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上颌颊侧段内收时力的大小对成人骨性开颌患者的影响。

Force magnitude as a variable in maxillary buccal segment intrusion in adult patients with skeletal open bite.

出版信息

Angle Orthod. 2020 Jul 1;90(4):507-515. doi: 10.2319/082819-558.1.

DOI:10.2319/082819-558.1
PMID:33378495
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8028465/
Abstract

OBJECTIVES

To compare the effects of two different force magnitudes on maxillary posterior segment intrusion using mini-screws. The null hypothesis was that there would be no difference between the two force magnitudes.

MATERIALS AND METHODS

Adult patients with skeletal open bite and a dental open bite ranging from 3 to 8 mm were recruited for this trial. The comparator group had 200 g of intrusive force applied for posterior segment intrusion, whereas 400 g of force was applied in the intervention group. Primary outcomes were the amount of posterior teeth intrusion and anterior open bite closure.

RESULTS

Twenty-two subjects were randomized to include 11 participants in each group. One participant dropped out in each group, leaving us with 10 subjects to be analyzed per group. There was statistically significant posterior teeth intrusion of 2.42 ± 2.06 and 2.26 ± 1.87 mm for the comparator and intervention groups, respectively, with no difference between them. Statistically significant open bite closure was achieved in both groups, measuring 2.24 ± 1.18 and 3.15 ± 1.06 mm in the comparator and intervention groups, respectively, with no difference between them.

CONCLUSIONS

Both the 200 g and 400 g intrusive forces yielded similar outcomes in terms of posterior teeth intrusion and anterior open bite closure.

摘要

目的

比较两种不同力值大小对上颌后段骨段内收使用微型种植钉的影响。零假设为两种力值大小之间无差异。

材料与方法

本试验纳入患有骨骼性开颌和牙齿性开颌(范围 3-8mm)的成年患者。对照组施加 200g 的内收力,实验组施加 400g 的力。主要结局是后牙内收量和前牙开颌关闭量。

结果

22 名受试者随机分为两组,每组 11 名。每组各有 1 名患者脱落,每组各有 10 名患者纳入分析。对照组和实验组后牙内收量分别为 2.42±2.06mm 和 2.26±1.87mm,差异无统计学意义。两组的前牙开颌均有显著关闭,对照组和实验组分别为 2.24±1.18mm 和 3.15±1.06mm,差异无统计学意义。

结论

200g 和 400g 的内收力在后牙内收和前牙开颌关闭方面产生了相似的结果。

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本文引用的文献

1
Biochemical and Clinical Assessments of Segmental Maxillary Posterior Tooth Intrusion.上颌后牙节段性压入的生化与临床评估
Int J Dent. 2017;2017:2689642. doi: 10.1155/2017/2689642. Epub 2017 Feb 22.
2
Molar Intrusion in Open-bite Adults Using Zygomatic Miniplates.使用颧骨微型钢板对开颌成年患者进行磨牙压低
Int J Orthod Milwaukee. 2015 Summer;26(2):47-54.
3
Dentoskeletal changes following mini-implant molar intrusion in anterior open bite patients.前牙开颌患者使用微型种植体压低磨牙后的牙颌面变化
Angle Orthod. 2015 Nov;85(6):941-8. doi: 10.2319/090514-625.1. Epub 2014 Dec 22.
4
The short-term skeleto-dental effects of a new spring for the intrusion of maxillary posterior teeth in open bite patients.一种用于开牙合患者上颌后牙压低的新型弹簧的短期骨骼-牙齿效应
Prog Orthod. 2014 Sep 25;15(1):56. doi: 10.1186/s40510-014-0056-7.
5
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Oral Maxillofac Surg. 2015 Mar;19(1):71-7. doi: 10.1007/s10006-014-0457-2. Epub 2014 Jul 31.
6
Miniscrew-supported posterior intrusion for treatment of anterior open bite.微型螺钉支持的后牙垂直压入矫治前牙开(牙合)
J Clin Orthod. 2014 Mar;48(3):158-68.
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Buccal mini-implant site selection: the mucosal fallacy and zones of opportunity.颊侧微型种植体植入部位的选择:黏膜误区与机遇区域
J Clin Orthod. 2012 Jul;46(7):434-6.
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Effects of maxillary molar intrusion with zygomatic anchorage on the stomatognathic system in anterior open bite patients.上颌磨牙颊向倾斜移动联合颧种植体支抗对前牙开患者口颌系统的影响。
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Comparison of orthodontic treatment outcomes in adults with skeletal open bite between conventional edgewise treatment and implant-anchored orthodontics.比较传统直丝弓技术和种植体支抗正畸治疗成人骨性开颌的疗效。
Am J Orthod Dentofacial Orthop. 2011 Apr;139(4 Suppl):S60-8. doi: 10.1016/j.ajodo.2009.04.029.
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Angle Orthod. 2011 Jul;81(4):564-9. doi: 10.2319/081910-488.1. Epub 2011 Feb 9.