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托槽类型对拔牙矫正患者的根尖外吸收的影响:一项回顾性研究。

The influence of bracket type on the external apical root resorption in class I extraction patients - a retrospective study.

机构信息

Department of Stomatology, Shaoxing People's Hospital, Shaoxing, China.

Department of Orthodontic, School and Hospital of Stomatology, Wenzhou Medical University, Wenzhou, Zhejiang, China.

出版信息

BMC Oral Health. 2019 Mar 29;19(1):53. doi: 10.1186/s12903-019-0743-3.

DOI:10.1186/s12903-019-0743-3
PMID:30922294
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6440089/
Abstract

BACKGROUND

The relationship between orthodontic treatment-related factors and EARR has never been fully answered. The aim of this study was to investigate whether conventional and passive self-ligating brackets affect the amount and severity of external apical root resorption (EARR) in withdrawal patients.

METHODS

Ninety-eight patients were selected from department of orthodontic, hospital of stamotology, Wenzhou medical university. Patients received treatment with either a conventional edgewise appliance (n = 49, Mini, 3 M Unitek, USA) or a passive self-ligating bracket system (n = 49, Damon, Ormco, USA). EARR of the maxillary incisors was evaluated on panoramic radiographs at the before and end of orthodontic treatment, respectively. Intergroup comparisons of root resorption were performed with Mann-Whitney tests. The univariate and multivariate regression model was used to assess the appliance type, age, sex and duration of treatment on EARR.

RESULTS

There was no significant difference in the amount of EARR between the two groups was found. Age and gender were not association with EARR, however, EARR was positively correlated with treatment duration.

CONCLUSIONS

The type of bracket did not influence the occurrence and severity of the external apical root resorption in class I extraction patients.

摘要

背景

正畸治疗相关因素与 EARR 之间的关系尚未得到充分解答。本研究旨在探讨传统和被动自锁托槽是否会影响拔牙患者的外吸收根(EARR)量和严重程度。

方法

本研究从温州医科大学附属口腔医院正畸科选取 98 例患者。患者分别接受传统直丝弓矫治器(n=49,Mini,3M Unitek,美国)或被动自锁托槽系统(n=49, Damon,Ormco,美国)治疗。分别在正畸治疗前和结束时的全景片上评估上颌切牙的 EARR。采用 Mann-Whitney 检验对根吸收进行组间比较。采用单变量和多变量回归模型评估矫治器类型、年龄、性别和治疗时间对 EARR 的影响。

结果

两组 EARR 量无显著差异。年龄和性别与 EARR 无关,但 EARR 与治疗时间呈正相关。

结论

在 I 类拔牙患者中,托槽类型不会影响外吸收根的发生和严重程度。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b14/6440089/a144bc121cf2/12903_2019_743_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b14/6440089/8870817132b2/12903_2019_743_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b14/6440089/a144bc121cf2/12903_2019_743_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b14/6440089/8870817132b2/12903_2019_743_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b14/6440089/a144bc121cf2/12903_2019_743_Fig2_HTML.jpg

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本文引用的文献

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A comparative study of the effect of the intrusion arch and straight wire mechanics on incisor root resorption: A randomized, controlled trial.直丝弓与片段弓技术对切牙牙根吸收影响的对比研究:一项随机对照试验。
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GWAS of Post-Orthodontic Aggressive External Apical Root Resorption Identified Multiple Putative Loci at X-Y Chromosomes.正畸后侵袭性根尖外吸收的全基因组关联研究在X-Y染色体上鉴定出多个潜在基因座。
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Cone-beam computed tomography versus periapical radiograph for diagnosing external root resorption: A systematic review and meta-analysis.锥形束计算机断层扫描与根尖片在诊断牙根外吸收中的应用:一项系统评价与荟萃分析
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Orthodontically induced external apical root resorption in patients treated with fixed appliances vs removable aligners.固定矫治器与可摘矫治器治疗患者的正畸诱导性根尖外吸收
Angle Orthod. 2017 Jan;87(1):3-10. doi: 10.2319/02016-101.1. Epub 2016 Aug 9.
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