改良皮质切开术与不改良皮质切开术促进正畸治疗的上颌犬后缩率比较

M. Kokila, V. Pai, Siri Krishna, Gautham Kalladka, Shreyas Rajaram, Shivparasad Goankar
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摘要

本研究的目的是评估和比较改良皮质切开术与未改良皮质切开术的上颌犬科后缩率。临床介入研究。采用裂口设计。根据研究的所有标准,在18-35岁年龄组中选择了10名患者和20个地点的样本量。矫正矫直前,在局部麻醉下拔除上颌第一前磨牙。术前对上颌犬牙和上颌第二前磨牙进行OPG和IOPA测定。取拔牙一侧作为实验部位,对侧作为对照。调平和对准开始与电线序列。改良皮质切开术后,用8毫米镍钛封闭线圈弹簧开始犬侧牵。在数字游标卡尺的帮助下,每隔1个月记录一次牙齿的移动量,直到完成犬的内收。配对t检验显示,改良侧的牙齿移动速度(1.07±0.25)高于常规侧(0.91±0.24),差异有统计学意义(P < 0.001)。改良皮质切开术作为一种有效的治疗方式,为成人寻求正畸治疗增加正畸犬后缩率。
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Comparison of the rate of maxillary canine retraction with or without modified corticotomy facilitated orthodontic treatment
The aim of the study was to evaluate and compare the rate of maxillary canine retraction in cases with modified corticotomy versus without modified corticotomy. Clinical interventional study. Split mouth design was used. A sample size of ten patients and 20 sites were selected within the age group of 18–35 years following all criteria of the study. Before orthodontic leveling and alignment, upper first premolar extraction was carried out under local anesthesia. Pre-treatment OPG and IOPA were taken in relation to the maxillary canine and maxillary second premolar teeth. One extraction side was considered as the experimental site and contralateral side as control. Leveling and alignment were started with wire sequence. After modified corticotomy procedure, the canine retraction was started with 8 mm NiTi closed coil spring. The amount of tooth movement was recorded with the help of a Digital Vernier Caliper at an interval of 1 month till the completion of canine retraction. Paired t-test showed higher mean velocity of tooth movement in modified corticotomy side (1.07 ± 0.25) as compared to the conventional side (0.91 ± 0.24), (P < 0.001). The modified corticotomy technique serves as an effective treatment modality for adults seeking orthodontic treatment with increased rate of orthodontic canine retraction.
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