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Three-dimensional orthodontic anchorage management of impacted maxillary canines: A systematic review 上颌埋伏牙的三维正畸支抗处理:系统回顾
IF 0.4 Q3 Dentistry Pub Date : 2023-03-01 DOI: 10.25259/apos_132_2022
Yosra Tabchi, Y. Oualalou, F. Zaoui, Abdelali Halimi, H. Benyahia
Our work aims to provide scientific evidence by conducting a serious systematic review of the efficacy of three-dimensional (3D) anchorage devices for orthodontic traction of impacted maxillary canines.An electronic search extending from 2012 to 2022, targeting mainly clinical trials was performed on the following databases PUBMED (MEDLINE), The Cochrane Library, SCIENCE DIRECT, EBSCO HOST DATABASES, and GOOGLE SCHOLAR. The search was established on a well-defined research question following the PICO principle: population, intervention, comparator, and outcome. Search evaluation and the assessment of the risk of bias (RoB) were undertaken in each study following its type and design.Thirteen studies were included for qualitative analysis, with a low to moderate RoB. Ten studies used only heavy conventional palatal anchorage such as a fixed trans palatal arch (TPA), while one study used skeletal anchorage to manage the orthodontic traction of impacted maxillary canines. Two studies compared trans palatal arch and mini-screws efficiency to treat impacted maxillary canines.Studies proved that the trans palatal arch (TPA) presents a particular anchorage unpredictability in the sagittal, transversal, and vertical dimensions. Whereas, anchorage management using mini-screws proved to be very beneficial clinically; however, further studies must be implemented to evaluate the 3D efficacy of skeletal anchorage to place an impacted maxillary canine to its rightful position into the arch.
我们的工作旨在通过对三维支抗装置用于阻生上颌犬正畸牵引的有效性进行认真的系统评价,提供科学证据。从2012年到2022年,在PUBMED (MEDLINE)、Cochrane图书馆、SCIENCE DIRECT、EBSCO HOST数据库和GOOGLE SCHOLAR上进行了一项主要针对临床试验的电子检索。搜索是建立在一个定义明确的研究问题以下PICO原则:人口,干预,比较,和结果。每项研究都按照其类型和设计进行检索评价和偏倚风险评估(RoB)。13项研究被纳入定性分析,具有低至中等的RoB。10项研究仅使用重型常规腭支抗,如固定经腭弓(TPA),而1项研究使用骨骼支抗来管理上颌阻生犬的正畸牵引。两项研究比较了经腭弓和微型螺钉治疗上颌埋伏牙的效果。研究证明,经腭弓(TPA)在矢状面、横向面和垂直面具有特殊的支抗不可预测性。然而,使用微型螺钉进行锚固管理在临床上被证明是非常有益的;然而,还需要进一步的研究来评估骨锚定的3D效果,以将阻生上颌犬齿放置到弓的正确位置。
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引用次数: 0
Evaluation of occlusion parameters using T-scan III in patients receiving fixed orthodontic treatment 使用T-scan III评估固定正畸治疗患者的咬合参数
IF 0.4 Q3 Dentistry Pub Date : 2023-02-27 DOI: 10.25259/apos_203_2022
S. Sadry, B. Giray
The aim of this study is to examine the relationship between occlusal factors and temporomandibular joint diseases (TMD).In our study, 43 individuals who had fixed orthodontic treatment and 20 individuals who did not need treatment at Istanbul Aydin University Faculty of Dentistry Department of Orthodontics were included in the study. Evaluations were made at the beginning of treatment (T0) and at 6 months (T1). T-Scan® computerized Occlusion Analyzer was used to evaluate the number of contact points, occlusal force parameters during centric occlusion and lateral movements, and occlusion and disclusion times. Differences between groups were evaluated with Mann–Whitney or independent t-test, and within-group differences were evaluated with Wilcoxon sign test or paired t-test, depending on whether the data showed normal distribution or not.There was no statistically significant distinction between the gender-based parameters and right and left joint of Joint Vibration Analysis record in all three groups (P > 0.05). At the beginning of orthodontic treatment, there was no statistical difference in the variables within the group and between the groups. As a result of the comparison between the beginning of treatment (T0) and the 6th month (T1), no significant difference was found between the parameters of the anterior/posterior occlusal force distribution of the right-left quadrant and the force distribution of the working and non-working sides in lateral movements, and the occlusion and disclusion time parameters. Maximum intercuspal position left/right (MxlntlTSCANT1) was found to be statistically significant at 6 months in individuals who received fixed orthodontic treatment with extraction compared to the none xtraction treatment group (P < 0.05).According to our research, T-scan is one of the best devices for the early detection of TMD, especially for people undergoing orthodontic treatment. T-scan offers fast, non-invasive, and repeatable occlusion recording.
