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定制振动装置对正畸牙齿移动的影响:一项前瞻性随机对照试验。

Effect of customized vibratory device on orthodontic tooth movement: A prospective randomized control trial.

作者信息

Khera Amit K, Raghav Pradeep, Mehra Varun, Wadhawan Ashutosh, Gupta Navna, Phull Tarun S

机构信息

Department of Orthodontics, Subharti Dental College, Swami Vivekanand Subharti University, Meerut, India.

Private Practitioner, Meerut, India.

出版信息

J Orthod Sci. 2022 May 4;11:18. doi: 10.4103/jos.jos_127_21. eCollection 2022.

Abstract

AIMS

The primary purpose of the present trial was to evaluate the effect of low-frequency (30Hz) vibrations on the rate of canine retraction.

SETTING AND DESIGN

Single-center, split mouth prospective randomized controlled clinical trial.

METHODS AND MATERIAL

100 screened subjects (aged18-25 years) were selected; out of which 30 subjects having Class I bimaxillary protrusion or Class II div 1 malocclusion, requiring upper 1 premolar therapeutic extractions, were selected for the study. A split-mouth study design was prepared for the maxillary arch of each selected individual and was randomly allocated into vibration and nonvibration side (control) groups. A customized vibratory device was fabricated for each subject to deliver low-frequency vibrations (30 Hz). Scanned 3D models were prepared sequentially to assess the amount of tooth movement from baseline (T0),(T1), (T2), (T3), and (T4)-4 month of canine retraction.

STATISTICAL ANALYSIS USED

Independent "t" test.

RESULTS

There was no statistically significant differencein the rate of individual canine retraction among the experimental and control groups when the intergroup comparison was done using independent "t" test at T1-T0, ( = 0.954), T2-T1 ( = 0.244), T3-T2 ( = 0.357), and T4-T3 ( = 0.189).

CONCLUSION

The low-frequency vibratory stimulation of 30 Hz using a customized vibratory device did not significantly accelerate the rate of orthodontic tooth movement.

TRIAL REGISTRATION

Registered at ctri.nic.in (CTRI/2019/05/019043).

摘要

目的

本试验的主要目的是评估低频(30Hz)振动对犬牙后移速率的影响。

设置与设计

单中心、分口前瞻性随机对照临床试验。

方法与材料

选取100名经筛选的受试者(年龄18 - 25岁);其中30名患有I类双颌前突或II类1分类错牙合,需要拔除上颌第一前磨牙进行治疗的受试者被选入研究。为每个入选个体的上颌牙弓准备了分口研究设计,并随机分为振动组和非振动组(对照组)。为每个受试者制作了定制的振动装置,以提供低频振动(30Hz)。依次制备扫描的三维模型,以评估从基线(T0)、(T1)、(T2)、(T3)和(T4) - 犬牙后移4个月时的牙齿移动量。

所用统计分析方法

独立“t”检验。

结果

在T1 - T0(P = 0.954)、T2 - T1(P = 0.244)、T3 - T2(P = 0.357)和T4 - T3(P = 0.189)时,使用独立“t”检验进行组间比较,实验组和对照组之间个体犬牙后移速率没有统计学显著差异。

结论

使用定制振动装置进行30Hz的低频振动刺激并未显著加速正畸牙齿移动速率。

试验注册

在ctri.nic.in注册(CTRI/2019/05/019043)。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b5f9/9214440/8676f86def9e/JOS-11-18-g001.jpg

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