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微型种植体支抗在正畸治疗中的疗效

Therapeutic effect of Micro-Implant Anchorage in orthodontics.

作者信息

Shi Yarong, Mi Lei, Liu Jie, Liu Xiaoyao, Hao Yanan

机构信息

Yarong Shi, Department of Stomatology, Yulin First Hospital, Yulin, Shaanxi Province 719000, P.R. China.

Lei Mi, Department of Stomatology, Yulin First Hospital, Yulin, Shaanxi Province 719000, P.R. China.

出版信息

Pak J Med Sci. 2024 Nov;40(10):2293-2298. doi: 10.12669/pjms.40.10.10442.

Abstract

OBJECTIVE

Micro implant anchorage (MIA), as a new orthodontic treatment technique, has the characteristics of simple operation, light trauma, and high stability, and has been widely used in clinical practice. This study compared the therapeutic effects of MIA and the traditional straight wire appliance (SWA) in orthodontic practice.

METHODS

Clinical data of 119 patients who underwent orthodontic treatment in Yulin First Hospital from January 2022 to January 2023 were retrospectively analyzed. According to the treatment records, 61 patients received MIA orthodontic treatment (MIA group), and 58 patients received traditional straight wire appliance (SWA) orthodontic treatment (SWA group). Treatment effect, periodontal index, and levels of osteoprotegerin (OPG), interleukin-6 (IL6) and high-sensitivity C-reactive protein (hsCRP) of the two groups were compared.

RESULTS

The total efficacy of MIA group was significantly higher than that of SWA group (<0.05). After the treatment, bleeding index (BI), plaque index (PLI), probing depth (PD) and looseness in the MIA group were significantly lower than those in the SWA group (<0.05). After the treatment, levels of OPG were significantly higher, while IL6 and hsCRP levels were significantly lower in the MIA compared to the SWA group (<0.05). MIA was associated with significantly lower complication rate compared to the SWA (<0.05).

CONCLUSIONS

Compared with SWA, MIA is associated with better orthodontic effect. This mode of treatment can increase OPG levels, reduce inflammation, and lower the risk of complications.

摘要

目的

微种植体支抗(MIA)作为一种新型正畸治疗技术,具有操作简单、创伤小、稳定性高的特点,已在临床实践中广泛应用。本研究比较了MIA与传统直丝弓矫治器(SWA)在正畸治疗中的疗效。

方法

回顾性分析2022年1月至2023年1月在榆林市第一医院接受正畸治疗的119例患者的临床资料。根据治疗记录,61例患者接受MIA正畸治疗(MIA组),58例患者接受传统直丝弓矫治器(SWA)正畸治疗(SWA组)。比较两组的治疗效果、牙周指数以及骨保护素(OPG)、白细胞介素-6(IL6)和高敏C反应蛋白(hsCRP)水平。

结果

MIA组的总有效率显著高于SWA组(<0.05)。治疗后,MIA组的出血指数(BI)、菌斑指数(PLI)、探诊深度(PD)和松动度均显著低于SWA组(<0.05)。治疗后,MIA组的OPG水平显著升高,而IL6和hsCRP水平显著低于SWA组(<0.05)。与SWA相比,MIA的并发症发生率显著更低(<0.05)。

结论

与SWA相比,MIA的正畸效果更好。这种治疗方式可提高OPG水平,减轻炎症,并降低并发症风险。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ebd/11568716/988daec85a9f/PJMS-40-2293-g001.jpg

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