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自锁托槽与传统托槽:一项叙述性综述

Self-Ligating Versus Conventional Brackets: A Narrative Review.

作者信息

Arora Manvi A, Shah Alap, Somani Dhaval

机构信息

Department of Orthodontics and Dentofacial Orthopedics, Karnavati School of Dentistry, Ahmedabad, IND.

Department of Orthodontics and Dentofacial Orthopedics, College of Dental Sciences and Research Centre, Ahmedabad, IND.

出版信息

Cureus. 2025 Mar 31;17(3):e81499. doi: 10.7759/cureus.81499. eCollection 2025 Mar.

DOI:10.7759/cureus.81499
PMID:40308420
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12042726/
Abstract

Orthodontic treatment has seen remarkable progress, particularly in bracket technology, enhancing efficiency, comfort, and oral hygiene. Self-ligating brackets (SLBs) have emerged as an alternative to conventional brackets (CBs), with claims of lower friction, shorter treatment time, better periodontal health, and reduced chairside visits. However, clinical studies yield mixed results, sparking ongoing debate. This narrative review examines the differences between SLBs and CBs in biomechanics, treatment duration, patient comfort, periodontal health, clinical efficiency, cost-effectiveness, and long-term stability based on recent research. The findings suggest that while SLBs offer certain benefits, they do not significantly surpass CBs in key treatment outcomes.

摘要

正畸治疗取得了显著进展,尤其是在托槽技术方面,提高了效率、舒适度和口腔卫生水平。自锁托槽(SLB)已成为传统托槽(CB)的一种替代方案,据称具有摩擦力更低、治疗时间更短、牙周健康状况更好以及减少复诊次数等优点。然而,临床研究结果不一,引发了持续的争论。这篇叙述性综述基于近期研究,探讨了自锁托槽和传统托槽在生物力学、治疗持续时间、患者舒适度、牙周健康、临床效率、成本效益和长期稳定性方面的差异。研究结果表明,虽然自锁托槽有一定优势,但在关键治疗结果方面并未显著超过传统托槽。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/13e7/12042726/3e62810bc7c4/cureus-0017-00000081499-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/13e7/12042726/db820bd56618/cureus-0017-00000081499-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/13e7/12042726/74b9ab7cba8e/cureus-0017-00000081499-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/13e7/12042726/c461556e8b21/cureus-0017-00000081499-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/13e7/12042726/233419080af3/cureus-0017-00000081499-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/13e7/12042726/b90bedcb6c39/cureus-0017-00000081499-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/13e7/12042726/87a1f18b9e2e/cureus-0017-00000081499-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/13e7/12042726/3e62810bc7c4/cureus-0017-00000081499-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/13e7/12042726/db820bd56618/cureus-0017-00000081499-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/13e7/12042726/74b9ab7cba8e/cureus-0017-00000081499-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/13e7/12042726/c461556e8b21/cureus-0017-00000081499-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/13e7/12042726/233419080af3/cureus-0017-00000081499-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/13e7/12042726/b90bedcb6c39/cureus-0017-00000081499-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/13e7/12042726/87a1f18b9e2e/cureus-0017-00000081499-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/13e7/12042726/3e62810bc7c4/cureus-0017-00000081499-i07.jpg

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本文引用的文献

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Stability of transverse dental arch dimension with passive self-ligating brackets: a 6-year follow-up study.被动自锁托槽保持牙弓宽度稳定性的 6 年随访研究。
Prog Orthod. 2022 Jun 20;23(1):19. doi: 10.1186/s40510-022-00414-7.
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Effect of orthodontic treatment on periodontal health of periodontally compromised patients.正畸治疗对牙周病患者牙周健康的影响。
Angle Orthod. 2022 May 1;92(3):324-332. doi: 10.2319/022521-156.1.
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Comparison of self-ligating Damon3 and conventional MBT brackets regarding alignment efficiency and pain experience: A randomized clinical trial.
自锁托槽Damon3与传统MBT托槽在排齐效率和疼痛体验方面的比较:一项随机临床试验。
J Dent Res Dent Clin Dent Prospects. 2019 Fall;13(4):281-288. doi: 10.15171/joddd.2019.043.
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Impact of passive self-ligation and conventional elastic ligation on orthodontic force in the simulation of a mandibular lateral incisor linguoversion.被动自锁结扎和传统弹性结扎对下颌侧切牙舌倾模拟中正畸力的影响。
Am J Orthod Dentofacial Orthop. 2020 Mar;157(3):320-328. doi: 10.1016/j.ajodo.2019.03.029.
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