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正畸治疗对成人牙槽骨厚度的影响:一项系统评价

Effect of orthodontic treatment on alveolar bone thickness in adults: a systematic review.

作者信息

Sendyk Michelle, Linhares Daniele Sigal, Pannuti Claudio Mendes, Paiva João Batista de, Rino Neto José

机构信息

Universidade de São Paulo, Departamento de Ortodontia e Odontopediatria, Divisão de Ortodontia (São Paulo/SP, Brazil).

Universidade de São Paulo, Departamento de Estomatologia, Divisão de Periodontia (São Paulo/SP, Brazil).

出版信息

Dental Press J Orthod. 2019 Sep 5;24(4):34-45. doi: 10.1590/2177-6709.24.4.034-045.oar.

Abstract

OBJECTIVES

This review aimed at evaluating changes in alveolar bone thickness after completion of orthodontic treatment.

METHODS

Only prospective clinical studies that reported bone thickness in adult patients undergoing non-surgical orthodontic treatment were considered eligible. MEDLINE, EMBASE and LILACS databases were searched for articles published up to July 2018.

RESULTS

A total of 12 studies met the selected criteria. Most of the studies showed that orthodontic treatment produces a reduction in bone thickness of incisors, mainly at the palatal side.

CONCLUSION

On patients undergoing different orthodontic treatment techniques, there was a significant bone thickness reduction, mainly on the palatal side.

CLINICAL RELEVANCE

These findings are relevant and have to be considered in diagnosis and planning of tooth movement, in order to prevent the occurrence of dehiscence and fenestration in alveolar bone.

摘要

目的

本综述旨在评估正畸治疗完成后牙槽骨厚度的变化。

方法

仅纳入报道了接受非手术正畸治疗的成年患者骨厚度的前瞻性临床研究。检索MEDLINE、EMBASE和LILACS数据库中截至2018年7月发表的文章。

结果

共有12项研究符合入选标准。大多数研究表明,正畸治疗会导致切牙骨厚度减少,主要是在腭侧。

结论

接受不同正畸治疗技术的患者,骨厚度有显著减少,主要在腭侧。

临床意义

这些发现具有相关性,在牙齿移动的诊断和计划中必须予以考虑,以防止牙槽骨出现裂隙和开窗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c7a2/6733232/74ae0e06ed0b/2176-9451-dpjo-24-04-34-gf1.jpg

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