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International Journal of Orthodontic Rehabilitation最新文献

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Clinical comparison of pain: Self-ligating versus conventional fixed orthodontic appliance systems 疼痛的临床比较:自结扎与传统固定正畸矫治器系统
IF 0.3 Q4 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2021-07-01 DOI: 10.4103/ijor.ijor_9_21
S. Chopra, A. Kamboj
Background: Orthodontic treatment is always taken as a painful procedure. Pain from orthodontic treatment has been shown to have negative effects on oral hygiene efforts and to be a major reason for missing appointments. Materials and Methods: Thirty consecutive eligible patients were alternated between two groups. Group I individuals were bonded with 0.022-inch preadjusted edgewise brackets. Group II individuals were bonded with self-ligating brackets. At the end of the first appointment, the patients were given printed sheets to record visual analogue scale (VAS) scores. Discomfort was assessed again at the first wire change as to whether one side was more or less comfortable when untied and when the new wire was ligated. Results: The minimum VAS score recorded was 0 and the maximum VAS score recorded in Group I was 5 and in Group II 6. The pain characteristic “while biting” was most commonly reported; none reported shooting pain. Conclusion: Engagement of archwire with both conventional ligating and self-ligating brackets causes pain, the difference between the two groups was statistically insignificant. After placement of the second archwire, more number of patients in SLB Group reported no pain, the measure mean intensity of pain was higher in conventional ligating group as compared to SLB Group; however, the difference between the two groups was statistically insignificant. The intensity of pain did not show any specific peaks. Patients rated disengagement of archwire as being not painful in both groups in the present study.
背景:正畸治疗一直被认为是一个痛苦的过程。正畸治疗引起的疼痛已被证明对口腔卫生工作有负面影响,也是错过预约的主要原因。材料和方法:连续30例符合条件的患者在两组之间交替。第一组个体用0.022英寸预先调整的扁括号固定。第二组个体用自结扎托槽固定。在第一次预约结束时,给患者打印表格,记录视觉模拟量表(VAS)评分。在第一次换线时再次评估不适,以确定一侧在解开和结扎新导线时是否或多或少舒适。结果:第一组VAS评分最低为0分,第二组VAS评分最高为5分和6分。“边咬边”的疼痛特征最为常见;没有人报告有枪击疼痛。结论:弓丝与传统结扎托槽和自结扎托槽的咬合均引起疼痛,两组间差异无统计学意义。放置第二根弓丝后,SLB组更多的患者报告没有疼痛,常规结扎组的测量平均疼痛强度高于SLB组;然而,两组之间的差异在统计学上是不显著的。疼痛的强度没有显示出任何特定的峰值。在本研究中,两组患者都认为弓丝脱离并不痛苦。
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引用次数: 1
Correlation of soft palate shape with skeletal malocclusion 软腭形状与骨骼错颌的相关性
IF 0.3 Q4 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2021-07-01 DOI: 10.4103/ijor.ijor_1_21
HarshaJ Kaurani, Tarvade (Daokar) Suchita
Introduction: Soft palate is a fibromuscular organ essential for phonation, deglutition, respiration, and velopharyngeal competence. It exists in various shapes including rat tail type, leaf type, butt type, straight line, crooked type, and S shaped. There have been studies in the literature that has compared the morphological variation of soft palate in genders and subjects of different age groups. However, the literature is limited regarding the correlation of soft palate shape with different skeletal patterns. Hence, this study was undertaken. Aims: To study various shape of soft palate on lateral cephalogram in patients with skeletal Class I, Class II, and Class III malocclusions. Settings and Design: A retrospective study. Subjects and Methods: Total 90 lateral cephalograms of skeletal Class I (30), Class II (30), and Class III (30) were classified on the basis of W angle into skeletal pattern as Class I, Class II, and Class III. Their soft palates were traced and compared for the shape variation. Statistical Analysis Used: Pearson's Chi-square test. Results: The result showed that crooked shape soft palate is more frequent type among the population. In skeletal Class I malocclusion, crooked was most frequent shape of palate followed by leaf shape. In skeletal Class II malocclusion, crooked was most common followed by rat tail type and in Class III malocclusion, butt shape was most common followed by leaf type. Conclusions: Significant correlation exists between the variants of soft palate and skeletal malocclusion
