Seminars in Orthodontics最新文献_第2页

Guidelines for Aligner MAs: Twelve Strategies using Supercorrection Prescriptions and TADs for Enhanced Growth Modifications in Class II correction 40-years later 矫正器MAs指南：在40年后的II类矫正中使用超矫正处方和TADs增强生长修饰的12种策略

IF 2 4区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Seminars in Orthodontics

Pub Date : 2026-02-01 DOI: 10.1053/j.sodo.2025.06.004

John C. Voudouris , John Dean Voudouris , Sundaralingam Premaraj , Thyagaseely Sheela Premaraj , Olivier Nicolay

To assist diagnosis and treatment procedures with functional, Aligner Mandibular Advancer (MA) treatment step-by-step guidelines are indicated. The latest scientific and clinical advances in Aligner MA therapy that enhance Class II correction are outlined. New guidelines are listed as twelve checklist strategies combined with the 8 supercorrection prescription recommendations from the literature, for each of 8 different orthodontic movements to place directly into the digital set-up. They are supported by several scientific evidence-based studies to control bias. Sequential steps in the checklist aim to improve skeletal changes to ensure long-term stability. The checklist includes treatment timing of non-peak, versus peak growth with a 3.36 times (1.1 to 3.7 mm/tx respectively) increase in supplemental mandibular lengthening, and patient selection criteria using FMA ≤ 26° (or CoGoMe ≤126°,Y-axis S-Gn to FH ≤ 59°). The carpal radiograph is recommended for treatment timing because CVM has been shown low reliability in several studies. The MA guideline reviews the steps to protect the TMJ, and prevent lower incisor proclination common with prior functional MA. Although most Aligner MAs do not incorporate TADs, skeletal TAD-Anchored MA (TAMA) helps maintain the lower incisors upright and maximizes the MA. Aligner MA growth modifications are assisted by supercorrecting upper and lower incisor torque for a maximum horizontal MA distance, along with other mechanotherapies. Preventing refinements or troubleshooting and clinical appliance management are reviewed. Several MA patients are presented long-term ranging from 2 to 11 years in retention.

为了协助诊断和治疗程序与功能，下颌矫正器（MA）治疗分步指南指出。最新的科学和临床进展，对准器MA治疗，加强二类矫正概述。新的指导方针列出了12个清单策略，结合8个来自文献的超级矫正处方建议，针对8种不同的正畸运动中的每一种直接放置到数字设置中。它们得到了几项以科学为基础的研究的支持，以控制偏见。清单中的顺序步骤旨在改善骨骼变化以确保长期稳定性。检查表包括非峰值与峰值生长的治疗时机（分别增加1.1至3.7 mm/tx），以及使用FMA≤26°（或CoGoMe≤126°，y轴S-Gn至FH≤59°）的患者选择标准。由于几项研究显示CVM的可靠性较低，因此推荐腕片作为治疗时机。MA指南回顾了保护TMJ的步骤，并防止下门牙前倾与先前的功能性MA常见。虽然大多数矫正器MA不包含TADs，但骨骼tad锚定MA （TAMA）有助于保持下门牙直立并最大化MA。矫正器的MA生长修饰是通过超级矫正上切牙和下切牙扭矩来实现最大水平MA距离，以及其他机械疗法。审查了预防改进或故障排除和临床器械管理。一些MA患者表现出2至11年的长期滞留。

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引用次数: 0

The thickness and gap width of aligners made of three types of thermoforming materials: An in-vitro study 三种热成型材料制作的对准器厚度和间隙宽度的体外研究

IF 2 4区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Seminars in Orthodontics

