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引用次数: 0

摘要

当下颌臼齿的萌出调节机制发生紊乱时,就有必要人为地拔出这些臼齿,并将它们在牙列中重新定位。为此,我们采用了多种治疗方法,其中最主要的方法是将牵引力固定在牙齿或其他固定部件和骨支持上。骨骼支持是首选,这样可以在对患者牙齿施力时将正畸器械的阻力降至最低。使用微型种植体进行固定的成功率相对较高,但也不乏失败和并发症的发生。稳定性丧失和微型种植体移位等潜在问题可能需要重新定位或调整治疗策略,这给医生和患者都带来了挑战。牙科植入物的次要稳定性往往决定了治疗的成功与否,而正畸微型植入物的主要稳定性则不同。对初级稳定性参数的调查会对治疗策略的选择和正畸微型种植体的装载时间产生重大影响。仅仅关注微型种植体植入过程中的扭矩是不够的,因为它无法全面衡量真正的稳定性。此外,用于正畸微型种植体植入的扭矩指标范围有限,通常从 5ncm 到 10 ncm 不等。此外,用于测量初级稳定性的专业设备选择有限,需要进行细致的评估。
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ANALYZING DEVICES AND METHODS FOR ASSESSING THE PRIMARY STABILITY OF ORTHODONTIC MINI-IMPLANTS
When disruptions occur in the mechanisms regulating the eruption of lower jaw molars, it becomes necessary to artificially extract and reposition them within the dentition. Various treatment methods are employed for this purpose, with the primary approach involving traction fixed to teeth or other anchorage elements and bone supports. Skeletal support is preferred to minimize resistance from orthodontic appliances when applying force to the patient's teeth. The utilization of mini-implants for anchorage demonstrates a relatively high success rate, though instances of failures and complications are not unheard of. Potential issues such as stability loss and mini-implant displacement may necessitate relocation or adjustments to treatment strategies, posing challenges for both practitioners and patients. Unlike dental implants, where secondary stability often dictates treatment success, primary stability holds paramount importance for orthodontic mini-implants. Investigating primary stability parameters can significantly impact treatment strategy selection and orthodontic mini-implant loading timelines. Focusing solely on mini-implant torque during placement is inadequate, as it fails to comprehensively gauge real stability. Moreover, the available range of torque indicators for orthodontic mini-implant placement is limited, typically ranging from 5ncm to 10 ncm. Furthermore, the selection of specialized devices for measuring primary stability is limited and necessitates meticulous evaluation.
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