上海口腔医学

上海口腔医学 ›› 2015, Vol. 24 ›› Issue (4): 499-504.

• 系统评价 • 上一篇    下一篇

拔牙与非拔牙矫治对正面微笑美学影响的meta分析

戴美璐1, 2, 肖孟2, 鱼哲3, 刘东旭1, 2   

  1. 1.山东大学口腔医学院,山东济南 250012; 2.山东省口腔组织再生重点实验室,山东济南 250012; 3.长沙医学院,湖南长沙 410200
  • 收稿日期:2014-07-09 出版日期:2015-08-20 发布日期:2015-09-10
  • 通讯作者: 刘东旭,E-mail：liudongxu@sdu.edu.cn E-mail:liudongxu@sdu.edu.cn
  • 作者简介:戴美璐（1990-）,女,硕士,E-mail：626851130@qq.com
  • 基金资助:
    2013年国家大学生创新创业训练计划（201310422049）; 山东省科技厅攻关计划（2010G0020232）

Effect of extraction and non-extraction treatment on frontal smiling esthetics: a meta-analysis

DAI Mei-lu1, 2, XIAO Meng2, YU Zhe3, LIU Dong-xu1, 2   

  1. 1.School of Stomatology, Shandong University. Jinan 250012, Shandong Province; 2.Shandong Provincial Key Laboratory of Oral Tissue Regeneration. Jinan 250012, Shandong Province; 3. Changsha Medical University. Changsha 410200, Hunan Province, China
  • Received:2014-07-09 Online:2015-08-20 Published:2015-09-10
  • Supported by:
    Supported by National Creative Planning Project for College Students(201310422049) and Science and TechnologyPlanning Project of Shandong Province (2010G0020232)

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摘要： ]目的：系统评价并比较拔牙与非拔牙矫治对正面微笑美学的影响。方法检索并收集自数据库建库至2014年8月31日期间万方数据库、中国学术期刊全文数据库(CNKI)、维普数据库(VIP)、中国生物医学文献数据库(CBM)以及Medline、Cochrane Library数据库所收录的有关拔牙与非拔牙矫治对正面微笑美学影响的临床对照研究。采用Review Manager 5.2软件对纳入文献的数据进行meta分析。结果共纳入8篇研究。Meta分析显示,经过拔牙与非拔牙矫治后,正面微笑美学的主观审美得分分别为5.74~7.05分和5.53~7.02分（10分制）[WMD=0.09,95%CI（-0.28,0.46）,P=0.64],颊廊系数分别为0.12~0.19和0.11~0.18 [WMD=0.01,95%CI（-0.00,0.02）,P=0.09],上颌可见牙列宽度分别为26.3~52.17 mm和25.43~52.37 mm [WMD=-0.13,95%CI（-1.01,0.75）,P=0.77]以及微笑高度分别为5.7~10.39 mm和5.4~9.97 mm [WMD=0.38,95%CI（-0.27,1.03）,P=0.25],各指标之间均无显著差异。结论目前的临床证据资料尚不足以支持拔牙矫治能够对正面微笑美学产生影响。由于纳入研究偏少及研究中存在的异质性,尚需开展更多设计良好的相关前瞻性分析。

关键词: 拔牙矫治, 非拔牙矫治, 正面微笑美学, Meta分析

Abstract: PURPOSE: To evaluate the effectiveness of tooth extraction and non-extraction orthodontic treatment on frontal smiling esthetics. METHODS: A literature research was performed using Wanfang database, Chinese Biological Literature database, China National Knowledge Infrastructure, Chinese Scientific Journals Database of VIP, Medline and the Cochrane Library, dating from the establishment of the databases to 31st, August, 2014. Weighted mean difference (WMD) was calculated and meta analysis was performed by Review Manager 5.2. RESULTS: A total of 8 controlled studies were included. The results of meta analysis showed no significant difference between extraction and non-extraction treatment on subjective evaluation of smile esthetics [5.74~7.05 for extraction; 5.53~7.02 for non-extraction; WMD=0.09, 95%CI (-0.28, 0.46), P=0.64], buccal corridor [0.12~0.19 for extraction; 0.11~0.18 for non-extraction; WMD=0.01, 95%CI (-0.00, 0.02), P=0.09], maxillary visual arch width [26.3~52.17 mm for extraction; 25.43~52.37mm for non-extraction; WMD=-0.13, 95%CI (-1.01, 0.75), P=0.77]and smile height [5.7~10.39mm for extraction; 5.4~9.97mm for non-extraction; WMD=0.38, 95%CI (-0.27, 1.03), P=0.25]. CONCLUSIONS: Based on the results of this meta analysis, it can’t be concluded that extraction treatment could affect the frontal smiling esthetics based on the present clinic evidences. Given the small sample size and the potential heterogeneity, more well-designed prospective studies should be performed in future.

Key words: Tooth extraction, Non-tooth extraction, Frontal smile esthetics, Meta analysisShanghai J Stomatol, 2015, 24(4):499-504.

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