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薄腭骨患者上颌骨扩弓器的数字化规划与制造

Digital Planning and Manufacturing of Maxillary Skeletal Expander for Patients with Thin Palatal Bone.

作者信息

Cantarella Daniele, Karanxha Lorena, Zanata Paolo, Moschik Christoph, Torres Ana, Savio Gianpaolo, Del Fabbro Massimo, Moon Won

机构信息

Department of Biomedical, Surgical and Dental Sciences, University of Milan, Milan, Italy.

Private Dental Laboratory Practice, Castelfranco Veneto, Italy.

出版信息

Med Devices (Auckl). 2021 Oct 7;14:299-311. doi: 10.2147/MDER.S331127. eCollection 2021.

DOI:10.2147/MDER.S331127
PMID:34675696
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8504975/
Abstract

The miniscrew-assisted rapid palatal expansion approach has given new opportunities for the treatment of maxilla transverse deficiency by providing an alternative to the surgical approach for adult patients. However, the presence of a thin palatal bone can compromise the success of such approach. Recently, the digital planning of the miniscrew-assisted appliances has offered unique advantages in terms of safety and accuracy of the overall process. The aim of this study is to describe the digital planning and MSE fabrication with cad-cam technology using 6 mini-screws in cases with a palatal bone thickness of less than 2.5 mm.

摘要

微型螺钉辅助快速腭扩展方法为成年患者治疗上颌横向发育不足提供了一种替代手术方法的新机会。然而，腭骨薄可能会影响这种方法的成功率。最近，微型螺钉辅助矫治器的数字化规划在整个过程的安全性和准确性方面具有独特优势。本研究的目的是描述在腭骨厚度小于2.5mm的病例中，使用6颗微型螺钉通过计算机辅助设计与制造（CAD-CAM）技术进行数字化规划和微型螺钉辅助快速腭扩展矫治器制作的过程。

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本文引用的文献

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Tandem Skeletal Expander and MAPA Protocol for Palatal Expansion in Adults.成人腭部扩展的串联式骨骼扩展器和MAPA方案
J Clin Orthod. 2020 Nov;54(11):690-704.
2
An assessment of the magnitude, parallelism, and asymmetry of micro-implant-assisted rapid maxillary expansion in non-growing patients.非生长期患者中微植体支抗辅助上颌快速扩弓的幅度、平行性和非对称性评估。
Prog Orthod. 2020 Nov 23;21(1):42. doi: 10.1186/s40510-020-00342-4.
3
Skeletal effects of monocortical and bicortical mini-implant anchorage on maxillary expansion using cone-beam computed tomography in young adults.
利用锥形束 CT 观察年轻人上颌扩弓中单皮质和双皮质微种植体支抗的骨骼效应。
Am J Orthod Dentofacial Orthop. 2020 May;157(5):651-661. doi: 10.1016/j.ajodo.2019.05.021.
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A New Methodology for the Digital Planning of Micro-Implant-Supported Maxillary Skeletal Expansion.一种用于微型种植体支持的上颌骨扩弓数字化规划的新方法。
Med Devices (Auckl). 2020 Mar 18;13:93-106. doi: 10.2147/MDER.S247751. eCollection 2020.
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Three-dimensional changes of the zygomaticomaxillary complex after mini-implant assisted rapid maxillary expansion.微型种植体支抗辅助上颌快速扩弓后颧骨上颌复合体的三维变化。
Am J Orthod Dentofacial Orthop. 2019 Nov;156(5):653-662. doi: 10.1016/j.ajodo.2018.11.019.
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Midfacial changes in the coronal plane induced by microimplant-supported skeletal expander, studied with cone-beam computed tomography images.应用锥形束 CT 研究微种植体支抗骨扩张器引起的冠状面中面部变化。
Am J Orthod Dentofacial Orthop. 2018 Sep;154(3):337-345. doi: 10.1016/j.ajodo.2017.11.033.
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The easy driver for placement of palatal mini-implants and a maxillary expander in a single appointment.在一次就诊中放置腭部微型种植体和上颌扩弓器的简易驱动装置。
J Clin Orthod. 2017 Nov;51(11):728-737.
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Changes in the midpalatal and pterygopalatine sutures induced by micro-implant-supported skeletal expander, analyzed with a novel 3D method based on CBCT imaging.基于 CBCT 成像的新型 3D 方法分析微种植体支抗骨扩张器引起的中缝和翼腭缝变化。
Prog Orthod. 2017 Nov 1;18(1):34. doi: 10.1186/s40510-017-0188-7.
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Effects of monocortical and bicortical mini-implant anchorage on bone-borne palatal expansion using finite element analysis.使用有限元分析研究单皮质和双皮质微型种植体支抗对骨支持式腭扩展的影响。
Am J Orthod Dentofacial Orthop. 2017 May;151(5):887-897. doi: 10.1016/j.ajodo.2016.10.025.
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Miniscrew-assisted rapid palatal expander (MARPE): the quest for pure orthopedic movement.微型螺钉辅助快速腭扩展器（MARPE）：追求纯粹的正畸移动。
Dental Press J Orthod. 2016 Jul-Aug;21(4):17-23. doi: 10.1590/2177-6709.21.4.017-023.oin.