Marinelli Grazia, Inchingolo Angelo Michele, Inchingolo Alessio Danilo, Ferrante Laura, Avantario Pasquale, Campanelli Merigrazia, Palermo Andrea, Inchingolo Francesco, Dipalma Gianna
Interdisciplinary Department of Medicine, University of Bari "Aldo Moro", 70124 Bari, Italy.
Department of Experimental Medicine, University of Salento, 73100 Lecce, Italy.
Bioengineering (Basel). 2025 May 15;12(5):531. doi: 10.3390/bioengineering12050531.
This systematic review analyzed the combined use of aligners and orthodontic temporary anchorage devices (TADs) in orthodontic treatment. The aim was to evaluate the effectiveness, benefits, and potential challenges of integrating the use of miniscrews with aligners. This review was conducted according to the PRISMA statement, and the protocol was registered at PROSPERO under the ID CRD42024576712. A comprehensive search on PubMed, Scopus, and Web of Science was conducted to identify relevant papers involving patients treated with aligners and TADs, dating from 1 January 2004 to 17 July 2024. The electronic database search identified a total of 458 articles. After eligibility, 14 records were selected for qualitative analysis. The findings suggest that the combination of aligners and miniscrews significantly enhances treatment precision and control, especially in cases requiring complex tooth movements, such as intrusion, extrusion, and distalization. The use of miniscrews allows greater control of movement and stability. The integration of these two techniques presents challenges, such as the need for precise miniscrew placement and potential discomfort during insertion. However, there was high satisfaction due to the aesthetic and comfort benefits of aligners. Further research is desirable to delve deeper into the topic to optimize clinical outcomes.
本系统评价分析了正畸治疗中矫治器与正畸临时支抗装置（TADs）的联合应用。目的是评估将微螺钉与矫治器联合使用的有效性、益处和潜在挑战。本评价按照PRISMA声明进行，方案已在PROSPERO注册，注册号为CRD42024576712。对PubMed、Scopus和Web of Science进行了全面检索，以识别涉及2004年1月1日至2024年7月17日期间接受矫治器和TADs治疗患者的相关论文。电子数据库检索共识别出458篇文章。经过筛选，选择了14篇记录进行定性分析。研究结果表明，矫治器和微螺钉的联合应用显著提高了治疗的精确性和控制性，尤其是在需要复杂牙齿移动（如压低、伸长和远中移动）的病例中。微螺钉的使用使牙齿移动和稳定性得到更好的控制。这两种技术的整合存在挑战，如微螺钉放置需要精确以及插入过程中可能出现不适。然而，由于矫治器具有美观和舒适的优点，患者满意度较高。需要进一步研究以深入探讨该主题，优化临床效果。
