Angle Orthod. 2022 Nov 1;92(6):755-763. doi: 10.2319/021622-141.1.
To compare mandibular incisor root volume change (RVC) after 6 months between an anterior bite plane fabricated from acrylic resin (ABP) and thermoplastic materials (TBP) in a group of growing patients.
Thirty-four deep bite patients (age: 11.57 ± 1.30 years) were randomized into the ABP or TBP group. The RVC from before treatment (T0) to 6 months after treatment (Tct) at the labio-coronal (La1), labio-middle (La2), labio-apical (La3), linguo-coronal (Li1), linguo-middle (Li2), and linguo-apical (Li3) segments were investigated from cone beam computed tomography (CBCT) images. Cephalometric changes between T0 and the visit that normal overbite was achieved (Tcep) were also assessed (α = 0.05).
Thirty-four patients completed the trial. Treatment duration was 5.0 ± 2.9 months. Significant decrease in root volume (RV) was found at the La2, La3, and Li3 segments of the ABP group (P < .05). No significant RVC was found in any segment of the TBP group (P ≥ .05). Comparing between groups, the RVC at La3 and Li3 of the ABP group was significantly greater than that of the TBP group (P < .05). However, total RVC between groups was not significantly different (P ≥ .05).
Growing patients undergoing deep bite correction for 6 months with ABP displayed more apical RVC of mandibular incisors than those who used TBP. However, total RVC between appliances was not significantly different.
比较生长发育期患者使用丙烯酸树脂前牙咬颌垫(ABP)和热塑材料前牙咬颌垫(TBP) 6 个月后下颌切牙牙根体积变化(RVC)。
34 例深覆患者(年龄:11.57 ± 1.30 岁)随机分为 ABP 或 TBP 组。使用锥形束 CT(CBCT)图像,从唇侧冠状(La1)、唇中(La2)、唇根尖(La3)、舌侧冠状(Li1)、舌中(Li2)和舌根尖(Li3)测量治疗前(T0)至治疗后 6 个月(Tct)的 RVC。还评估了 T0 与达到正常覆颌时(Tcep)的头影测量变化(α = 0.05)。
34 例患者完成了试验。治疗时间为 5.0 ± 2.9 个月。ABP 组的 La2、La3 和 Li3 段的 RV 明显减少(P <.05)。TBP 组各段均未发现明显的 RVC(P ≥.05)。组间比较,ABP 组的 La3 和 Li3 段的 RVC 明显大于 TBP 组(P <.05)。然而,两组之间的总 RVC 没有显著差异(P ≥.05)。
深覆患者接受 6 个月的深覆矫治,使用 ABP 治疗的患者下颌切牙根尖区 RVC 比使用 TBP 治疗的患者更大。然而,两种矫治器之间的总 RVC 没有显著差异。