弹性正畸装置矫正混合牙列患者矢状错合畸形的效果:范围综述。

IF 2.5 Q2 DENTISTRY, ORAL SURGERY & MEDICINE Dentistry Journal Pub Date : 2024-08-02 DOI:10.3390/dj12080247
Rebecca Ureni, Alessio Verdecchia, Carlota Suárez-Fernández, Manuela Mereu, Roberto Schirru, Enrico Spinas
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引用次数: 0

摘要

弹性正畸是一种阻断性正畸疗法,它通过预制或定制的可移动矫治器,利用光和生物弹性力进行矫治。本研究旨在评估弹性正畸装置对矫正混合牙列生长受试者矢状不齐的效果。本研究在四个数据库中进行了电子研究:PubMed、Scopus、EMBASE 和 Web of Science。根据第一作者、发表年份、环境和国家、研究设计、样本特征、样本量计算、错颌畸形类型、干预、对照组类型、依从性、随访和头颅测量等因素提取数据。最终有 16 项研究被纳入审查范围。大多数研究发现,SNB 角和 ANB 角在统计学上有显著降低(P < 0.05)。十项研究报告了过咬合的减少,而八项研究发现面部发散没有变化。与传统功能性矫治器的比较显示,在骨骼和牙槽骨效应方面没有达成共识。弹力矫正器能明显改善头颅测量和牙槽骨参数,有可能矫正骨骼和牙齿关系。然而,与传统矫治器相比,结果的差异性和优势的不确定性凸显了进一步研究的必要性。
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Effectiveness of Elastodontic Devices for Correcting Sagittal Malocclusions in Mixed Dentition Patients: A Scoping Review.

Elastodontics is an interceptive orthodontic therapy that uses light and biological elastic forces through preformed or custom-made removable orthodontic appliances. This study aims to evaluate the effects of elastodontic devices on correcting sagittal discrepancies in growing subjects with mixed dentition. Electronic research was conducted on four databases: PubMed, Scopus, EMBASE, and Web of Science. Data were extracted based on the first author, year of publication, setting and country, study design, sample characteristics, sample size calculation, type of malocclusion, intervention, control group type, compliance, follow-up, and cephalometric measurements. Sixteen studies were included in the final review. Most studies observed a statistically significant reduction (p < 0.05) in SNB and ANB angles. Ten studies reported a reduction in overjet, while eight studies found no change in facial divergence. Comparisons with conventional functional devices revealed no consensus on the skeletal and dentoalveolar effects. Elastodontic appliances significantly improve cephalometric and dentoalveolar parameters, potentially correcting skeletal and dental relationships. However, result variability and unclear advantages over traditional appliances highlight the need for further research.

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来源期刊
Dentistry Journal
Dentistry Journal Dentistry-Dentistry (all)
CiteScore
3.70
自引率
7.70%
发文量
213
审稿时长
11 weeks
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