简介:软腭是一个纤维肌肉器官,对发音、吞咽、呼吸和腭咽能力至关重要。它有多种形状,包括鼠尾型、叶型、臀型、直线型、弯曲型和S型。文献中有研究比较了不同性别和不同年龄组受试者软腭的形态变化。然而,关于软腭形状与不同骨骼模式的相关性的文献有限。因此,进行了这项研究。目的:研究骨性一类、二类和三类错牙合患者的侧位头影上不同形状的软腭。设置与设计:一项回顾性研究。受试者和方法:根据W角将骨骼I(30)、II(30)和III(30)类的90张侧位头影分为I、II和III类。追踪并比较其软腭的形状变化。使用的统计分析:皮尔逊卡方检验。结果:弯曲型软腭在人群中较为常见。在骨骼I类错牙合中,最常见的上颚形状是弯曲的,其次是叶状。在骨骼II类错牙合中,弯曲型最常见,其次是鼠尾型;在III类错牙合中,屁股型最常见。结论:软腭变异与骨性错牙合存在显著相关性
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引用次数: 1
Forces generated with the use of intrusion arches in orthodontics – A review of literature 在正畸中使用侵入弓产生的力——文献综述
IF 0.3 Q4 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2021-07-01 DOI: 10.4103/ijor.ijor_17_21
Stuti Raj, P. Chandra, Ragni Tandon, N. Asok, Abhimanyu Singh
In routine orthodontic practice, Class II malocclusions are the most customary treated cases. The cardinal objective and radical challenge of Class II treatment is the correction of deep overbite. Correction of deep overbite should be carried out prior to retraction of teeth. Various treatment protocols are used for correction of deep overbite, in which intrusion arches are more elementary to use for correcting deep bite by true intrusion or by pseudo-intrusion. This review paper contains various intrusion arches and related studies along with the key functions which are sketched out in the form of table. Individual forces produced by intrusion arches on teeth for all tooth movements are also categorized and tabulated.
在常规正畸实践中,II类错牙合是最常见的治疗病例。II级治疗的主要目标和根本挑战是矫正深覆牙。深覆牙的矫正应在收回牙齿之前进行。各种治疗方案被用于矫正深覆层,其中入侵拱比通过真实入侵或伪入侵矫正深咬合更基本。本文综述了各种入侵拱及其相关研究,并以表格的形式概述了其关键功能。对于所有牙齿运动,牙弓对牙齿产生的单独力也进行了分类和列表。
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引用次数: 0
Evaluation of stress distribution in maxilla, mandible, and glenoid fossa after Class III intermaxillary traction: A three-dimensional finite element analysis study III类上颌间牵引后上颌、下颌骨和关节窝应力分布的评估:三维有限元分析研究
IF 0.3 Q4 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2021-07-01 DOI: 10.4103/ijor.ijor_22_21
W. Bhad, Anil Dhage, N. Baheti, Santosh J. Chavan, N. Mehta
Aim: In this study, we aimed to evaluate the stress distribution on maxilla, mandible, and glenoid fossa after application of Class III intermaxillary anteroposterior orthopedic forces of 150, 250, and 400 gas applied to a three-dimensional (3D) model of the young human dry skull. Methods: A 3D finite element model was developed from the computed tomography images of a growing boy (age, 13 years). ANSYS (version 16.0) software used to simulate Class III force of progressively increasing intensity over maxilla, mandible, and glenoid fossa to quantify the biomechanical reaction with two components, direction and stress. Results: We quantified detailed changes in the maxillofacial sutures, dentition, mandible, and glenoid fossa with bone-anchored maxillary protraction (BAMP) to analyze their effects. Conclusions: As the force increases from 150, 250 to 400 g, stresses are increased on all structures associated except maxillary central incisor which show a decrease in the stresses. Although forces were for maxillary protraction, stress generated at the circummaxillary sutures was minimal. As with any other Class III force, stresses were distributed on whole of condyle, capsular ligament, and minimal at glenoid fossa. This suggests that BAMP has more of mandibular restraining effect.
