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正畸远移器结合临时骨锚固装置是否有效?

Are orthodontic distalizers reinforced with the temporary skeletal anchorage devices effective?

机构信息

Department of Orthodontics and Oral Biology, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands.

出版信息

Am J Orthod Dentofacial Orthop. 2011 Jun;139(6):722-9. doi: 10.1016/j.ajodo.2011.01.019.

DOI:10.1016/j.ajodo.2011.01.019
PMID:21640877
Abstract

INTRODUCTION

Our objective was to perform a systematic review of studies pertaining to the distalization of teeth with appliances reinforced with temporary skeletal anchorage devices.

METHODS

PubMed, Embase, Cochrane Central Register of Controlled Trials, Web of Knowledge, Ovid, and Scopus were searched until the second week of August 2010 to identify all articles reporting on the use of orthodontic implants or miniplates in distalization of teeth. The quality of the relevant studies was ranked on an 11-point scale, from low to high quality.

RESULTS

Twelve relevant articles were identified. The distal movement of the maxillary molars was from 3.3 to 6.4 mm; the concomitant molar distal tipping was from 0.80° to 12.20°. The maxillary incisors remained stable during molar distalization. The assessment of study quality showed that 8 studies were of low and 4 of medium quality.

CONCLUSIONS

Molar distalizers reinforced with the temporary skeletal anchorage devices seem to effectively move molars distally without unwanted mesial incisor tipping. Because of the lack of high-quality studies, however, the findings of this study should be interpreted with caution.

摘要

简介

我们的目的是对使用临时骨锚固装置增强的矫正器具来远移牙齿的研究进行系统回顾。

方法

从 2010 年 8 月第二周开始,我们在 PubMed、Embase、Cochrane 中心对照试验注册库、Web of Knowledge、Ovid 和 Scopus 上进行了检索,以确定所有报告使用正畸植入物或小型骨板远移牙齿的文章。根据质量从低到高,对相关研究的质量进行了 11 分制的评分。

结果

确定了 12 篇相关文章。上颌磨牙的远移距离为 3.3 至 6.4 毫米;同时磨牙远倾角度为 0.80°至 12.20°。上颌切牙在磨牙远移过程中保持稳定。研究质量评估显示,8 项研究为低质量,4 项为中等质量。

结论

使用临时骨锚固装置增强的磨牙远移器似乎可以有效地将磨牙远移,而不会出现不希望的近中切牙倾斜。然而,由于缺乏高质量的研究,因此应谨慎解释本研究的结果。

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