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上颌切牙后移:不同机制的评估

Maxillary incisor retraction: evaluation of different mechanisms.

作者信息

Ruellas Antônio Carlos de Oliveira, Pithon Matheus Melo, dos Santos Rogério Lacerda

机构信息

Federal University of Rio de Janeiro - UFRJ, Brazil.

出版信息

Dental Press J Orthod. 2013 Mar-Apr;18(2):101-7. doi: 10.1590/s2176-94512013000200021.

DOI:10.1590/s2176-94512013000200021
PMID:23916439
Abstract

OBJECTIVE

To mechanically evaluate different systems used for incisors retraction.

METHODS

Three different methods for incisors retraction using 0.019 x 0.025-in stainless steel wire were evaluated. The samples were divided into three groups: Group A (retraction arch with 7-mm high vertical hooks); Group G3 (elastic chain attached to the mini-implant and to the 3-mm stainless steel hook welded to the retraction arch); Group G6 (elastic chain attached to the mini-implant and to the 6-mm stainless steel hook welded to the retraction arch). A dental mannequin was used for evaluation in order to simulate the desired movements when the device was exposed to a heat source. The analysis of variance (ANOVA) and the Tukey test were used (p < 0.05).

RESULTS

The results demonstrated that Groups G3 and G6 exhibited less extrusion and less incisor inclination during the retraction phase (p < 0.05). With regard to incisor extrusion, statistically significant differences were observed between Groups A and G3, and between Groups A and G6 (p < 0.05). Regarding incisor inclination, statistically significant differences were observed between the three evaluated systems (p < 0.05).

CONCLUSIONS

Arches with 6-mm vertical hooks allow the force to be applied on the center of resistance of the incisors, thus improving mechanical control, when compared with the other two systems.

摘要

目的

对用于切牙后移的不同系统进行力学评估。

方法

评估了三种使用0.019×0.025英寸不锈钢丝进行切牙后移的不同方法。样本分为三组:A组(带有7毫米高垂直钩的后移弓);G3组(弹性链连接微型种植体和焊接在后移弓上的3毫米不锈钢钩);G6组(弹性链连接微型种植体和焊接在后移弓上的6毫米不锈钢钩)。使用牙科人体模型进行评估,以模拟装置暴露于热源时所需的移动。采用方差分析(ANOVA)和Tukey检验(p<0.05)。

结果

结果表明,G3组和G6组在牙齿后移阶段表现出较少的牙伸长和较小的切牙倾斜度(p<0.05)。关于切牙伸长,在A组与G3组之间以及A组与G6组之间观察到统计学上的显著差异(p<0.05)。关于切牙倾斜度,在三种评估系统之间观察到统计学上的显著差异(p<0.05)。

结论

与其他两种系统相比,带有6毫米垂直钩的弓允许将力施加在切牙的阻力中心上,从而改善力学控制。

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