本研究旨在探讨咬合因素与颞下颌关节疾病(TMD)的关系。在我们的研究中纳入了43名在伊斯坦布尔艾丁大学牙科学院正畸系接受固定正畸治疗的患者和20名不需要治疗的患者。在治疗开始(T0)和6个月(T1)时进行评估。使用T-Scan®计算机化咬合分析仪评估接触点的数量、中心咬合和横向运动时的咬合力参数以及咬合和咬合时间。根据数据是否为正态分布,采用Mann-Whitney或独立t检验评价组间差异,采用Wilcoxon符号检验或配对t检验评价组内差异。三组患者的性别参数与关节振动分析记录的左右关节间差异均无统计学意义(P > 0.05)。正畸治疗开始时,组内、组间各变量差异均无统计学意义。治疗开始(T0)与治疗第6个月(T1)比较,左右象限前后咬合力分布参数、工作侧与非工作侧侧侧向运动力分布参数、咬合时间参数均无显著差异。固定正畸拔牙组6个月时牙尖间最大左/右位置(MxlntlTSCANT1)与不拔牙组比较差异有统计学意义(P < 0.05)。根据我们的研究,T-scan是早期发现TMD的最佳设备之一,特别是对于正在接受正畸治疗的人。t扫描提供快速、无创和可重复的闭塞记录。
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引用次数: 0
Evaluating the quality of life among patients undergoing orthognathic surgery using a customized questionnaire: A prospective study 使用定制问卷评估正颌手术患者的生活质量:一项前瞻性研究
IF 0.4 Q3 Dentistry Pub Date : 2023-02-27 DOI: 10.25259/apos_230_2022
S. Bhandari, Y. Issar, R. Rana, S. Datana
A questionnaire, specific to the clinical condition treated is important. The aim of this study was to evaluate the Quality of life (QOL) amongst patients undergoing orthognathic surgery using a customized questionnaire encompassing, patients’ perception of facial form and also patient perception of overall quality of care provided during the entire treatment.This prospective, qualitative, observational study was carried out on 21 patients, who underwent Ortho-surgical management between Jan 2019 and Mar 2020. The Orthognathic QOL questionnaire was customized, Phase I, immediately prior; and Phase II, 6 months after surgery. Appropriate analysis was done to compare Phase I and Phase II, with the level of significance set to P < 0.05.“Aesthetics” was the most frequent reported reason for seeking treatment. The mean pre-/post-treatment difference for oral function was statistically significant. Majority (87%) of patients reported surgical outcomes met their expectations. Results, post-surgery; good hospital care (33.3%), supportive doctors (28.57%) and regular follow up (9.52%).“Patients’ perspective” of treatment, is often neglected, the immense importance of which has been duly reflected in our study. We recommend the use of our questionnaire in a similar, broad based multicentric study with a larger patient base, will aid in improving overall outcome of ortho-surgical interventions.