Pub Date : 2026-02-01 DOI: 10.1053/j.sodo.2024.08.005

Xiaoling Liao , Fengqiong Huang , Wuya Chen , Xiaoyan Cai , Yu Lu , Zhiying Zhou

This study compared the trends in thickness and gap width of three films commonly used in invisible orthodontic techniques on different parts of the teeth after thermoforming. Thirty pieces of three types of orthodontic thermoplastic materials, including polyethylene terephthalate (PET), polyethylene terephthalate glycol (PETG), and thermoplastic polyurethane (TPU) films, with each type consisting of 10 films, each 0.75 mm in thickness, were utilized. A total of 720 locations in the maxillary central incisors, canines, and the first molars of the resin model were localized and measured. The thermoforming films on the model were scanned using cone-beam computed tomography (CBCT), and the sectional images were analyzed by the ImageJ software. The thickness and gap width were the greatest for PET, followed by PETG, and TPU had the smallest values. In the anterior teeth, the distribution of thickness for the three films was rather consistent (P > 0.05). In the posterior teeth, there was an uneven distribution of thickness and a reduction in thickness from the crown to the cervical area (P < 0.05). The central incisors, canines, first molar mesial, and first molar distal had statistically significant differences in the gap widths of the three films (P < 0.001), and the gap widths increased from anterior to posterior teeth. The thickness distribution of the three films in the anterior teeth was more uniform and better fit for the three films compared to the posterior teeth. From a clinical point of view, the results of this study can may explain the superior controllability of clear aligners for orthodontic tooth movement in the anterior region.

本研究比较了三种隐形正畸技术中常用的膜在牙齿不同部位热成型后的厚度和间隙宽度的变化趋势。采用聚对苯二甲酸乙二醇酯（PET）、聚对苯二甲酸乙二醇酯（PETG）和热塑性聚氨酯（TPU）三种正畸热塑性材料30片，每种材料10片，厚度为0.75 mm。在树脂模型的上颌中切牙、犬齿和第一磨牙共720个位置进行定位和测量。采用锥形束ct （cone-beam computed tomography， CBCT）对模型上的热成型膜进行扫描，并用ImageJ软件对断层图像进行分析。PET的厚度和间隙宽度最大，PETG次之，TPU最小。在前牙中，三种膜的厚度分布较为一致（P > 0.05）。后牙厚度分布不均匀，从冠区到颈区厚度减少（P < 0.05）。中切牙、犬齿、第一磨牙中、第一磨牙远端三种膜间隙宽度差异有统计学意义（P < 0.001），且间隙宽度由前牙向后牙逐渐增大。与后牙相比，前牙的三层膜厚度分布更均匀，更适合三层膜。从临床角度来看，本研究的结果可以解释透明矫正器对正畸前区牙齿运动的优越可控性。

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Clear aligner treatment with orthognathic surgery 用正颌手术治疗牙齿矫正器

IF 2 4区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Seminars in Orthodontics

Pub Date : 2026-02-01 DOI: 10.1053/j.sodo.2025.02.007

Igor Lavrin , Sarah Lawrence

Clear aligner therapy offers an aesthetic alternative to traditional braces and, when combined with orthognathic surgery, enhances treatment outcomes for complex skeletal cases. This paper outlines the authors’ protocols for integrating aligners with surgery and presents three case reviews using different aligner systems. The cases demonstrate the role of aligners in pre-surgical decompensation, intra-operative management, and post-surgical finishing.

清除矫正器治疗提供了传统牙套的美学选择，当与正颌手术相结合时，提高了复杂骨骼病例的治疗效果。本文概述了作者将矫正器与手术相结合的方案，并介绍了使用不同矫正器系统的三个病例回顾。这些病例证明了矫正器在术前失代偿、术中管理和术后整理中的作用。

引用次数: 0

Instagram and clear aligner therapy: A content analysis of patient perspectives Instagram和透明矫治器疗法：患者观点的内容分析。

IF 2 4区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Seminars in Orthodontics

Pub Date : 2026-02-01 DOI: 10.1053/j.sodo.2024.05.009

Vincenzo Grassia , Fabrizia d'Apuzzo , Reem A. Alansari , Abdolreza Jamilian , Babak Sayahpour , Samar M. Adel , Ludovica Nucci

Background

The popularity of clear aligner treatment (CAT) has been on the rise. Improving treatment satisfaction with CAT requires an in-depth understanding of the patient's perspectives. Nowadays, patients use social media to share authentic treatment experiences. This study aimed to explore the content of CAT-related Instagram posts before, during, and after CAT.

Materials and methods

This study used mixed quantitative and qualitative methods. A social media monitoring software, Awario^TM, was used to collect Instagram CAT-related posts over 4 weeks and categorize them as positive, negative, and neutral ones. Three investigators manually reviewed this categorization. The sentiments of posts before, during, and after treatment were compared using Chi-square tests. Qualitative analysis of post content was carried out to extract themes relevant to patient experiences.

