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年龄和影像学特征对腭侧埋伏上颌尖牙正畸排齐是否有效?一项回顾性研究。

Are age and radiographic features effective on orthodontic alignment of palatally impacted maxillary canines? a retrospective study.

作者信息

Kocyigit Seda, Oz Abdullah Alper, Bas Burcu, Arici Nursel, Karahan Selcuk

机构信息

Department of Oral and Maxillofacial Surgery, Ministry of Health Kucukcekmece Oral and Dental Health Center,Istanbul, Turkey.

Department of Orthodontics, Faculty of Dentistry, Ondokuz Mayis University, Samsun,Turkey.

出版信息

Eur Oral Res. 2019 Sep;53(3):132-136. doi: 10.26650/eor.20190055. Epub 2019 Sep 1.

Abstract

PURPOSE

The purpose of the study was to evaluate the effects of age and radiographic parameters on success of orthodontic alignment of impacted maxillary canines.

MATERIALS AND METHODS

The retrospective records of 50 patients (mean age 20.44 years) who had impacted maxillary canines in palatal position were included. The patients was requiring surgical exposure and mechanical orthodontic treatment were divided into two groups as adolescent (age≤18; n=24) and adult (age>18; n=26). In both groups, the treatment time and success were evaluated clinically and radiographically.

RESULTS

Fifty patients between the ages of 13 to 42 (12 males and 38 females) with palatally impacted canines were treated with combined surgical-orthodontic approach. Forty-seven teeth (94%) had reacted to surgical exposure and orthodontic alignment within 16 to 36 months with a mean of 24.81 months. Three of the impacted canines (6%) were surgically removed because no movement was observed following 10 months of traction forces.

CONCLUSION

The distance of the canine tip to the occlusal plane on the lateral cephalometric radiographs have found to be related with the total orthodontic treatment time. Neither the age of the patient nor other clinic and radiographic parameters had influence on the treatment results of alignment of maxillary canines following surgical exposure.

摘要

目的

本研究旨在评估年龄和影像学参数对上颌埋伏尖牙正畸排齐成功率的影响。

材料与方法

纳入50例上颌腭侧埋伏尖牙患者的回顾性记录(平均年龄20.44岁)。将需要手术暴露和机械正畸治疗的患者分为青少年组(年龄≤18岁;n = 24)和成年组(年龄>18岁;n = 26)。对两组患者的治疗时间和成功率进行临床和影像学评估。

结果

采用外科正畸联合治疗方法治疗了50例年龄在13至42岁之间(12例男性和38例女性)的腭侧埋伏尖牙患者。47颗牙齿(94%)在16至36个月内对手术暴露和正畸排齐有反应,平均时间为24.81个月。3颗埋伏尖牙(6%)因在施加牵引力10个月后未观察到移动而被手术拔除。

结论

发现头颅侧位片上尖牙牙尖至咬合平面的距离与正畸总治疗时间有关。患者年龄以及其他临床和影像学参数对上颌尖牙手术暴露后排齐的治疗结果均无影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b04e/6761487/1af770b21edd/eor-053-132-e001.jpg

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