针对所治疗的临床状况的问卷调查是很重要的。本研究的目的是评估正颌手术患者的生活质量(QOL),使用定制的问卷,包括患者对面部形状的感知以及患者对整个治疗过程中所提供的整体护理质量的感知。这项前瞻性、定性、观察性研究对21名患者进行了研究,这些患者在2019年1月至2020年3月期间接受了骨科手术治疗。Orthognathic QOL问卷是定制的,第一阶段,紧接着之前;第二阶段,术后6个月。对I期和II期进行比较分析,P < 0.05为显著性水平。“美学”是最常见的寻求治疗的原因。治疗前后口腔功能的平均差异有统计学意义。大多数(87%)患者报告手术结果达到了他们的预期。结果,对象;良好的医院护理(33.3%)、医生的支持(28.57%)和定期随访(9.52%)。“病人的观点”的治疗,经常被忽视,其巨大的重要性已经适当地反映在我们的研究。我们建议在一个类似的、广泛的、多中心的研究中使用我们的问卷,有更大的患者基础,这将有助于改善骨科手术干预的总体结果。
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引用次数: 0
Evaluation of antimicrobial property of nanochitosan coated orthodontic brackets against Streptococcus mutans and Lactobacillus acidophilus – an in vitro study 纳米壳聚糖涂层正畸托槽对变形链球菌和嗜酸乳杆菌抗菌性能的体外研究
IF 0.4 Q3 Dentistry Pub Date : 2023-02-24 DOI: 10.25259/apos_110_2022
Nathasha Mayma, Duraisamy Sangeetha, K. Ravi
The objectives of the study were to evaluate and compare the antimicrobial property of nanochitosan coated and uncoated stainless steel (SS) brackets against Streptococcus mutans and Lactobacillus acidophilus.22 SS orthodontic brackets coated with nanochitosan and 22 uncoated brackets were bonded to the crowns of extracted premolar teeth and prepared for the antimicrobial assay against S. mutans and L. acidophilus. The bacterial suspensions were incubated in Mueller Hinton broth and cultivated in Petri dish plates. The bacterial colonies were counted after 1, 6, 12, 24, and 72 h intervals using a digital colony counter. Inter and intragroup comparisons were done using independent sample t-test and repeated measures ANOVA (P ≤ 0.05).The mean colony-forming units (CFU) of S. mutans and L. acidophilus showed a significant reduction in the coated brackets from 1 h to 72 h (P = 0.000). The mean CFU of S. mutans and L. acidophilus showed a significant increase in the uncoated brackets from 1 h to 24 h and decreased thereafter at 72 h (P = 0.000) except for S. mutans between 12 h and 72 h where the difference was not statistically significant (P = 0.837). The Mean CFU of S. mutans and L. acidophilus was significantly lesser in coated brackets compared to uncoated brackets at all-time intervals (P = 0.000).Nanochitosan coated orthodontic brackets showed significant antimicrobial properties against S. mutans and L. acidophilus in short-term up to 72 h compared to uncoated SS brackets.
本研究的目的是评价和比较纳米壳聚糖涂层和未涂层不锈钢(SS)支架对变形链球菌和嗜酸乳杆菌的抗菌性能将纳米壳聚糖包覆的SS正畸托槽和22个未包覆的SS正畸托槽粘接在拔牙前磨牙的冠上,制备用于抗变形链球菌和嗜酸乳杆菌的抗菌实验。细菌悬浮液在米勒辛顿肉汤中孵育,并在培养皿中培养。使用数字菌落计数器在间隔1,6,12,24和72 h后计数细菌菌落。组间和组内比较采用独立样本t检验和重复测量方差分析(P≤0.05)。变形链球菌和嗜酸乳杆菌的平均菌落形成单位(CFU)在包被支架上从1 h显著降低到72 h (P = 0.000)。变形链球菌和嗜酸乳杆菌的平均CFU在未包覆的托槽内从1 h到24 h显著升高,在72 h后显著降低(P = 0.000),但变形链球菌在12 h到72 h之间差异无统计学意义(P = 0.837)。在所有时间间隔内,包覆支架中变形链球菌和嗜酸乳杆菌的平均CFU显著低于未包覆支架(P = 0.000)。纳米壳聚糖包覆的正畸托槽与未包覆的SS托槽相比,对变形链球菌和嗜酸乳杆菌的短期抗菌性能可达72 h。
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引用次数: 0
Evaluation of root repair using an environmental scanning electron microscope after intentional contact with microscrew 用环境扫描电镜评价与微螺钉接触后牙根修复的效果
IF 0.4 Q3 Dentistry Pub Date : 2023-02-17 DOI: 10.25259/apos_223_2022
Gaurang Suresh Patil, S. Deshmukh, Arundhati Das
The purpose of this study was to evaluate the amount of root repair that took place at varying intervals of 1 day, 2 weeks, 4 weeks and 8 weeks after intentional contact with microscrews. The results were evaluated by an environmental scanning electron microscope study (E-SEM).Ten orthodontic patients with 2 maxillary and 2 mandibular first premolars (40 premolars) to be extracted as part of the orthodontic treatment were included in this study (age 18–25 years). The position of the roots of the 4 premolars to be extracted was clinically determined and under local anesthesia, microscrew implants were placed in such a way that they directly hit the root from the buccal aspect. Implants were removed immediately after the above-mentioned procedure was performed. On the same day, premolar of the 1st quadrant (Group I) was extracted. Premolar of the 2nd quadrant (Group II) was extracted 2 weeks later. Premolar of the 3rd quadrant (Group III) was extracted 4 weeks later and premolar of the 4th quadrant (Group IV) was extracted 8 weeks later, from the day of intentional damage.Significant changes were observed in the deposition of cementum over 8 weeks which were analyzed using ESEM under magnifications of × 50, × 200, × 500, and × 5000.The damaged root surfaces due to intentional contact with microscrews showed swift repair and healing within 8 weeks. In case, the root is damaged due to improper placement technique or wrong biomechanics which may result in the implant touching the root surface, a minimum healing period of 8–10 weeks is advocated before commencing further tooth movement.
