Parihar Ajit Vikram, Verma Shivam, Subash P, Singh Akhilesh Kumar
Department of Orthodontics, Faculty of Dental Science, Banaras Hindu University, Varanasi, Uttar Pradesh, India.
Department of OMFS, Faculty of Dental Science, Banaras Hindu University, Varanasi, Uttar Pradesh, India.
Natl J Maxillofac Surg. 2022 Sep-Dec;13(3):390-397. doi: 10.4103/njms.njms_430_21. Epub 2022 Dec 10.
Orthodontic treatment typically lasts 18-24 months, but depending on the conditions, it can take a longer duration. In recent years, accelerated orthodontics has been the subject of extensive research to shorten the duration of treatment. In distraction osteogenesis (DO), the surgically created joints are slowly and controllably displaced over time by gradual traction. This results in simultaneous growth of soft tissues and bone volumes at the osteotomy site. The DO field is currently experiencing a modern surge of research and development that has been able to implement numerous innovative and revolutionary distraction systems. In this study, we are comparing two different rates of dentoalveolar distraction.
With the use of custom-made distractors, we will compare the different ranges of activation of distractors and their dental effects. Participants are separated into two groups based on 0.4 mm/day activation and 0.5 mm/day activation.
During the study period, the average tooth movement rate for Group 1 was 0.52 mm and for Group 2 was 0.58 mm. Group 1 completed canine distraction in 11.42 ± 1.81 days and Group 2 in 10.05 ± 1.68 days.
Retraction days decreased in Group 2, due to increased activation of the distractor. The anchorage loss in Group 2 was higher than that in Group 1, which was 1.39 mm lower. Unlike decreased activation, the mean tooth movement of Group 1 is higher than Group 2.
正畸治疗通常持续18 - 24个月,但根据具体情况,可能需要更长时间。近年来,加速正畸已成为广泛研究的课题,旨在缩短治疗时间。在牵张成骨(DO)中,通过逐渐牵引,手术形成的关节会随着时间缓慢且可控地移位。这导致截骨部位的软组织和骨体积同时生长。目前,DO领域正经历着现代研发热潮,已经能够实现众多创新和革命性的牵张系统。在本研究中,我们比较了两种不同的牙槽骨牵张速率。
使用定制的牵张器,我们将比较牵张器不同的激活范围及其对牙齿的影响。参与者根据每天0.4毫米的激活量和每天0.5毫米的激活量分为两组。
在研究期间,第一组的平均牙齿移动速率为0.52毫米,第二组为0.58毫米。第一组完成尖牙牵张用时11.42 ± 1.81天,第二组用时10.05 ± 1.68天。
由于牵张器激活量增加,第二组的内收天数减少。第二组的支抗丧失高于第一组,第一组低1.39毫米。与激活量减少不同,第一组的平均牙齿移动高于第二组。