2种矫治器对轻中度Ⅰ类错𬌗患者前牙牙根及牙槽骨的影响

doi:10.19439/j.sjos.2024.04.013

上海口腔医学 ›› 2024, Vol. 33 ›› Issue (4): 407-410.doi: 10.19439/j.sjos.2024.04.013

2种矫治器对轻中度Ⅰ类错𬌗患者前牙牙根及牙槽骨的影响

霍美玲¹, 雷颖², 辛欣¹, 张颖¹, 王瑞梅³

1.赤峰学院附属医院口腔正畸科,2.口腔科,3.影像科,内蒙古赤峰 024000

收稿日期:2023-07-28 修回日期:2023-09-08 出版日期:2024-08-25 发布日期:2024-09-03
通讯作者: 霍美玲,E-mail: kqzjhml@163.com
作者简介:霍美玲（1983-）,女,硕士,副主任医师
基金资助:
内蒙古自治区高等学校科学研究项目（NJZY22183）

Effect of 2 kinds of appliances on anterior tooth root and alveolar bone in patients with mild to moderate overcrowding of ClassⅠmalocclusion

HUO Mei-ling¹, LEI Ying², XIN Xin¹, ZHANG Ying¹, WANG Rui-mei³

1. Department of Orthodontics, 2. Department of Stomatology, 3. Department of Imaging, Affiliated Hospital of Chifeng University. Chifeng 024000, Inner Mongolia Autonomous Region, China

Received:2023-07-28 Revised:2023-09-08 Online:2024-08-25 Published:2024-09-03

摘要/Abstract

摘要： 目的：分析固定矫治器与无托槽隐形矫治器对轻中度Ⅰ类错𬌗患者前牙牙根及牙槽骨的影响。方法：选择2018年1月—2022年2月收治的120例轻中度Ⅰ类错𬌗患者,以随机数表法分为对照组和试验组,每组各60例。对照组采用传统固定矫治器,试验组采用无托槽隐形矫治器,矫治前和矫治后12个月均拍摄锥形束CT（CBCT）,测量2组上下颌中切牙、侧切牙、尖牙牙根长度及前牙唇舌侧牙槽骨高度和厚度。采用SPSS 22.0软件包对数据进行统计学分析。结果：试验组矫治前后的上下颌中切牙、侧切牙、尖牙牙根长度变化量显著低于对照组（P<0.05）。试验组矫治前后上前牙唇侧和舌腭侧、下前牙唇侧和舌腭侧处牙槽骨高度变化量显著低于对照组（P<0.05）。试验组矫治前后的上下前牙牙颈部、根中部、根尖部水平唇舌侧牙槽骨厚度变化量显著低于对照组（P<0.05）。结论：与固定矫治器相比,无托槽隐形矫治器治疗轻中度Ⅰ类错𬌗患者可减轻牙根吸收、牙槽骨高度及厚度丢失。

关键词: Ⅰ类错𬌗, 固定矫治器, 无托槽隐形矫治器, 牙根吸收, 牙槽骨

Abstract: PURPOSE: To analyze the effects of fixed appliance and invisible appliance without bracket on anterior tooth root and alveolar bone in patients with mild to moderate overcrowding of Class Ⅰmalocclusion. METHODS: A total of 120 patients with mild to moderate dental crowding were selected from January 2018 to February 2022,and divided into control group and experimental group by random number table method, with 60 cases in each group. The control group was treated with traditional fixed appliance, while the experimental group was treated with invisible appliance without bracket. Cone-beam CT(CBCT) was taken before and 12 months after treatment to measure the root length and alveolar bone height and thickness of maxillary central incisor teeth, height of alveolar bone of anterior teeth lip and lingual side and cusp teeth in both groups. Statistical analysis was performed with SPSS 22.0 software package. RESULTS: The root length changes of maxillary central incisor, lateral incisor and cusp teeth in the experimental group were significantly lower than those in the control group before and after treatment(P<0.05). The alveolar bone height changes in the labial side and lingual palatine side of upper anterior teeth, labial side and lingual palatine side of inferior anterior teeth in the experimental group before and after treatment were significantly lower than those in the control group(P<0.05). The thickness changes of labiolingual alveolar bone at the neck, middle root and apex of upper and inferior anterior teeth in the experimental group were significantly lower than those in the control group before and after treatment(P<0.05). CONCLUSIONS: Compared with fixed appliance, invisible appliance without bracket can reduce root resorption and the loss of alveolar bone height and thickness in the treatment of Class I patients with mild to moderate dental crowding.