Results

A total of 2015 posts were included in the analysis, including posts before (n=422), during (n=1503), and after (n=90) CAT. The majority of posts (90%) before CAT were positive in sentiment analysis. In contrast, there were more negative than positive posts during CAT (54.8% and 45.2% respectively). Among notable sources of negative sentiments there were pain, unfavorable esthetic appearance of attachments, and sleep difficulties. While 60% of post-treatment posts contained positive sentiments about treatment outcomes and the patient-clinician relationship, 40% were negative and focused on the length of treatment being longer than expected.

Conclusions

High expectations among the public are prevalent before using CAT. Discrepant negative sentiments are revealed during treatment due to pain, attachments, sleep difficulties, and other factors. Patients reflect negatively on the treatment duration after the treatment is concluded. Clinicians should focus on these patient perceptions when counseling them before and during CAT.

清洁牙齿矫正器治疗（CAT）的普及程度一直在上升。提高CAT治疗满意度需要深入了解患者的观点。如今，患者通过社交媒体分享真实的治疗经验。本研究旨在探讨CAT之前，期间和之后与CAT相关的Instagram帖子的内容。材料与方法本研究采用定量与定性相结合的方法。使用社交媒体监测软件AwarioTM收集了4周内与Instagram cat相关的帖子，并将其分为积极、消极和中性。三名调查人员手动审查了这一分类。采用卡方检验比较治疗前、治疗期间和治疗后帖子的情绪。对帖子内容进行定性分析，以提取与患者经历相关的主题。结果共纳入2015篇文章，包括CAT前（n=422）、CAT中（n=1503）和CAT后（n=90）的文章。在CAT之前，大多数帖子（90%）的情绪分析是积极的。相反，在CAT期间，负面帖子比正面帖子多（分别为54.8%和45.2%）。在负面情绪的显著来源中，有疼痛、不良的依恋外观和睡眠困难。60%的治疗后帖子对治疗结果和医患关系持积极态度，40%的帖子持消极态度，主要关注治疗时间长于预期。结论公众对CAT的期望值较高。在治疗过程中，由于疼痛、依恋、睡眠困难和其他因素，出现了不一致的负面情绪。治疗结束后，患者对治疗时间的评价为负面。临床医生在CAT之前和期间进行咨询时，应该关注这些患者的看法。

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引用次数: 0

Methodological issues in current clear aligner research 当前清晰对准器研究中的方法学问题

IF 2 4区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Seminars in Orthodontics

Pub Date : 2026-02-01 DOI: 10.1053/j.sodo.2025.02.005

Daniel Sim, Mauro Farella

Clear aligner therapy (CAT) has become a popular alternative to fixed orthodontic appliances. However, persistent methodological issues challenge the evaluation of its effectiveness.

Most studies rely on small-scale, non-randomised, retrospective designs, raising concerns about selection bias and limited external validity. Other methodological shortcomings, including unclear treatment endpoints, inadequate adjustments for confounding variables, and a lack of long-term outcomes, further complicate comparisons with fixed appliances.

While CAT demonstrates potential advantages in maintaining oral hygiene, reducing plaque accumulation, and preventing white spot lesions, its effectiveness in achieving complex tooth movements, such as rotations and root torque, remains quite limited. Although CAT appears to be effective for mild to moderate malocclusions, fixed appliances may still achieve better outcomes in more complex cases.

Until future research addresses these methodological gaps and establishes a stronger evidence base, clinicians are advised to prescribe CAT cautiously, especially for complex treatments.

清除矫正器治疗（CAT）已成为一种流行的替代固定正畸矫治器。然而，持续存在的方法问题对其有效性的评估提出了挑战。大多数研究依赖于小规模、非随机、回顾性设计，这引起了对选择偏差和有限外部有效性的担忧。其他方法学上的缺陷，包括治疗终点不明确，对混杂变量调整不足，以及缺乏长期结果，进一步使与固定器械的比较复杂化。虽然CAT在维持口腔卫生、减少牙菌斑积累和预防白斑病变方面显示出潜在的优势，但它在实现复杂的牙齿运动（如旋转和牙根扭矩）方面的有效性仍然相当有限。虽然CAT似乎对轻度到中度错咬合有效，但在更复杂的病例中，固定矫治器仍然可以取得更好的结果。在未来的研究解决这些方法学上的差距并建立更强有力的证据基础之前，建议临床医生谨慎地开CAT处方，特别是对于复杂的治疗。

