基于PAR指数标准的门牙倾斜与前段对齐稳定性的相关性

Juan Carlos Rodriguez-Ladino, S. Plaza-Ruíz, J. Barrera-Chaparro, Ivonne Liliana Barrero-Avellaneda, Lizeth Meriño-Brochero, Ángela Paola Ramírez-Herrera
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摘要

前言:本研究的目的是利用PAR指数评估正畸治疗结束时切牙倾斜与前牙排列稳定性的关系。方法:分析横断面研究,对47例完成正畸治疗的患者进行初侧位片和终侧位片测量上切牙平面(Silla-Nasion) (U1-NS)与上切牙倾斜度之间的夹角以及下切牙轴向倾斜度与下颌平面(Go-Gn)之间的夹角。前段PAR指数应用于前处理(T0)、后处理(T1)和随访(T2)铸型。统计分析采用频率分布、百分比分布、T检验、Anova I、Anova II和Manova;显著性p = 0,05。结果:上、下切牙倾斜度、对线稳定性与PAR加权评分在T2-T1间无相关性(p> 0.05)。从T0到T1, PAR下降75.29%,从T0到T2, PAR下降58.79%,复发率为16.5%。固位器类型与PAR加权评分无相关性。从T0到T2,上切牙倾斜度与下切牙倾斜度的交互作用(p = 0,03)与PAR指数加权总分之间存在相关性(p = 0,04)。结论:切牙倾斜度的改变与前牙的稳定性无相关性。正畸治疗结束时,前、上、下牙段矫正程度较高,但复发率为16.5%。
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Correlation of the inclination of the incisors to the stability of the alignment of the anterior sector, based on PAR index criteria
Introduction: the objective of this study was to evaluate the relationship between incisor inclination at the end of orthodontic treatment with the anterior teeth alignment stability using PAR index. Methods: analytical cross-sectional study, the angle formed between the plane (Silla-Nasion) (U1-NS) and the inclination of the upper incisor and the angle between axial inclination of the lower incisor and mandibular plane (Go-Gn), were measured in 47 initial and final lateral radiographs of patients who finished orthodontic treatment. The anterior sector PAR index was applied to pretreatment (T0), posttreatment (T1) and follow-up (T2) casts. Statistical analysis was performed using frequency and percentage distributions, T test, Anova I, Anova II and Manova; significance p = 0,05. Results: no association was found between upper and lower incisor inclination, alignment stability and PAR weighted score between T2-T1 (p> 0,05). The PAR decreased 75,29% from T0 to T1 and 58,79% from T0 to T2, with a recurrence of 16,5%. There was no association between retainer type and PAR weighted score. From T0 to T2 there was an association between the interaction of the incisor inclination of upper (p = 0,03) and lower (p = 0,04), with the weighted total score of the PAR index. Conclusion: there was no association between the modification of the incisor inclination with the stability of the anterior sector. At the end of orthodontic treatment there was a high level of correction in the anterior-superior and inferior sector, however, there was a recurrence of 16,5%.
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