目的:在本研究中,我们旨在评估在年轻人干燥颅骨的三维(3D)模型上应用150、250和400气体的III级颌间前后矫形力后,上颌骨、下颌骨和关节窝的应力分布。方法:根据一名13岁男孩的计算机断层扫描图像建立三维有限元模型。ANSYS(16.0版)软件用于模拟上颌骨、下颌骨和关节窝上强度逐渐增加的III级力,以量化方向和应力两个分量的生物力学反应。结果:我们量化了骨锚定上颌前伸术(BAMP)对颌面缝合线、牙列、下颌骨和关节窝的详细变化,以分析其效果。结论:当力从150250g增加到400g时,除上颌中切牙外,所有相关结构上的应力都会增加,这表明应力降低。虽然力用于上颌前牵引,但在上颌周围缝合处产生的应力很小。与任何其他III级力一样,应力分布在整个髁状突、关节囊韧带上,在关节窝处分布最小。说明BAMP对下颌骨有更大的抑制作用。
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引用次数: 1
Evaluation and comparison of mechanical properties between commercially available mini-implants: An in vitro study 评估和比较市售微型植入物的机械性能:一项体外研究
IF 0.3 Q4 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2021-07-01 DOI: 10.4103/ijor.ijor_18_21
A. Singh, M. Rathore, S. Govil, Vinay Umale, R. Kulshrestha, R. Singh
Objective: The objective of this study is to evaluate the mechanical properties of different commercial brands of mini-implants by subjecting them to loads perpendicular to their long axis. Materials and Methods: A total of 120 mini-implants were divided into six groups (n = 20): Group 1A - 20 stainless steel (SS) mini-implants (SK Orthodontics, India), Group 1B - 20 SS mini-implants (BK Orthodontics, India), Group 1C - 20 SS mini-implants (JSV Surgicals, India), Group 2A - 20 titanium mini-implants (Koden surgical, India), Group 2B - 20 Titanium mini-implants (JSV Orthodontics, India), and Group 2C - 20 titanium mini-implants (Dentos, Korea) were used. The mini-implants were placed perpendicularly into 12 acrylic blocks and were submitted to mechanical tests using a standard universal testing machine (ACME, India. Model no. UNIT TEST-10). The different forces required to fracture mini-implants after undergoing 0.5, 1, 1.5, and 2 mm deformation was assessed. Results: Mini-implants in Group 2C (Titanium Dentos Korea) required the greatest force to deform and fracture, whereas Group 1C (JSV Surgicals, India) had the lowest fracture force. Statistically significant differences were seen when an intragroup comparison was done. Statistically significant differences were seen in the comparison between the SS and titanium groups (P < 0.05). The SS group required lower forces to deform and fracture as compared to the titanium group. Conclusions: SS mini-implants exhibited a high degree of resistance to deform and fracture, but they were inferior compared with titanium mini-implants. Titanium mini-implants required higher force values to deform and fracture.