引用次数: 0

Future Issues 未来的问题

IF 2 4区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Seminars in Orthodontics

Pub Date : 2026-02-01 DOI: 10.1053/S1073-8746(25)00166-5

引用次数: 0

Optimizing complex tooth movements with clear aligners: The role of temporary anchorage devices in molar uprighting and distalization – a case series 优化复杂的牙齿运动与明确的对准器：临时锚定装置在磨牙直立和远端-一个案例系列的作用

IF 2 4区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Seminars in Orthodontics

Pub Date : 2026-02-01 DOI: 10.1053/j.sodo.2025.09.010

Mohamad Al Husini , Bhadrinath Srinivasan

Clear aligner therapy has become a notable treatment method in orthodontics, as patients widely accept it due to its superior aesthetic appeal. They differ from conventional fixed appliances by exerting a push force, not a pull one, to move teeth, making it biomechanically unique. Despite their widespread use, the predictability of outcomes with clear aligners, particularly for difficult tooth movements (uprighting and distalization of posterior teeth), is lower than that of fixed appliances. During uprighting of molars, difficulties may arise due to the anatomical complexity of the tooth, the biomechanical requirements for controlled root movement, anchorage needs, and limitations in appliance design. Distalization poses challenges like anchorage demands, risk of tipping instead of bodily movement, space limitations, appliance dependence, and unwanted reciprocal effects. Auxiliaries like Temporary Anchorage Devices (TADs)provide stable anchorage, prevent reciprocal tooth movements, and help accomplish complex tooth movements. Integration of TADs into clear aligner therapy will effectively improve the predictability of complex tooth movements. This paper uses different case examples to demonstrate the use of temporary anchorage devices and clear aligners to handle complex tooth movements like uprighting and distalization of posterior teeth.

透明矫正器因其优越的美观性，已成为口腔正畸治疗中备受关注的一种治疗方法。与传统的固定器械不同的是，它们通过施加推力而不是拉力来移动牙齿，这使得它在生物力学上是独一无二的。尽管它们被广泛使用，但使用透明矫正器的结果的可预测性，特别是对于困难的牙齿运动（后牙的直立和远端），比固定矫治器低。在臼齿扶正过程中，由于牙齿的解剖复杂性、控制牙根运动的生物力学要求、支抗需求以及矫治器设计的局限性，可能会出现困难。远端化带来了一些挑战，如锚固要求、倾斜而不是身体运动的风险、空间限制、器械依赖和不必要的相互影响。像临时固支装置（TADs）这样的辅助装置提供稳定的固支，防止牙齿的相互运动，并帮助完成复杂的牙齿运动。将TADs整合到清晰矫正器治疗中，将有效提高复杂牙齿运动的可预测性。本文通过不同的案例来展示临时支抗装置和清晰对准器的使用，以处理复杂的牙齿运动，如后牙的直立和远端。

{"title":"Optimizing complex tooth movements with clear aligners: The role of temporary anchorage devices in molar uprighting and distalization – a case series","authors":"Mohamad Al Husini , Bhadrinath Srinivasan","doi":"10.1053/j.sodo.2025.09.010","DOIUrl":"10.1053/j.sodo.2025.09.010","url":null,"abstract":"<div><div>Clear aligner therapy has become a notable treatment method in orthodontics, as patients widely accept it due to its superior aesthetic appeal. They differ from conventional fixed appliances by exerting a push force, not a pull one, to move teeth, making it biomechanically unique. Despite their widespread use, the predictability of outcomes with clear aligners, particularly for difficult tooth movements (uprighting and distalization of posterior teeth), is lower than that of fixed appliances. During uprighting of molars, difficulties may arise due to the anatomical complexity of the tooth, the biomechanical requirements for controlled root movement, anchorage needs, and limitations in appliance design. Distalization poses challenges like anchorage demands, risk of tipping instead of bodily movement, space limitations, appliance dependence, and unwanted reciprocal effects. Auxiliaries like Temporary Anchorage Devices (TADs)provide stable anchorage, prevent reciprocal tooth movements, and help accomplish complex tooth movements. Integration of TADs into clear aligner therapy will effectively improve the predictability of complex tooth movements. This paper uses different case examples to demonstrate the use of temporary anchorage devices and clear aligners to handle complex tooth movements like uprighting and distalization of posterior teeth.</div></div>","PeriodicalId":48688,"journal":{"name":"Seminars in Orthodontics","volume":"32 1","pages":"Pages 203-216"},"PeriodicalIF":2.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146081431","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Integration of skeletal anchorage and clear aligners in challenging malocclusions: A case series 整合骨骼锚固和明确对准具挑战性的错咬合：一个案例系列