本研究的目的是评估有意接触微螺钉后1天、2周、4周和8周不同时间间隔的牙根修复量。结果通过环境扫描电镜研究(E-SEM)进行评价。本研究纳入了10例正畸患者,其中包括2颗上颌和2颗下颌第一前磨牙(40颗前磨牙),作为正畸治疗的一部分。临床确定待拔除的4颗前磨牙的牙根位置,在局部麻醉下,将微螺钉种植体从颊面直接植入牙根。植入物在完成上述手术后立即取出。当日拔除第一象限前磨牙(第一组)。2周后拔除第二象限前磨牙(II组)。4周后拔除第3象限的前磨牙(III组),8周后拔除第4象限的前磨牙(IV组)。在× 50、× 200、× 500和× 5000的放大倍率下,观察到8周内牙骨质沉积的显著变化。由于故意接触微螺钉导致的根面损伤在8周内迅速修复和愈合。如果由于放置技术不正确或生物力学错误导致种植体触及根面而导致牙根受损,建议至少愈合8-10周后再进行进一步的牙齿移动。
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引用次数: 0
Class II and anterior open bite malocclusion treated with mini-implants, intermaxillary elastics, speech therapy, and retained with a night-wear palatal crib wraparound II类和前开合错的治疗采用微型种植体,上颌间弹性,语言治疗,并保留了一个睡衣的腭床包裹
IF 0.4 Q3 Dentistry Pub Date : 2023-02-10 DOI: 10.25259/apos_196_2022
F. Martinelli
The teeth position in anterior open bite malocclusion depends on a balance of pressure between the tongue and lips and the treatment planning should include such variables. The objective of this study was to report an orthodontic case of an adult with maxillary protrusion and anterior open bite treated with skeletal anchorage and intermaxillary elastics. The patient presented a Class II malocclusion with anterior open bite, without a history of non-nutritive habits, and mandibular missing teeth at 54 years old. Mini-implants were inserted in the maxillary molars region to produce distal movement of the maxillary dentition while controlling molar extrusion, and in the mandibular anterior region on the left side to produce mesial movement of posterior teeth. Up and down intermaxillary elastics were worn in the area of the incisors to treat the open bite together with Class II intermaxillary elastics. Cleats were bonded in the lingual surface of the anterior teeth as spurs to the tongue posture. However, the best result on the anterior open bite treatment was coincident with the speech therapy. Normal relationships between the maxillary and mandibular occlusal plane of cusps, correct anterior overbite, and adequate proximal relationships were obtained at the end of treatment. The retention modality to the maxillary arch was daily wear of a removable standard wraparound and a night-time wraparound with the palatal crib. The new technology allows for more effective treatment in adults and speech therapy was helpful to achieve balanced pressure between the tongue and lips.
