Nakano Mizuki, Tachiki Chie, Tomaru Hiromi, Osawa Yuichiro, Ota Kentaro, Iijima Yuki, Ariizumi Dai, Watanabe Akira, Katakura Akira, Nishii Yasushi
Department of Orthodontics, Tokyo Dental College, Tokyo, JPN.
Department of Oral and Maxillofacial Surgery, Tokyo Dental College, Tokyo, JPN.
Cureus. 2025 Mar 6;17(3):e80173. doi: 10.7759/cureus.80173. eCollection 2025 Mar.
Purpose A clinical statistical survey was conducted on the usage of anchor screws and plates over a seven-year period from 2014 to 2021, with the objective of examining trends in their application by comparing the findings with the previous research. Materials and methods The subjects of this study were all patients who started comprehensive orthodontic treatment and underwent the placement of anchor screws and plates at the Department of Orthodontics, Tokyo Dental College Chiba Dental Center (formerly Chiba Hospital) between April 2014 and March 2021. The survey collected data on gender, age at the initial exam, type of treatment (self-funded or public medical insurance-covered), patient category, malocclusion classification, and treatment details from medical records. Results A total of 655 patients were included, consisting of 197 males and 458 females, with the majority being in their teens and 20s. Of this, 409 patients received implants in self-funded treatments, while 246 received implants in public medical insurance-covered treatment, including 193 patients with jaw deformities. The primary purpose of usage in the maxilla was for maximum anchorage, followed by distal movement. In the mandible, maximum anchorage accounted for 77 (44%), while distal movement comprised 68 (39%). Conclusion Our department has also previously reported the clinical statistics of anchor screw and plate usage, where the primary use of anchor screws in the mandible was for distal movement; however, in the current report, the predominant usage shifted to maximum anchorage. Given that further changes in the purposes of anchor screw usage may arise, continuous clinical statistical analysis will be necessary for future observations.
目的 对2014年至2021年七年期间支抗螺钉和支抗板的使用情况进行临床统计调查,目的是通过将结果与先前研究进行比较来研究其应用趋势。材料和方法 本研究的对象是2014年4月至2021年3月期间在东京齿科大学千叶齿科中心(原千叶医院)正畸科开始接受综合正畸治疗并接受支抗螺钉和支抗板植入的所有患者。该调查从病历中收集了有关性别、初诊年龄、治疗类型(自费或医保覆盖)、患者类别、错牙合分类和治疗细节的数据。结果 共纳入655例患者,其中男性197例,女性458例,大多数为青少年和20多岁的人。其中,409例患者在自费治疗中接受了植入,而246例患者在医保覆盖治疗中接受了植入,包括193例颌骨畸形患者。在上颌使用的主要目的是最大支抗,其次是远中移动。在下颌,最大支抗占77例(44%),而远中移动占68例(39%)。结论 我们科室之前也报告过支抗螺钉和支抗板使用的临床统计数据,其中下颌支抗螺钉的主要用途是远中移动;然而,在本报告中,主要用途转变为最大支抗。鉴于支抗螺钉使用目的可能会出现进一步变化,未来观察需要持续进行临床统计分析。