IF 2 4区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Seminars in Orthodontics

Pub Date : 2026-02-01 DOI: 10.1053/j.sodo.2025.07.010

Riccardo Riatti , Lucia Pozzan , Luca Contardo , Letizia Perillo , Ludovica Nucci , Vincenzo Grassia

Aim

Advances in technology have extended the use of clear aligners (CA) to more complex cases, such as severe crowding, extraction protocols, and distalization movements. However, achieving controlled tooth movement in these cases remains challenging. This case series evaluates the combined use of CA and Temporary anchorage devices (TADs) in managing complex vertical malocclusions, focusing on biomechanical efficacy, aesthetic outcomes, and clinical efficiency.

Materials and Methods

Three clinical complex cases were analyzed: vertical bilateral traction of impacted maxillary canines, intrusion of a supra-erupted molar due to missing antagonists, and simultaneous intrusion and distalization of the upper arch in a hyperdivergent patient. In each case, palatal or interradicular Mini screws were strategically placed to ensure controlled tooth movement while preserving aesthetics to overcome the limitations of CA.

Results

The combination of CA and TADs successfully achieved controlled extrusion of impacted canines, precise intrusion of supra-erupted teeth, and reliable intrusion with distalization of the upper arch without compromising biomechanical efficiency. Enhanced patient compliance further reduced treatment duration and improved clinical outcomes.

Conclusion

The integration of TADs with CA enabled effective, predictable tooth movement, significantly expanding the applicability of CA to complex malocclusions. This integrated method balances aesthetics and biomechanics, offering a reliable, patient-friendly solution for achieving optimal functional and aesthetic orthodontic outcomes.

技术的进步已经将透明对准器（CA）的使用扩展到更复杂的病例，如严重拥挤、提取方案和远端运动。然而，在这些情况下实现控制牙齿运动仍然具有挑战性。本病例系列评估了CA和临时支抗装置（TADs）在处理复杂垂直错咬合中的联合使用，重点关注生物力学效果、美学结果和临床效率。材料与方法对3例临床复杂病例进行分析：上颌牙双侧垂直牵引，拮抗剂缺失导致上突磨牙侵入，上突牙弓同时侵入和远端。结果CA和TADs的结合成功地控制了阻生犬的挤压，精确地侵入上突牙，并在不影响生物力学效率的情况下可靠地侵入上弓远端。患者依从性的提高进一步缩短了治疗时间并改善了临床结果。结论TADs与CA的结合可有效预测牙体运动，显著扩大了CA在复杂错牙合中的适用性。这种综合方法平衡了美学和生物力学，为实现最佳功能和美学正畸结果提供了可靠的、对患者友好的解决方案。

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引用次数: 0

Patient-centered surgery first orthognathic treatment using clear aligners 以患者为中心的手术首先使用透明矫正器进行正颌治疗

IF 2 4区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Seminars in Orthodontics

Pub Date : 2026-02-01 DOI: 10.1053/j.sodo.2025.06.008

KyungMin Clara Lee DDS, MSD, PhD , Haeun Moon DDS, MSD, PhD

This review explores a patient-centered approach to surgery-first orthognathic treatment using clear aligners, emphasizing the integration of additional esthetic procedures and the significance of postsurgical stability and patient cooperation. It discusses protocols such as guiding splint management for proximal segment stabilization and presurgical simulated bite scanning to fabricate aligners in advance, using localized biological responses to enhance the rate of postsurgical tooth movement. Postsurgical orthodontic treatment using clear aligners ensures timely progress, but challenges include patient compliance and the limitations of aligner predictability. Future advancements in aligner material and design may improve treatment accuracy. Clinical cases of skeletal Class III malocclusion show the successful application of this approach, providing patients with immediate esthetic improvement in facial profile, expedited postsurgical orthodontic treatment, and a more esthetic and patient-centered orthodontic process with clear aligners by avoiding conventional fixed appliances.