前开合错牙的牙位取决于舌唇之间的压力平衡,治疗计划应包括这些变量。本研究的目的是报告一例成人上颌突出和前开咬用骨锚定和上颌间弹性治疗的正畸病例。患者54岁,表现为II类错颌,前开咬,无非营养习惯史,下颌缺牙。在上颌磨牙区种植微型种植体,使上颌牙列远端运动,同时控制磨牙挤压;在左侧下颌前区种植微型种植体,使后牙近端运动。上颌间弹性带与II类上颌间弹性带一起在门牙区域佩戴,用于治疗开咬。前牙舌面粘接有舌钉,作为舌位的马刺。然而,前牙开咬治疗的最佳效果与言语治疗一致。治疗结束时,上颌和下颌牙尖咬合平面关系正常,前牙合正确,近端关系良好。上颌弓的固定方式是每天佩戴一个可移动的标准环绕体和一个夜间环绕体与腭床。这项新技术允许对成人进行更有效的治疗,言语治疗有助于实现舌头和嘴唇之间的压力平衡。
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引用次数: 1
Dietary experiences during fixed orthodontic treatment 固定正畸治疗期间的饮食经验
IF 0.4 Q3 Dentistry Pub Date : 2023-01-24 DOI: 10.25259/apos_164_2022
Priscilla Lee Xie En, O. SoYeon, Najwa Nawarah Mohamad Nor, L. Mei, M. Farella, Sabarinath Prasad
Orthodontists generally recommend avoidance of certain foods during fixed appliance (FA) treatment, based on anecdotal information. This study aimed to identify the dietary preferences and experiences of patients undergoing FA treatment as a step toward the preparation of evidence-based dietary guidelines.Questionnaires regarding dietary preferences and experiences of patients undergoing FA treatment were applied to a convenience sample of 38 adolescents (12 M; 26 F). Open-ended responses were summarized and visualized in a world cloud generator. 5-point Likert and Visual Analog Scales (VAS) were used to record the closed-ended responses. Descriptive statistics and multivariate analysis of variance were used to analyze questionnaire findings.Lollies, apples, and nuts frequently caused problems with FA. The most frequent reason for avoiding certain types of food was worry about appliance breakage, followed by pain and sensitivity. VAS scores indicated that toffee and caramel scored highest (65.1% F and 54.1% M) for discomfort followed by corn on the cob (64.4% F and 48.7% M) and apples (56.6% F and 55.3% M). VAS scores did not differ significantly between the sexes (P > 0.05). Nearly, a quarter of the sample reported that FA negatively affected their eating behaviors, causing pain and discomfort during eating. No sex differences (P > 0.05) were found for negative experiences with food.Dietary preferences and experiences of patients undergoing FA treatment were identified concerning a New Zealand diet profile. A future study with a larger sample size will help formulate evidence-based dietary guidelines during FA treatment.
基于轶事信息,正畸医生通常建议在固定矫治器(FA)治疗期间避免某些食物。本研究旨在确定接受FA治疗的患者的饮食偏好和经历,作为准备循证饮食指南的一步。关于接受FA治疗的患者的饮食偏好和经历的问卷调查应用于38名青少年(12 M;26 F).开放式回答在世界云生成器中进行总结和可视化。采用李克特5分评分法和视觉模拟量表(VAS)记录封闭式反应。采用描述性统计和多变量方差分析对问卷调查结果进行分析。棒棒糖、苹果和坚果经常引起FA问题。避免某些食物最常见的原因是担心器具破损,其次是疼痛和敏感。VAS评分显示,太妃糖和焦糖的不适评分最高(65.1% F和54.1% M),其次是玉米棒(64.4% F和48.7% M)和苹果(56.6% F和55.3% M),性别间无显著差异(P > 0.05)。近四分之一的样本报告说,FA对他们的饮食行为产生了负面影响,在进食时引起疼痛和不适。对食物的负面体验无性别差异(P > 0.05)。饮食偏好和经历的患者接受FA治疗确定有关新西兰饮食概况。未来更大样本量的研究将有助于制定FA治疗期间的循证饮食指南。
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引用次数: 0
Can smile influence the lower anterior vertical facial height on frontal view in an adult Asian female subject? A cross-sectional study 微笑是否会影响成年亚洲女性受试者正面观的下垂直面部高度?横断面研究
IF 0.4 Q3 Dentistry Pub Date : 2023-01-24 DOI: 10.25259/apos_224_2022
Umair Shoukat Ali, Aqeel Ahmed, Ashfaq Younus, R. Sukhia, Mubassar Fida
