国际口腔医学杂志 ›› 2022, Vol. 49 ›› Issue (1): 109-115.doi: 10.7518/gjkq.2022009

• 综述 • 上一篇    下一篇

隐形矫治技术推磨牙远移机制与疗效的研究进展

李俊霖(),肖立伟()   

  1. 中南大学湘雅二医院口腔医学中心 长沙 410011
  • 收稿日期:2021-03-02 修回日期:2021-09-20 出版日期:2022-01-01 发布日期:2022-01-07
  • 通讯作者: 肖立伟
  • 作者简介:李俊霖,硕士,Email: 3055571066@qq.com

Research progress on the mechanism and efficacy of molar distalization with clear aligner technique

Li Junlin(),Xiao Liwei()   

  1. Center of Stomatology, The Second Xiangya Hospital of Central South University, Changsha 410011, China
  • Received:2021-03-02 Revised:2021-09-20 Online:2022-01-01 Published:2022-01-07
  • Contact: Liwei Xiao

摘要:

隐形矫治技术作为新型的正畸矫治技术,其美观、舒适、方便等特点受到患者与医生的青睐,经过十几年的技术改进、材料更新,隐形矫治的效果逐渐优化。通过其特殊的矫治力施加方式,配合附件、辅助装置对转矩和支抗的精细控制,在推磨牙远移时,磨牙接近整体移动,同时能避免下颌旋转,减小前牙支抗丢失。本文对隐形矫治技术推磨牙远中的机制与疗效作一综述,提出现阶段研究的不足和临床应用中的限制,为临床应用和技术改进提供参考依据。

关键词: 隐形矫治技术, 磨牙远移, 作用机制, 临床疗效, 正畸

Abstract:

As a novel orthodontic treatment technology, the clear aligner technique is favored by patients and dentists for its aesthetic, comfort and convenient features. After more than ten years of technical improvement and material update, the efficacy of clear aligner technique is gradually optimized. Through its special way of applying orthodontic force, in addition to the torque and the anchorage control of attachment and auxiliary devices,the molars distally move with nearly bodily movement, meanwhile avoiding the mandibular rotation and reducing anchorage loss of the anterior teeth. This article reviews the mechanism and efficacy of clear aligner technique in molar distalization treatment, and points out the deficiencies in current research and the limitations in clinical application, providing a reference for clinical application and technical improvement.

Key words: clear aligner technique, molar distalization, mechanism, clinical efficacy, orthodontic

表1

对隐形矫治推磨牙远移疗效研究的分析"

参考文献 年代 研究类型 研究对象
数量与年龄
对照设计 测量方式 矫治方式
[21] 2011 回顾性研究 5例,平均21.5岁 三维模型分析磨牙远移阶段前后位置变化 国产隐形矫治器移动上颌2颗磨牙
[8] 2014 随机对照实验 30例,13~72岁 有/无附件磨牙远移/
尖牙转矩/前磨牙扭转
三维模型分析磨牙远移阶段前后位置变化 Invisalign隐形矫治器移动1颗上磨牙
[23] 2016 回顾性研究 15例,平均27岁8个月 CBCT三维测量磨牙远移阶段前后位置变化 Invisalign隐形矫治器移动上颌2颗磨牙/采用Ⅱ类牵引或微种植钉
[16] 2016 回顾性研究 20例,(29.73±6.89)岁 头颅侧位片测量整个治疗前后位置变化 Invisalign隐形矫治器移动上颌2颗磨牙
[19] 2016 随机对照实验 30例,平均30.5岁 上颌3—7添加附件/
上颌4—6添加附件
头颅侧位片测量整个治疗前后位置变化 Invisalign隐形矫治器移动上颌2颗磨牙
[22] 2017 回顾性研究 7例,11~20岁 三维模型分析磨牙远移阶段前后位置变化 时代天使隐形矫治器移动上颌2颗磨牙或移动第一磨牙
[28] 2019 回顾性研究 19例,平均24岁 头颅侧位片测量磨牙远移阶段前后位置变化 Invisalign隐形矫治器移动上下磨牙
[26] 2019 回顾性研究 10例,(22.7±5.3)岁 头颅侧位片测量整个治疗前后位置变化 Invisalign隐形矫治器移动上颌2颗磨牙
[24] 2020 回顾性研究 58例,12~34岁 头颅侧位片与曲面体层片测量整个治疗前后位置变化 隐形矫治器移动上磨牙45例,下磨牙13例
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