这篇综述探讨了一种以患者为中心的方法，使用透明矫正器进行手术优先的正颌治疗，强调了其他美容手术的整合以及术后稳定性和患者合作的重要性。它讨论了诸如指导夹板管理的近端节段稳定和术前模拟咬合扫描来提前制作对准器，使用局部生物反应来提高术后牙齿移动的速度。使用透明矫正器的术后正畸治疗确保及时进展，但挑战包括患者的依从性和矫正器可预测性的局限性。未来矫正器材料和设计的进步可能会提高治疗的准确性。骨骼III类错牙合的临床案例表明，该方法的成功应用，为患者提供了面部轮廓的即时美学改善，加快了术后正畸治疗，并且通过使用清晰的矫正器，避免了传统的固定器具，使正畸过程更加美观和以患者为中心。

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引用次数: 0

Clear aligner therapy and its effectiveness in the management of overbite and inter-arch occlusal contact: A narrative review 清晰矫正器治疗及其在处理覆盖咬合和弓间咬合接触中的有效性：一个叙述性的回顾

IF 2 4区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Seminars in Orthodontics

Pub Date : 2026-02-01 DOI: 10.1053/j.sodo.2025.04.002

Zi Wei Lim , Maurice J. Meade

Background and aim

Managing overbite and occlusal contacts are key objectives of orthodontic treatment. This article aims to highlight the current literature on clear aligner therapy’s (CAT) effectiveness in achieving these objectives.

Methods

A search of the literature involving only studies of original research was carried out. Only articles from peer-reviewed journals were included. Citation searching was also used to attempt to capture further relevant studies.

Results

Forty-nine studies were included in this narrative review. Most studies fulfilling inclusion criteria were retrospective and involved the use of the Invisalign® appliance. For deep bite cases treated with CAT, the actual overbite achieved was significantly less than planned, whereas for mild open bite cases, there appeared to be little difference between the planned and achieved overbite. Studies on the componentry of overbite correction using CAT have shown that actual outcomes for anterior intrusion, posterior extrusion, and transverse expansion are less effective than planned. There appeared to be a decrease in the number and magnitude of occlusal contacts, especially posteriorly, following wear of the appliance.

Clinical Practice

This narrative review lists several methods suggested by the included studies to overcome the issues involving deep bite correction.

Research recommendations

Future research may wish to adopt a prospective approach to establish causal relationships. A standardised method of reporting on CAT protocol may also aid in accounting for possible unknown variables and allow better comparisons between studies. Subgroup analyses of the effects of auxiliaries and overcorrection within studies would also help inform clinical practice.

背景和目的处理复咬和咬合接触是正畸治疗的关键目标。这篇文章的目的是强调目前的文献明确对准治疗（CAT）的有效性，以实现这些目标。方法对仅涉及原创性研究的文献进行检索。只收录了同行评议期刊上的文章。引文检索也被用来试图获取进一步的相关研究。结果本综述共纳入49项研究。大多数符合纳入标准的研究是回顾性的，涉及使用Invisalign®器械。对于CAT治疗的深咬合病例，实际覆盖咬合明显低于计划，而对于轻度开咬病例，计划和实现的覆盖咬合之间似乎没有什么差异。对CAT复合矫治组成部分的研究表明，前牙压入、后牙挤压和横向扩张的实际结果不如计划的有效。在矫治器磨损后，咬合接触的数量和幅度似乎有所减少，特别是在后部。临床实践这篇叙述性的综述列出了所纳入的研究建议的几种方法来克服涉及深咬合矫正的问题。研究建议未来的研究可能希望采用前瞻性的方法来建立因果关系。报告CAT方案的标准化方法也可能有助于考虑可能的未知变量，并允许在研究之间进行更好的比较。研究中辅助治疗和矫治效果的亚组分析也有助于临床实践。

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引用次数: 0