上颌骨不同附着部位临时支抗装置(TADS)的成功率和失败率评价

N. Mote, Jyoti Rajbhar, N. Toshniwal, R. Rathod
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引用次数: 1

摘要

简介:锚定的概念对正畸治疗效果非常重要,最佳的锚定是微型支架。本研究的目的是评估微型螺钉用于绝对锚固的成功率和失败率。同时也说明了放置的方法和技术,并对骨密度水平、牙根位置、解剖标志如上颌窦等进行了说明。当放置在附着的牙龈上时,牙龈的组织学模式是放置微型牙钉的重要考虑因素。材料与方法:研究时间为24个月,样本量为195枚微型螺钉,年龄在20-45岁之间,分别放置在上颌牙槽突颊部和前部的附着龈和未附着龈、上颌正中和旁正中等不同部位,回忆期分别为13个月、36个月和6个月以上。结果:第一前磨牙区和第二前磨牙区微型螺钉的整体成功率分别为90%和70%,随访1年后的失败率为0%。而在腭区,在第一、第二前磨牙区之间的旁正中区,微型螺钉的成功率为80%,优于中腭区。结论:综上所述,微型支抗是一种有效的支抗方法,在附着龈的固定中成功率高。
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To Evaluate Success And Failure Rate Of Temporary Anchorage Devices (TADS) In Various Attachments Sites In Maxilla Abstract:-
Introduction:-The concept of anchorage is very important in orthodontic treatment outcome and best anchorage is provided by miniscrews.This study focuses on the evaluation of success and failure rate of mini screws used for absolute anchorage. The method of placement and technique is also stated and bone density level, position of roots, anatomic landmarks such as maxillary sinus is also explained. The histologic pattern of gingiva is an important consideration in placing miniscrews,when placed in attached gingiva. Material & Method:-The span of study is 24 months with sample size of 195 mini screws placed between age group of 20-45 years in different sites of maxilla such as in the Attached and Unattached Gingiva on the Buccal and Anterior region of maxillary alveolar process, median and Paramedian region of palate with recall period of 13 month, 36 month and more than 6 months was followed. Result:-The overall success rate of mini-screw rate in Attached and Unattached gingiva was highest 90% and 70% between 1st Premolar and 2nd Premolar region region with failure rate of 0 % after 1 year follow up. Whereas in palatal region the paramedian region showed good success rate of mini screw of 80% in between first and second premolar region which is better than midpalatal region. Conclusion:-Thus this study overall concludes that miniscrews are an efficient way of providing anchorage with good success rate when placed in attached gingiva.
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