Smile is a universal phenomenon, the effect of which is not discovered on the lower anterior facial height (LAFH). The objective of this study was to determine the influence of smile on different LAFH in frontal view as assessed by different panels of raters using visual analog scale (VAS) in a female subject.The frontal photographs (at rest and on smile) were taken at natural head position of a female subject aged 28 years old after taking informed consent. LAFH of the photographs was modified using a Photoshop software (Adobe Systems, San Jose, Calif.). Sixty raters equally divided into orthodontic residents, general dentists, and laypersons were given a VAS to make subjective assessments of facial attractiveness of the modified photographs. Comparison of raters’ scores was done using Kruskal–Wallis and Mann–Whitney U-tests. Wilcoxon Signed-Rank test was used to compare the esthetic scores of the subject at rest and with smile.The mean age of the all raters was comparable (early adulthood). All raters preferred normal or slightly shorter LAFH in both postures, that is, at smile and rest. Similarly, all raters disliked long face modifications. On comparing smile and rest photographs at various LAFH, we found less VAS scores for smile. Gender of raters played no role in difference of VAS scores.All the panels of rater found normal LAFH to be the most attractive; however, the panels disliked long face modifications on both smile and at rest. Smile had no positive influence on the VAS scores as assumed so the effect of “Smiloflage” must be investigated further to understand it properly.
微笑是一种普遍现象,它对面部前高度(LAFH)的影响并不明显。摘要本研究采用视觉模拟量表(visual analogue scale,简称VAS),通过不同的评分小组评估微笑对女性受试者正面不同LAFH的影响。正面照片(休息时和微笑时)是一名28岁的女性受试者在知情同意后以自然头部姿势拍摄的。使用Photoshop软件(Adobe Systems, San Jose, california)对照片的LAFH进行了修改。60名评分者平均分为正畸住院医师、普通牙医和外行人,对修改后的照片的面部吸引力进行主观评估。使用Kruskal-Wallis和Mann-Whitney u检验来比较评分者的分数。采用Wilcoxon sign - rank测验比较被试在休息状态和微笑状态下的审美得分。所有评分者的平均年龄具有可比性(成年早期)。所有评分者都倾向于两种姿势的正常或稍短的LAFH,即微笑和休息。同样,所有的评分者都不喜欢长脸修改。在比较不同LAFH的微笑和休息照片时,我们发现微笑的VAS评分较低。评分者性别对VAS评分差异无影响。所有的rater面板都认为正常LAFH最具吸引力;然而,研究小组不喜欢在微笑和休息时拉长脸。如假设的那样,微笑对VAS评分没有积极影响,因此必须进一步研究“smiloflag”的作用才能正确理解它。
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引用次数: 0
In vitro examination of fracture resistance of 3D-printed resin blocks in different diameters 不同直径3d打印树脂块的体外抗断裂性能研究
IF 0.4 Q3 Dentistry Pub Date : 2023-01-10 DOI: 10.25259/apos_170_2022
K. Topsakal, M. Aksoy, G. S. Duran
The intraoral use of commercial printable polymers in dental patients is still a challenge due to the unknown physical properties of the materials. The present study aimed to comparably evaluate the maximum load and deflection values of three-dimensional-printed resin blocks in different diameters that can be used intraorally in dental patients.Forty-five cylindrical resin blocks in diameters of 2 mm (Group 1, n = 15), 3 mm (Group 2, n = 15), and 4 mm (Group 3, n = 15) and lengths of 20 mm were designed and printed. The samples were placed in the universal testing device to conduct the 3-point bending test. According to the Shapiro–Wilk normality test results, Kruskal–Wallis and Mann–Whitney U tests were performed for the statistical analysis. The level of statistical significance was accepted as P < 0.05.The values for the maximum load (N) and deflection (mm) in the study groups were 218.4 ± 31.9, 2.96 ± 0.86 in Group 3; 77.05 ± 61.5, 3.91 ± 0.92 in Group 2; and 19.67 ± 2.63, 4.06 ± 1.02 in Group 1, respectively. The mean values of maximum load for Group 3 were superior to Group 2 (P = 0.020) and Group 1 (P = 0.00). Group 2 revealed higher maximum load results than Group 1 (P = 0.003). The mean values of maximum deflection in Group 3 were lower compared to Group 2 (P = 0.014) and Group 1 (P = 005).The results of this in vitro study encourage the use of resin-printed intraoral appliances in place of conventional treatment modalities.