Key words: ClassⅠmalocclusion, Fixed appliance, Invisible appliance without bracket, Root resorption, Alveolar bone

中图分类号:

R783.5

霍美玲, 雷颖, 辛欣, 张颖, 王瑞梅. 2种矫治器对轻中度Ⅰ类错𬌗患者前牙牙根及牙槽骨的影响[J]. 上海口腔医学, 2024, 33(4): 407-410.

HUO Mei-ling, LEI Ying, XIN Xin, ZHANG Ying, WANG Rui-mei. Effect of 2 kinds of appliances on anterior tooth root and alveolar bone in patients with mild to moderate overcrowding of ClassⅠmalocclusion[J]. Shanghai Journal of Stomatology, 2024, 33(4): 407-410.

参考文献

[1] Carneiro DPA, Venezian GC, Valdrighi HC, et al.Esthetic impact of maxillary midline diastema and mandibular crowding in children in the mixed dentition[J]. Am J Orthod Dentofacial Orthop, 2022, 161(3): 390-395.
[2] Khalaf K, Mustafa A, Wazzan M, et al.Clinical effectiveness of space maintainers and space regainers in the mixed dentition: a systematic review[J]. Saudi Dent J, 2022, 34(2): 75-86.
[3] Yassir YA, Nabbat SA, McIntyre GT, et al. Clinical effectiveness of clear aligner treatment compared to fixed appliance treatment: an overview of systematic reviews[J]. Clin Oral Investig, 2022, 26(3): 2353-2370.
[4] Seo JH, Kim MS, Lee JH, et al.Biomechanical efficacy and effectiveness of orthodontic treatment with transparent aligners in mild crowding dentition-a finite element analysis[J]. Materials (Basel), 2022, 15(9): 3118-3122.
[5] 李振霞, 袁玲君, 郑小雯, 等.无托槽隐形和个性化舌侧矫治技术对双牙弓前突治疗效果的比较[J].上海口腔医学, 2023, 32(5): 480-484.
[6] 林青, 邹玉春, 许家辉, 等. 无托槽隐形矫治器用于上颌磨牙组牙扩弓的三维有限元分析[J]. 实用口腔医学杂志, 2022, 38(3): 353-358.
[7] Yassir YA, McIntyre GT, Bearn DR. Orthodontic treatment and root resorption: an overview of systematic reviews[J]. Eur J Orthod, 2021, 43(4): 442-456.
[8] Toyokawa-Sperandio KC, Conti ACCF, Fernandes TMF, et al.External apical root resorption 6 months after initiation of orthodontic treatment: a randomized clinical trial comparing fixed appliances and orthodontic aligners[J]. Korean J Orthod, 2021, 51(5): 329-336.
[9] 曹采方. 牙周病学[M]. 2 版.北京: 人民卫生出版社,2003:95-126.
[10] Villaman-Santacruz H, Torres-Rosas R, Acevedo-Mascarúa AE, et al.Root resorption factors associated with orthodontic treatment with fixed appliances: a systematic review and meta-analysis[J]. Dent Med Probl, 2022, 59(3): 437-450.
[11] Khalaf K, Mustafa S, Maarouf T.Is orthodontic treatment a risk factor of cervical root resorption? a systematic review[J]. Eur J Dent, 2022, 16(4): 729-736.
[12] Maurya RK, Bhardwaj P, Singh H, et al.Comparative evaluation of duration of extraction space closure and degree of root resorption with conventional and self-ligation brackets[J]. Indian J Dent Res, 2022, 33(1): 52-57.
[13] Tervahauta E, Nokela J, Vuollo V, et al.Associations of sagittal malocclusions with dental arch characteristics and crowding in Northern Finland Birth Cohort 1966[J]. Orthod Craniofac Res, 2022, 25(4): 468-475.
[14] Almagrami I, Almashraqi AA, Almaqrami BS, et al.A quantitative three-dimensional comparative study of alveolar bone changes and apical root resorption between clear aligners and fixed orthodontic appliances[J]. Prog Orthod, 2023, 24(1): 6-10.
[15] 林怡君, 鄢洁雅, 李雅欣, 等. 固定矫治成年患者切牙牙根吸收率与牙移动指标相关性的锥形束CT分析[J]. 中华口腔医学杂志, 2022, 57(7):733-738.
[16] 中华口腔医学会口腔正畸专业委员会. 口腔正畸无托槽隐形矫治技术指南(2021版)[J]. 中华口腔医学杂志, 2021, 56(10): 983-988.
[17] Kato M, Arai K.Relationship between dental and basal arch forms in mandibular anterior crowding[J]. Am J Orthod Dentofacial Orthop, 2022, 161(1): 53-64.
[18] 李琴, 赵旭春, 王明朗, 等. 不同矫治技术对牙周炎患者上切牙区牙槽骨改变的影响[J]. 上海口腔医学, 2020, 29(6): 651-655.

