颧骨支抗系统对尖牙后移的影响。
Effects of the zygoma anchorage system on canine retraction.
机构信息
Department of Orthodontics, Başkent University, Ankara, Turkey.
出版信息
Eur J Orthod. 2010 Oct;32(5):505-13. doi: 10.1093/ejo/cjp167. Epub 2010 May 9.
The aim of this study was to compare the effects of the Gjessing (PG) retraction spring used with and without the zygoma anchorage system (ZAS) on canine retraction. Thirty patients, with an Angle Class I or Class II malocclusion, whose upper first premolars were scheduled for extraction, were divided into two equal groups. Group 1 comprised maximum anchorage cases (nine females and six males with a mean age of 16 years 8 months) in which the ZAS was used to improve posterior anchorage and the PG retraction springs for canine retraction. Moderate anchorage cases (10 females and 5 males with a mean age of 15 years 5 month) were included in group 2 and canine retraction was achieved using only PG retraction springs. Study models and lateral cephalometric radiographs obtained at the initial and final stages of canine retraction were used for comparison of the groups to determine the effects of zygoma anchorage on canine retraction. All measurements were evaluated statistically using a Student's t-test, 2 × 2 repeated measures analysis of variance, Bonferroni-adjusted t-test, and Mann-Whitney U and Wilcoxon tests according to the normality of the distribution of the variables. Mesial crown movement of the molars was 0.63 mm (P < 0.05) in group 1 and 1.50 mm (P < 0.001) in group 2. There was a statistically significant difference (P < 0.05) between the groups. No significant difference was observed between the groups for the rate of canine retraction or sagittal and vertical movement of the canines. The ZAS is a reliable and successful anchorage reinforcement method for canine retraction in extraction cases.
本研究旨在比较 Gjessing(PG)复位弹簧联合和不联合颧骨支抗系统(ZAS)在尖牙内收中的效果。30 名安氏 I 类或 II 类错颌患者,上颌第一前磨牙需要拔除,将其随机分为两组。第 1 组为最大支抗组(9 名女性和 6 名男性,平均年龄 16 岁 8 个月),使用 ZAS 增强后牙支抗,PG 复位弹簧内收尖牙;第 2 组为中度支抗组(10 名女性和 5 名男性,平均年龄 15 岁 5 个月),仅使用 PG 复位弹簧内收尖牙。比较两组研究模型和尖牙内收初始和结束时的侧位头颅侧位片,以确定颧骨支抗对尖牙内收的影响。所有测量值均采用 Student's t 检验、2×2 重复测量方差分析、Bonferroni 校正 t 检验、Mann-Whitney U 检验和 Wilcoxon 检验进行统计学评估,根据变量分布的正态性选择合适的检验方法。第 1 组磨牙近中冠移动 0.63mm(P<0.05),第 2 组磨牙近中冠移动 1.50mm(P<0.001)。两组间有统计学差异(P<0.05)。两组间尖牙内收率、矢状向和垂直向移动无显著差异。ZAS 是一种可靠且有效的增强支抗方法,可用于拔牙病例中的尖牙内收。