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微型螺钉辅助快速腭中缝扩展术的疗效:一项原创性研究。

Efficacy of the Miniscrew-Assisted Rapid Palatal Expansion: An Original Research.

作者信息

Nallamilli Leela Venkata Soujanya, Patowary John, Cherukuri Sai Abhishiktha, Shankar Kiran S, Varma Praveen Kumar, Kauser Afreen, Pandey Pritee Rajkumar

机构信息

Al-Harkan Dental Clinic, Unaizah, Saudi Arabia.

Department of Orthodontics and Dentofacial Orthopaedics, Regional Dental College, Guwahati, Assam, India.

出版信息

J Pharm Bioallied Sci. 2022 Jul;14(Suppl 1):S169-S171. doi: 10.4103/jpbs.jpbs_4_22. Epub 2022 Jul 13.

Abstract

INTRODUCTION

One of the most common procedures done in orthodontics is the rapid maxillary expansion for the treatment of transverse maxillary deficiency. Hence, in the present study, we aim to evaluate the efficacy of the rapid palatal expansion assisted with the miniscrews.

MATERIALS AND METHODS

We piloted a prospective observational study among 50 age-matched adolescent participants. They were grouped equally to receive miniscrew and tooth-borne expanders. The alterations after 6 months of wearing the expanders were calculated for the root length variations of the premolars, tipping of the tooth, buccal bone thickness, and the transverse skeletal widths using the "cone-beam computed tomography" images. Comparison of the values was done between the groups using the Chi-square and ANOVA test, deliberating < 0.05 as significant.

RESULTS

We observed significantly greater values for the miniscrew expander for all the four parameters than the tooth-borne device. However, there was no significant variation for the root lengths variations between the two groups. No tipping was noted for the miniscrew expander.

CONCLUSIONS

The miniscrew palatal expander brought faster expansion of the palate than the conventional palatal expanders. The miniscrews were also safe with no adverse effects and were efficus.

摘要

引言

正畸治疗中最常见的操作之一是快速上颌扩弓,用于治疗上颌横向发育不足。因此,在本研究中,我们旨在评估微型螺钉辅助快速腭部扩弓的疗效。

材料与方法

我们对50名年龄匹配的青少年参与者进行了一项前瞻性观察研究。他们被平均分为两组,分别接受微型螺钉扩弓器和牙支持式扩弓器。使用“锥形束计算机断层扫描”图像计算佩戴扩弓器6个月后的变化,包括前磨牙的牙根长度变化、牙齿倾斜度、颊侧骨厚度和横向骨骼宽度。使用卡方检验和方差分析在两组之间进行值的比较,将P<0.05视为有显著性差异。

结果

我们观察到,微型螺钉扩弓器在所有四个参数上的值均显著高于牙支持式扩弓器。然而,两组之间的牙根长度变化没有显著差异。微型螺钉扩弓器未观察到牙齿倾斜。

结论

微型螺钉腭部扩弓器比传统腭部扩弓器能更快地扩张腭部。微型螺钉也很安全,没有不良反应,且效果良好。

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