这些装置是否简化了治疗的问卷调查。
成功率为92.5%。患者对这些装置耐受性良好。一年后，72%的患者表示不介意植入物的存在，82%的患者表示手术体验比预期好，几乎没有疼痛。最常见的问题是术后肿胀，平均持续5天，超过三分之一的患者最初有脸颊刺激感，但随着时间推移有所减轻。临床医生报告称，这些装置易于使用，大大简化了正畸治疗。
微型钢板被患者和正畸医生广泛接受，是复杂正畸治疗的一种安全有效的辅助手段。
