Gianluigi Fiorillo, Alessandra Campobasso, Silvia Croce, Umar Hussain, Giovanni Battista, Eleonora Lo Muzio, Gualtiero Mandelli, Alessandro Ambrosi, Giorgio Gastaldi
{"title":"使用不同附着结构的透明矫治器在正畸旋转运动中的准确性。","authors":"Gianluigi Fiorillo, Alessandra Campobasso, Silvia Croce, Umar Hussain, Giovanni Battista, Eleonora Lo Muzio, Gualtiero Mandelli, Alessandro Ambrosi, Giorgio Gastaldi","doi":"10.1111/ocr.12846","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Objective</h3>\n \n <p>To evaluate the accuracy of dental rotational movements using clear aligners with different attachment configurations.</p>\n </section>\n \n <section>\n \n <h3> Materials and Methods</h3>\n \n <p>This retrospective study analysed 212 teeth from 89 patients undergoing Invisalign treatment. Digital models were analysed after the virtual treatment plan (ST1) and after the first treatment phase (ET1) to evaluate the effective clinical rotational movement. The rotational movements of incisors, canines, and bicuspids were measured using data from the Clincheck Movements Table. ST1 and ET1 were compared to determine the actual rotational movement achieved (ST1-ET1). The presence or absence of attachments (rectangular or optimized) on teeth was analysed. The accuracy of rotational movements among attachment types was compared using the Kruskal-Wallis test. Multiple linear regressions were conducted with accuracy as the dependent variable and tooth type, gender, and age as predictors.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>Optimized attachments had the highest median accuracy (70%), followed by rectangular (65%), and without attachment (63%), with no significant differences (<i>p</i> = .5). There were no significant differences across age groups, genders, or tooth types. Baseline accuracy was 68.62% (95% CI: 56.03–81.20, <i>p</i> < .001). Age was a significant predictor (estimate = −0.30, 95% CI: −0.58 – −0.03, <i>p</i> = .032), indicating decreased accuracy with increasing age. The model's <i>R</i><sup>2</sup> was 0.046, with an adjusted <i>R</i><sup>2</sup> of 0.003, indicating minimal variance explained.</p>\n </section>\n \n <section>\n \n <h3> Conclusion</h3>\n \n <p>The addition of attachment configurations to clear aligners improves rotational accuracy, but not significantly. Further advancements in these configurations are needed to enhance the performance of the aligners.</p>\n </section>\n </div>","PeriodicalId":19652,"journal":{"name":"Orthodontics & Craniofacial Research","volume":"27 6","pages":"996-1003"},"PeriodicalIF":2.4000,"publicationDate":"2024-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ocr.12846","citationCount":"0","resultStr":"{\"title\":\"Accuracy of clear aligners in the orthodontic rotational movement using different attachment configurations\",\"authors\":\"Gianluigi Fiorillo, Alessandra Campobasso, Silvia Croce, Umar Hussain, Giovanni Battista, Eleonora Lo Muzio, Gualtiero Mandelli, Alessandro Ambrosi, Giorgio Gastaldi\",\"doi\":\"10.1111/ocr.12846\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div>\\n \\n \\n <section>\\n \\n <h3> Objective</h3>\\n \\n <p>To evaluate the accuracy of dental rotational movements using clear aligners with different attachment configurations.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Materials and Methods</h3>\\n \\n <p>This retrospective study analysed 212 teeth from 89 patients undergoing Invisalign treatment. Digital models were analysed after the virtual treatment plan (ST1) and after the first treatment phase (ET1) to evaluate the effective clinical rotational movement. The rotational movements of incisors, canines, and bicuspids were measured using data from the Clincheck Movements Table. ST1 and ET1 were compared to determine the actual rotational movement achieved (ST1-ET1). The presence or absence of attachments (rectangular or optimized) on teeth was analysed. The accuracy of rotational movements among attachment types was compared using the Kruskal-Wallis test. Multiple linear regressions were conducted with accuracy as the dependent variable and tooth type, gender, and age as predictors.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Results</h3>\\n \\n <p>Optimized attachments had the highest median accuracy (70%), followed by rectangular (65%), and without attachment (63%), with no significant differences (<i>p</i> = .5). There were no significant differences across age groups, genders, or tooth types. Baseline accuracy was 68.62% (95% CI: 56.03–81.20, <i>p</i> < .001). Age was a significant predictor (estimate = −0.30, 95% CI: −0.58 – −0.03, <i>p</i> = .032), indicating decreased accuracy with increasing age. The model's <i>R</i><sup>2</sup> was 0.046, with an adjusted <i>R</i><sup>2</sup> of 0.003, indicating minimal variance explained.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Conclusion</h3>\\n \\n <p>The addition of attachment configurations to clear aligners improves rotational accuracy, but not significantly. 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Accuracy of clear aligners in the orthodontic rotational movement using different attachment configurations
Objective
To evaluate the accuracy of dental rotational movements using clear aligners with different attachment configurations.
Materials and Methods
This retrospective study analysed 212 teeth from 89 patients undergoing Invisalign treatment. Digital models were analysed after the virtual treatment plan (ST1) and after the first treatment phase (ET1) to evaluate the effective clinical rotational movement. The rotational movements of incisors, canines, and bicuspids were measured using data from the Clincheck Movements Table. ST1 and ET1 were compared to determine the actual rotational movement achieved (ST1-ET1). The presence or absence of attachments (rectangular or optimized) on teeth was analysed. The accuracy of rotational movements among attachment types was compared using the Kruskal-Wallis test. Multiple linear regressions were conducted with accuracy as the dependent variable and tooth type, gender, and age as predictors.
Results
Optimized attachments had the highest median accuracy (70%), followed by rectangular (65%), and without attachment (63%), with no significant differences (p = .5). There were no significant differences across age groups, genders, or tooth types. Baseline accuracy was 68.62% (95% CI: 56.03–81.20, p < .001). Age was a significant predictor (estimate = −0.30, 95% CI: −0.58 – −0.03, p = .032), indicating decreased accuracy with increasing age. The model's R2 was 0.046, with an adjusted R2 of 0.003, indicating minimal variance explained.
Conclusion
The addition of attachment configurations to clear aligners improves rotational accuracy, but not significantly. Further advancements in these configurations are needed to enhance the performance of the aligners.
期刊介绍:
Orthodontics & Craniofacial Research - Genes, Growth and Development is published to serve its readers as an international forum for the presentation and critical discussion of issues pertinent to the advancement of the specialty of orthodontics and the evidence-based knowledge of craniofacial growth and development. This forum is based on scientifically supported information, but also includes minority and conflicting opinions.
The objective of the journal is to facilitate effective communication between the research community and practicing clinicians. Original papers of high scientific quality that report the findings of clinical trials, clinical epidemiology, and novel therapeutic or diagnostic approaches are appropriate submissions. Similarly, we welcome papers in genetics, developmental biology, syndromology, surgery, speech and hearing, and other biomedical disciplines related to clinical orthodontics and normal and abnormal craniofacial growth and development. In addition to original and basic research, the journal publishes concise reviews, case reports of substantial value, invited essays, letters, and announcements.
The journal is published quarterly. The review of submitted papers will be coordinated by the editor and members of the editorial board. It is policy to review manuscripts within 3 to 4 weeks of receipt and to publish within 3 to 6 months of acceptance.