目的:本研究的目的是通过对不同商业品牌的微型种植体施加垂直于其长轴的载荷来评估其力学性能。材料与方法:120个微型种植体共分为6组(n = 20): 1A - 20组不锈钢(SS)微型种植体(SK Orthodontics,印度),1B - 20组SS微型种植体(BK Orthodontics,印度),1C - 20组SS微型种植体(JSV surgical,印度),2A - 20组钛微型种植体(Koden surgical,印度),2B - 20组钛微型种植体(JSV Orthodontics,印度),2C - 20组钛微型种植体(Dentos,韩国)。微型植入物垂直放置在12个丙烯酸块中,并使用标准通用试验机(ACME,印度)进行机械测试。模型没有。单位10个)。评估了0.5、1、1.5和2 mm变形后微型植入物骨折所需的不同力。结果:mini -implant Group 2C (Titanium denttos Korea)的变形和骨折所需的力最大,而Group 1C (JSV Surgicals, India)的骨折力最小。当进行组内比较时,可以看到统计学上显著的差异。SS组与钛组比较,差异有统计学意义(P < 0.05)。与钛组相比,SS组需要更低的力来变形和断裂。结论:SS微型种植体具有较高的抗变形和抗骨折性,但与钛微型种植体相比,SS微型种植体的抗变形和抗骨折性较差。钛微型植入物需要更高的力值来变形和断裂。
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引用次数: 0
Evaluation of skeletal changes in mandibular ramus height, corpus length, and mandibular angle changes following twin block appliance therapy using cone-beam computed tomography: A clinical prospective study 锥形束计算机断层扫描评估双块矫治器治疗后下颌支高度、体长和下颌角变化的骨骼变化:一项临床前瞻性研究
IF 0.3 Q4 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2021-07-01 DOI: 10.4103/ijor.ijor_3_21
V. Shetty, K. Shetty
Aim and Objectives: This study aims to evaluate the skeletal changes in mandibular ramus height, corpus length, and mandibular angles changes following twin block (TB) functional appliance therapy using cone-beam computed tomography (CBCT). Methodology: Fifteen patients with skeletal Class II, growing of 9–14 years of age with mandibular retrognathism, were treated with TB functional appliance treatment. Pretreatment CBCT and posttreatment CBCT were taken (T0) before treatment and (T1) at the end of the 12 months following TB therapy. The data obtained are analyzed and compared for the skeletal changes in ramus height, corpus length, and mandibular angle changes following therapy. Student's paired t-test was used compare the pre- and post-treatment periods. Results: The test results demonstrate that the Ramus height (mm) in posttreatment period was significantly increased as compared to pretreatment period. The mean increase of 1.23 mm in the ramus height between pre- and post-treatment period was statistically significant at P < 0.001, and that the corpus length (mm) in posttreatment period was significantly increased as compared to pretreatment period. The mean increase of 3.35 mm in the corpus length between pre- and post-treatment period was statistically significant at P < 0.001, and demonstrate that the mean gonial angle (degrees) in posttreatment period was significantly increased as compared to pretreatment period. This mean increase of 3.18° in the gonial angle between pre- and post-treatment period was statistically significant at P < 0.001. Conclusion: TB appliance therapy increases the ramus height, and corpus length stimulating the growth of condyle in backward and upward direction and increases the gonial angle by backward rotation of mandible.
目的和目的:本研究旨在使用锥形束计算机断层扫描(CBCT)评估双块(TB)功能矫治器治疗后下颌支高度、体长和下颌角的骨骼变化。方法:15名骨骼II类患者,年龄9-14岁,患有下颌后颌畸形,接受TB功能矫治器治疗。在治疗前(T0)和治疗后(T1)在结核病治疗后12个月结束时进行预处理CBCT和治疗后CBCT。对获得的数据进行分析和比较,以了解治疗后骨骼在支高、体长和下颌角变化方面的变化。学生配对t检验用于比较治疗前后的时间。结果:试验结果表明,与治疗前相比,治疗后Ramus高度(mm)显著增加。治疗前后支高度平均增加1.23 mm,具有统计学意义,P<0.001,治疗后的语料库长度(mm)与治疗前相比显著增加。治疗前后语料库长度的平均增加3.35mm具有统计学意义,P<0.001,并表明治疗后的平均角度(度)与治疗前相比显著增加。治疗前后的角度平均增加3.18°,具有统计学意义(P<0.001)。结论:TB矫治器治疗可提高下颌支的高度和体长,刺激髁突的后向和向上生长,并可通过下颌骨的后向旋转增加角度。
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引用次数: 0
Fast track orthodontics: A review on methods of accelerating orthodontic treatment 快速口腔正畸:加速正畸治疗方法综述
IF 0.3 Q4 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2021-04-01 DOI: 10.4103/ijor.ijor_4_21
Vaibhav R Ambashikar, Suresh K. Kangane, S. Ambekar, Yatishkumar S. Joshi
Orthodontic treatment is, possibly, in terms of duration extent, the lengthiest dental procedure performed. There will be an increased favorable attitude for orthodontic treatment if the duration of the orthodontic treatment is reduced. Unfortunately, long-term orthodontic treatment also poses several disadvantages like a higher predisposition to dental caries, gingival recession, and root resorption. Quickening orthodontic tooth movement (OTM), i.e., accelerating, can remarkably decrease treatment time and side effects. Orthodontic treatment comprises the response of the tissues surrounding the tooth on which the force is being applied that happens on a cellular, mechanical level, and chemical. So, to improve the body's response to these orthodontic forces, various ways were found to accelerate the treatment, such as surgical methods (corticotomy, piezosurgery, etc.), mechanical/physical stimulation methods (vibration, lasers), drugs, etc., Hence, this review captures the current knowledge on accelerated OTM.
