振动装置对正畸牙齿移动的性能比较——一项系统评价与荟萃分析
Performance comparison of vibration devices on orthodontic tooth movement - A systematic review and meta-analysis.
作者信息
Keerthana Pasupureddi, Diddige Rajasri, Chitra Prasad
机构信息
Department of Orthodontics, Army College of Dental Sciences, KNR University, Secunderabad, Telangana, India.
出版信息
J Oral Biol Craniofac Res. 2020 Oct-Dec;10(4):814-823. doi: 10.1016/j.jobcr.2020.10.013. Epub 2020 Nov 5.
BACKGROUND
To evaluate the efficiency of vibratory devices in altering rate of orthodontic tooth movement.
METHODS
A literature search up to January 31, 2020 was conducted in three electronic databases: PubMed, Cochrane Central Register of Controlled Trials (CENTRAL) and Science Direct, to identify studies on vibratory devices reporting any alteration in tooth movement as a primary outcome. Only articles published in English language were included. A meta-analysis was done to compare the amount of tooth movement (in mm) in patients treated with vibratory devices compared to control groups, to quantify weighted treatment effects.
RESULTS
A total of two split mouth studies, six parallel arm randomized control trials (RCT) one split mouth RCT, and three regular RCTs were assessed qualitatively. Quantitative assessment was done for 8 randomized trials using a forest plot (310 patients). Pooled data showed increase in the amount of tooth movement by 0.34 mm (95% CI:0.25,0.42). There was a statistically significant difference noted for this result at p < 0.00001.
CONCLUSION
Current evidence suggests a moderate to high level of certainty in regard to included studies in this systematic review and meta-analysis. Vibratory devices when used in conjunction with fixed orthodontic appliances show significant increase in the rate of tooth movement. These devices can be used by clinicians to reduce treatment duration and patient discomfort.
PROSPERO REGISTRATION
CRD42020169675.
背景
评估振动装置改变正畸牙齿移动速率的效率。
方法
截至2020年1月31日，在三个电子数据库进行文献检索：PubMed、Cochrane对照试验中央注册库（CENTRAL）和科学Direct，以识别关于振动装置的研究，这些研究将牙齿移动的任何改变作为主要结果进行报告。仅纳入以英文发表的文章。进行荟萃分析，比较使用振动装置治疗的患者与对照组的牙齿移动量（以毫米为单位），以量化加权治疗效果。
结果
共定性评估了两项半口研究、六项平行组随机对照试验（RCT）、一项半口RCT和三项常规RCT。使用森林图对8项随机试验进行了定量评估（310名患者）。汇总数据显示牙齿移动量增加了0.34毫米（95%置信区间：0.25，0.42）。该结果在p < 0.00001时有统计学显著差异。
结论
目前的证据表明，对于该系统评价和荟萃分析中的纳入研究，具有中等到高度的确定性。振动装置与固定正畸矫治器联合使用时，牙齿移动速率显著增加。临床医生可以使用这些装置来缩短治疗时间并减轻患者不适。
PROSPERO注册：CRD42020169675。
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