2种矫治器对轻中度Ⅰ类错𬌗患者前牙牙根及牙槽骨的影响

Effect of 2 kinds of appliances on anterior tooth root and alveolar bone in patients with mild to moderate overcrowding of ClassⅠmalocclusion

PDF (PC)

可视化

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 15

编辑推荐

Metrics

本文评价

[1]	欧晓丽, 方志欣, 龙智灵, 罗海欧, 唐倩. 无托槽隐形矫治器内收前牙时后牙移动趋势及牙周膜应力分布[J]. 上海口腔医学, 2024, 33(3): 239-244.
[2]	林惠, 高云飞, 卫超, 王梦蕾, 马旭辉. 槐角提取物对雌激素缺乏性骨质疏松小鼠牙槽骨骨量的影响[J]. 上海口腔医学, 2024, 33(3): 255-259.
[3]	卜晓霜, 王晓, 潘涛华, 朱丽雷, 郭锦材. MB-PDT辅助基础治疗对下前牙牙槽骨角形吸收的临床疗效评价[J]. 上海口腔医学, 2024, 33(3): 265-268.
[4]	张民珍, 邝惠芳, 杨黎艳, 罗文. 小肠黏膜下层可吸收生物膜在牙槽骨缺损修复中的应用效果评价[J]. 上海口腔医学, 2024, 33(3): 279-284.
[5]	王静, 孙一凡, 路茜, 庞淑婷. 微种植钉支抗与平面导板在下前牙过长型深覆矫治中的效果评价[J]. 上海口腔医学, 2024, 33(3): 301-305.
[6]	陈宏丽, 尹刚, 张海娟. 阿托伐他汀促进大鼠牙槽骨缺损愈合及对Wnt/β-catenin信号通路的影响[J]. 上海口腔医学, 2024, 33(2): 130-134.
[7]	苏娟娟, 陈洪婷, 王旭, 靳强, 王琳. PGE2、COX-2表达与牙槽骨成骨活性、内氧水平的关系[J]. 上海口腔医学, 2024, 33(1): 85-89.
[8]	周团锋, 杨雪, 张华, 张智勇, 陈全. 48例Locator种植覆盖全口义齿5年临床修复效果评价[J]. 上海口腔医学, 2024, 33(1): 90-96.
[9]	俞晓霏, 汪信洋, 李斌, 陈耀忠. 壳寡糖对骨质疏松伴牙周炎大鼠骨代谢及IKK/NF-κB通路的影响[J]. 上海口腔医学, 2023, 32(2): 137-142.
[10]	巨佳, 杨驰, 武和明, 赵吉宏, 成黎霏, 张欢, 冯斌, 胡开进. 黄牛煅烧骨填充材料用于拔牙后牙槽骨缺损修复的效果评价[J]. 上海口腔医学, 2023, 32(2): 198-202.
[11]	徐丽, 布春青, 康洁, 贾国涛, 宋昊, 张传臣, 张男, 韩发彬. MIRB标记人脱落乳牙牙髓干细胞移植修复大鼠牙槽骨缺损的实验研究[J]. 上海口腔医学, 2022, 31(6): 581-587.
[12]	周子芊, 陈振琦. 上颌窦底对上颌第一磨牙近中移动的影响[J]. 上海口腔医学, 2022, 31(6): 661-667.
[13]	赵佳媛, 胡成思, 金玉, 张灵玲, 易芳, 陈君捷, 周娉, 卢燕勤, 李成日. 无托槽隐形矫治器伸长后牙效率的三维重叠分析[J]. 上海口腔医学, 2022, 31(5): 556-560.
[14]	周明智, 王林, 王亮, 吴可, 秦燕军, 赵春洋. 青少年安氏Ⅱ²类错畸形矫治后下颌骨的变化[J]. 上海口腔医学, 2022, 31(4): 389-394.
[15]	尹悦, 陶硕, 张旗. 人牙周膜成纤维细胞来源外泌体对大鼠延期牙再植术后牙根吸收的调控作用[J]. 上海口腔医学, 2022, 31(3): 232-236.