就持续时间而言,正畸治疗可能是最长的牙科手术。如果减少正畸治疗的持续时间,对正畸治疗的好感度会增加。不幸的是,长期的正畸治疗也带来了一些缺点,如更容易患龋齿、牙龈退缩和牙根吸收。加快正畸牙齿移动(OTM),即加速,可以显著减少治疗时间和副作用。正畸治疗包括施加力的牙齿周围组织在细胞、机械和化学水平上的反应。因此,为了改善身体对这些正畸力的反应,人们找到了各种方法来加速治疗,如手术方法(皮质切开术、压电手术等)、机械/物理刺激方法(振动、激光)、药物等。因此,本文综述了加速OTM的最新知识。
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引用次数: 1
A Content Analysis of “Ultra morphology, Surface Roughness of Enamel, and Clinical Manifestations on Dental Health after Various Enamel Stripping, Polishing, and Poststripping Enamel Protection Methods” “各种脱釉、抛光及脱釉后保护方法对牙釉质的超微形态、表面粗糙度及临床表现”内容分析
IF 0.3 Q4 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2021-04-01 DOI: 10.4103/ijor.ijor_7_21
Shitanshu Tiwari, Purva Joneja, D. Choudhary
Background: The purpose of the study is to qualitatively evaluate the ultramorphology, surface roughness, and clinical manifestations on dental health after various stripping, polishing, and postpolishing enamel protection methods which were followed by various researchers to sum up the more pragmatic and less pragmatic results through the research methodology of content analysis. Objectives: To qualitatively and inductively evaluate various stripping, polishing, and postpolishing enamel protection methods on ultramorphology and enamel surface roughness along with its clinical effects on dental health after thorough content analysis to provide a sound knowledge to the clinician to justify their decisions related to interproximal reduction (IPR), to make it an extremely useful space gaining tool if used with due caution. Materials and Methods: A comprehensive search of articles related to this study was collected from the past 25 years and a conceptual type of content analysis of all the selected articles was done. Inferences obtained through the analysis of the documented research data were then summed up in tabular form. Results: The results summated to the very important fact that all stripping methods microscopically leave a roughened enamel surface but clinically have no deleterious effects on dental health if performed judiciously followed by appropriate polishing and postpolishing protection methods. Conclusion: It can be determined that IPR should be carried out with greatest caution when using coarser stripping devices followed by prolonged polishing, but cautious use of finer stripping devices could be a better choice along with suitable polishing and protection methods.
