Discipline of Oral & Maxillofacial Surgery, Faculty of Dentistry, The University of Hong Kong, Hong Kong Special Administrative Region.
Int J Oral Maxillofac Surg. 2012 Nov;41(11):1427-38. doi: 10.1016/j.ijom.2012.05.011. Epub 2012 Jun 15.
This systematic review was performed to investigate the usefulness and clinical effectiveness of skeletal anchorage devices to determine the most effective bone anchor system for orthodontic tooth movement. Literature on bone anchorage devices was selected from PubMed and the Cochrane Library from January 1966 to June 2010. 55 publications regarding miniplates, miniscrews, palatal implants and dental implants as orthodontic anchorage were identified for further analysis. All bone anchorage devices were found to have relatively high success rates and demonstrated their ability to provide absolute anchorage for orthodontic tooth movement. Significant tooth movement could be achieved with low morbidities and good patient acceptance. The reported success rates for the four groups of anchorage systems were generally high with slight variability (miniplates 91.4-100%; palatal implants 74-93.3%; miniscrews 61-100%; dental implants 100%). It was concluded that bone anchorage systems can achieve effective orthodontic movement with low morbidities. The success rate is generally high with slight variability between miniplates, palatal implants, miniscrews and dental implants. Owing to the lack of randomized controlled trials, there is no strong evidence to confirm which bone anchor system is the most effective for orthodontic tooth movement.
这篇系统综述旨在探讨骨骼锚固装置的有用性和临床效果，以确定用于正畸牙齿移动的最有效骨锚系统。从 1966 年 1 月至 2010 年 6 月，我们从 PubMed 和 Cochrane 图书馆中选择了关于骨骼锚固装置的文献。确定了 55 篇关于微型板、微螺钉、腭部植入物和牙种植体作为正畸锚固的文章进行进一步分析。所有的骨骼锚固装置都被发现具有相对较高的成功率，并证明它们有能力为正畸牙齿移动提供绝对锚固。在低发病率和良好的患者接受度的情况下，可以实现显著的牙齿移动。四个锚固系统的报告成功率普遍较高，略有差异（微型板为 91.4-100%；腭部植入物为 74-93.3%；微螺钉为 61-100%；牙种植体为 100%）。结论是，骨骼锚固系统可以在低发病率的情况下实现有效的正畸移动。成功率普遍较高，微型板、腭部植入物、微螺钉和牙种植体之间的差异较小。由于缺乏随机对照试验，没有强有力的证据可以证实哪种骨锚系统对正畸牙齿移动最有效。
