比较使用和不使用临时锚固装置的 Forsus 矫治器对骨性安氏 II 类错牙合的疗效。

A comparison of the effects of Forsus appliances with and without temporary anchorage devices for skeletal Class II malocclusion.

作者信息

Liu Lu, Zhan Qi, Zhou Jing, Kuang Qianyun, Yan Xinyu, Zhang Xiaoqi, Shan Yue, Lai Wenli, Long Hu

出版信息

Angle Orthod. 2021 Mar 1;91(2):255-266. doi: 10.2319/051120-421.1.

DOI:10.2319/051120-421.1

PMID:33378419

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8028478/

Abstract

OBJECTIVES

To compare the effects of Forsus appliances with and without temporary anchorage devices (TADs) for patients with skeletal Class II malocclusion.

MATERIALS AND METHODS

Through a predefined search strategy, electronic searching was conducted in PubMed, Embase, Web of Science, CENTRAL, ProQuest Dissertations & Theses, and SIGLE with no language restrictions. Eligible study selection, data extraction, and evaluation of risk of bias (Cochrane Collaboration tool) were conducted by two authors independently and in duplicate. Any disagreement was solved by discussion or judged by a third reviewer. Statistical pooling, sensitivity analysis, subgroup analysis, and assessment of small-study effects were conducted by using Comprehensive Meta-Analysis and Stata 12.0. Heterogeneity was analyzed for different types of study designs, TADs, and radiographic examinations.

RESULTS

Electronic search yielded a total of 256 studies after removing duplicates. Among them, six studies were finally included. All articles were of high quality. The pooled mean differences were -0.27 (95% confidence interval [CI]: -0.59, 0.05) for SNA, 0.58 (95% CI: -0.07, 1.23) for SNB, -0.86 (95% CI: -1.74, -0.03) for ANB, 1.63 (95% CI: 0.46, 2.80) for Co-Po, 0.75 (95% CI: 0.28, 1.23) for SN-MP, -7.56 (95% CI: -11.37, -3.76) for L1-MP, 0.47 (95% CI: -0.98, 1.91) for overjet, 0.39 (95% CI: -0.57, 1.35) for overbite, -1.84 (95% CI: -5.15, 1.47) for SN-OP, and 4.97 (95% CI: -1.22, 11.17) for nasolabial angle.

CONCLUSIONS

TADs (especially miniplates) were able to eliminate dental adverse effects of Forsus appliances for correction of skeletal Class II malocclusion.

摘要

目的

比较使用和不使用临时支抗装置（TADs）的Forsus矫治器对骨性安氏II类错牙合患者的疗效。

材料与方法

通过预定义的检索策略，在PubMed、Embase、Web of Science、CENTRAL、ProQuest学位论文数据库和SIGLE中进行电子检索，无语言限制。由两位作者独立且重复地进行合格研究的筛选、数据提取和偏倚风险评估（Cochrane协作工具）。任何分歧通过讨论解决或由第三位审阅者裁决。使用Comprehensive Meta-Analysis和Stata 12.0进行统计合并、敏感性分析、亚组分析和小研究效应评估。对不同类型的研究设计、TADs和影像学检查进行异质性分析。

结果

去除重复项后，电子检索共获得256项研究。其中，最终纳入6项研究。所有文章质量均较高。SNA的合并平均差为-0.27（95%置信区间[CI]：-0.59，0.05），SNB为0.58（95%CI：-0.07，1.23），ANB为-0.86（95%CI：-1.74，-0,03），Co-Po为1.63（95%CI：0,46，2.80），SN-MP为0.75（95%CI：0.28，1,23），L1-MP为-7.56（95%CI：-11.37，-3.76），覆盖为0.47（95%CI：-0.98，1.91），覆牙合为0.39（95%CI：-0.57，1.35），SN-OP为-1.84（95%CI：-5.15，1.47），鼻唇角为4.97（95%CI：-1.22，11.17）。