背景:本研究的目的是通过内容分析的研究方法,定性评估不同研究人员采用的各种脱釉、抛光和抛光后牙釉质保护方法对牙齿健康的超微结构、表面粗糙度和临床表现,总结出更实用和不太实用的结果。目的:在彻底的内容分析后,定性和归纳地评估各种剥离、抛光和抛光后的牙釉质保护方法对超形态和牙釉质表面粗糙度的影响,以及其对牙齿健康的临床影响,为临床医生提供可靠的知识,以证明他们与邻区还原(IPR)相关的决定,如果谨慎使用,使其成为一种非常有用的空间获取工具。材料和方法:从过去25年中收集与本研究相关的文章,并对所有选定的文章进行概念类型的内容分析。然后,通过分析记录的研究数据得出的推论以表格形式汇总。结果:这些结果总结了一个非常重要的事实,即所有剥离方法在显微镜下都会留下粗糙的牙釉质表面,但如果明智地进行,并遵循适当的抛光和抛光后保护方法,在临床上不会对牙齿健康产生有害影响。结论:可以确定,在使用较粗的剥离装置进行长时间抛光时,应非常谨慎地进行IPR,但谨慎使用较细的剥离装置以及适当的抛光和保护方法可能是更好的选择。
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引用次数: 0
A novel diagnostic tool for sagittal jaw relationship: The P angle 一种新的矢状颌关系诊断工具:P角
IF 0.3 Q4 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2021-04-01 DOI: 10.4103/ijor.ijor_6_21
Pavankumar R Singh, A. Ambekar, Suresh K. Kangane
Aim: To introduce a new cephalometric measurement called P-angle using three skeletal landmarks&#s8212;point S, point Gn, and point A, to evaluate the sagittal relationship between the maxilla and mandible. Materials and Methods: A total of 130 pretreatment lateral cephalograms were selected and segregated into skeletal Class I, II, and III groups based on W-angle and ANB angle. It included 50 Class I (25 males and 25 females), 50 Class II (25 males and 25 females), and 30 Class III (13 males and 17 females) skeletal pattern patients. The P angle was formed between the line from point A perpendicular to the S-Gn line and line A-Gn. The P-angle and W-angle were measured in each patient. Data was entered in MS Excel sheet and analyzed by using SPSS software 24.0 version IBM USA. The mean and standard deviation of P-angle and W-angle was calculated and were compared using an unpaired t-test. Results: The unpaired t-test results showed that there is no significant difference between P-angle and W-angle in Class I, Class II, and Class III skeletal pattern. Conclusion: P-angle can be used as an adjunct for W-angle during pretreatment cephalometric tracing.
目的:介绍一种新的头部测量方法,称为p角,使用三个骨骼地标S点,Gn点和a点来评估上颌骨和下颌骨之间的矢状关系。材料与方法:选取130张预处理侧位头颅图像,根据w角和ANB角将其分为骨骼I、II、III类。其中ⅰ类患者50例(男25例,女25例),ⅱ类患者50例(男25例,女25例),ⅲ类患者30例(男13例,女17例)。P角是垂直于S-Gn线的A点与A- gn线之间的线。测量p角和w角。数据在MS Excel表格中填写,使用SPSS 24.0版IBM USA软件进行分析。计算p角和w角的均值和标准差,并采用非配对t检验进行比较。结果:未配对t检验结果显示,在I类、II类和III类骨骼模式中,p角和w角之间没有显著差异。结论:p角可作为前测头示踪中w角的辅助指标。
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引用次数: 0
An innovative therapeutic alternative for correcting the direction of eruption of a lower mandibular cuspid: A mixed dentition case report 矫正下颌尖牙萌出方向的创新治疗方案:一例混合牙列病例报告
IF 0.3 Q4 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2021-04-01 DOI: 10.4103/ijor.ijor_8_21
Patricia Vergara-Villareal, Karen Del Castillo, D. Ramírez-Ossa, D. Barbosa-Liz
The use of miniscrews (MSs) as temporary anchorage devices in orthodontics has gained increased attention among researchers in recent years. However, these screws are usually used in permanent dentition. This case report discusses a patient for which an MS was used. An 11-year-old male with mixed dentition presented an ectopic eruption in his mandibular right canine had ectopic eruption. This altered pattern of eruption was corrected using surgical exposure and orthodontic traction with an elastic chain, assisted by a 2 mm × 10 mm interradicular MS placed between the patient's first and second lower deciduous molars. After 5 months with this traction, the patient's right lower cuspid ectopic guide was corrected. This use of an interradicular MS in mixed dentition was found to be both useful and safe.
近年来,在正畸学中使用微型螺钉作为临时锚固装置越来越受到研究人员的关注。然而,这些螺钉通常用于恒牙列。本病例报告讨论了一名使用MS的患者。一名11岁的混合牙列雄性下颌右犬齿出现异位萌出。这种改变的萌出模式通过手术暴露和使用弹性链的正畸牵引进行矫正,并在患者第一和第二下乳磨牙之间放置2 mm×10 mm的根际MS辅助。经过5个月的牵引,患者的右下尖异位导向器得到了矫正。研究发现,在混合牙列中使用牙列间MS既有用又安全。
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引用次数: 1
期刊
International Journal of Orthodontic Rehabilitation
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