由于材料的物理性质未知,商用可打印聚合物在牙科患者的口腔内使用仍然是一个挑战。本研究旨在比较不同直径的三维打印树脂块在口腔内应用的最大载荷和挠度值。设计并打印了45个圆柱形树脂块,直径分别为2mm(第1组,n = 15)、3mm(第2组,n = 15)和4mm(第3组,n = 15),长度为20mm。将试样置于万能试验装置中进行三点弯曲试验。根据Shapiro-Wilk正态性检验结果,采用Kruskal-Wallis检验和Mann-Whitney U检验进行统计分析。以P < 0.05为差异有统计学意义。各组最大载荷(N)和挠度(mm)分别为218.4±31.9,3组为2.96±0.86;2组77.05±61.5,3.91±0.92;1组分别为19.67±2.63、4.06±1.02。组3的最大负荷平均值优于组2 (P = 0.020)和组1 (P = 0.00)。组2最大负荷结果高于组1 (P = 0.003)。组3的最大挠度平均值低于组2 (P = 0.014)和组1 (P = 005)。这项体外研究的结果鼓励使用树脂打印的口腔内矫治器来代替传统的治疗方式。
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引用次数: 0
Age-related perceptions of laypeople on Class II facial profile alterations 外行人对第二类面部轮廓变化的年龄相关认知
IF 0.4 Q3 Dentistry Pub Date : 2023-01-06 DOI: 10.25259/apos_101_2022
Wiwan Tipyanggul, C. Changsiripun, Niramol Chamnannidiadha
The treatment plan for young patients with skeletal abnormalities is often selected by their parents. However, the treatment outcome should correspond with the patient’s preference to reduce the treatment need in the future. This study aimed to investigate the influence of post-treatment facial profiles in a skeletal Class II female subject on esthetic perceptions by laypeople of different age groups.Seven digitally adjusted profile images of predetermined nasolabial angle (NLA) and facial contour angle (FCA) were obtained from a female with skeletal Class II. These profile images were evaluated by 180 laypeople and were stratified according to three age groups (12–15, 22–32, and 44–54 years) using a visual analog scale and ranking order.The slightly convex profile with normal NLA (11° FCA and 91° NLA) was the most preferred by all age groups. The convex profile with the largest NLA (17° FCA and 115° NLA) was the least preferred by age group 12–15 and 44–54 years and the convex profile with normal NLA (17° FCA and 91° NLA) was the least preferred by age group 22–32 years. Sex was found to be significantly related to the rating score with females rated higher scores.The most attractive profile for all three age groups was a mandibular advancement-simulating profile. The least attractive profile for age groups 12–15 and 44–54 years was a most camouflage-simulating profile, while the least attractive profile for age group 22–32 years was an untreated most pronounced Class II profile.
患有骨骼异常的年轻患者的治疗方案通常由他们的父母选择。然而,治疗结果应符合患者的偏好,以减少未来的治疗需求。本研究旨在探讨骨骼II类女性受试者治疗后面部轮廓对不同年龄组外行人审美知觉的影响。对一名II类骨骼女性进行了7张数字调整后的预定鼻唇角(NLA)和面部轮廓角(FCA)的侧面图像。这些侧面图像由180名外行人评估,并按照视觉模拟量表和排名顺序按3个年龄组(12-15岁、22-32岁和44-54岁)进行分层。所有年龄组最喜欢的是轻度凸型,正常的NLA(11°FCA和91°NLA)。NLA最大的凸型(17°FCA和115°NLA)在12-15岁和44-54岁年龄组中最不受欢迎,而NLA正常的凸型(17°FCA和91°NLA)在22-32岁年龄组中最不受欢迎。性别与评分得分显著相关,女性得分更高。对所有三个年龄组最具吸引力的轮廓是下颌推进模拟轮廓。在12-15岁和44-54岁年龄组中,最不吸引人的剖面是最伪装的剖面,而在22-32岁年龄组中,最不吸引人的剖面是未经处理的最明显的II类剖面。
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引用次数: 0
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APOS Trends in Orthodontics
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