国际口腔医学杂志

国际口腔医学杂志 ›› 2020, Vol. 47 ›› Issue (2): 212-218.doi: 10.7518/gjkq.2020010

• 综述 • 上一篇    下一篇

微型种植体在口腔正畸中稳定性的研究进展

田青鹭1,赵志河2()   

  1. 1. 口腔疾病研究国家重点实验室 国家口腔疾病临床医学研究中心四川大学华西口腔医学院 成都 610041
    2. 口腔疾病研究国家重点实验室 国家口腔疾病临床医学研究中心四川大学华西口腔医院正畸科 成都 610041
  • 收稿日期:2019-06-27 修回日期:2019-09-27 出版日期:2020-03-01 发布日期:2020-03-12
  • 通讯作者: 赵志河
  • 作者简介:田青鹭,学士,Email： 412826595@qq.com

Research progress on stability of mini-implants in orthodontic treatments

Tian Qinglu1,Zhao Zhihe2()   

  1. 1. State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & West China School of Stomatology, Sichuan University, Chengdu 610041, China
    2. State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & Dept. of Orthodontics, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China
  • Received:2019-06-27 Revised:2019-09-27 Online:2020-03-01 Published:2020-03-12
  • Contact: Zhihe Zhao

RichHTML

75

PDF (PC)

977

摘要：

在口腔正畸治疗中,支抗对于正畸载荷的施加是必不可少的。微型种植体支抗作为当下最广泛应用的支抗手段,患者个体情况、支抗体本身设计、植入前准备、植入技术以及植入后加载都能影响植入的稳定性,而其稳定性又与正畸治疗的效率和质量息息相关。植入的失败不仅会增加患者的痛苦,还会提升治疗成本,延长治疗时间,阻碍正畸治疗的进程。通过对稳定性影响因素的研究,减少不利因素的产生,可以提升微型种植支抗的植入成功率,以达到更加专业、精准的正畸治疗。本文就微型种植体支抗的稳定性及其影响因素的研究进展作一综述。

关键词: 微型种植体, 支抗, 口腔, 稳定性

Abstract:

Anchorage is indispensable for the loading during orthodontic treatments. Temporary anchorage devices (TADs) are widely used for such treatment. The stability of these devices is closely linked to treatment efficiency and quality and can be affected by several factors, such as the patient’s individual condition, the design of TADs, the preparation before implantation, implantation techniques, and the loading after implantation. These factors are reviewed in this study. TAD implanting failures can worsen patients’ suffering and increase the cost, prolong treatment time, and hinder the progress of orthodontic treatment. The success rate of implantation can be improved to a certain degree by controlling the adverse factors influencing TAD stability to achieve a precise and professional-grade orthodontic treatment.

Key words: orthodontic mini-implants, anchorage, oral, stability

中图分类号: 

  • R783.5
[1] Branemark I, Breine U, Adell R , et al. Intra-osseous anchorage of dental prostheses.Ⅰ. Experimental studies[J]. Plast Reconstr Surg, 1971,48(1):97-98.
[2] Choi SH, Kim SJ, Lee KJ , et al. Stress distributions in peri-miniscrew areas from cylindrical and tapered miniscrews inserted at different angles[J]. Korean J Orthod, 2016,46(4):189-198.
[3] Baumgaertel S, Hans MG . Buccal cortical bone thic-kness for mini-implant placement[J]. Am J Orthod Dentofacial Orthop, 2009,136(2):230-235.
[4] Wang ZQ, Zhao ZH, Xue J , et al. Pullout strength of miniscrews placed in anterior mandibles of adult and adolescent dogs: a microcomputed tomographic ana-lysis[J]. Am J Orthod Dentofacial Orthop, 2010,137(1):100-107.
[5] Chopra SS, Chakranarayan A . Clinical evaluation of immediate loading of titanium orthodontic implants[J]. Med J Armed Forces India, 2015,71(2):165-170.
[6] Farnsworth D, Rossouw PE, Ceen RF , et al. Cortical bone thickness at common miniscrew implant placement sites[J]. Am J Orthod Dentofacial Orthop, 2011,139(4):495-503.
[7] Tozlu M, Germeç Cakan D, Ulkur F , et al. Maxillary buccal cortical plate inclination at mini-screw inser-tion sites[J]. Angle Orthod, 2015,85(5):868-873.
[8] Cassetta M, Sofan AA, Altieri F , et al. Evaluation of alveolar cortical bone thickness and density for or-thodontic mini-implant placement[J]. J Clin Exp Dent, 2013,5(5):e245-e252.
[9] Lim JE, Lee SJ, Kim YJ , et al. Comparison of cortical bone thickness and root proximity at maxillary and mandibular interradicular sites for orthodontic mini-implant placement[J]. Orthod Craniofac Res, 2009,12(4):299-304.
[10] Zhao H, Gu XM, Liu HC , et al. Measurement of cortical bone thickness in adults by cone-beam com-puterized tomography for orthodontic miniscrews placement[J]. J Huazhong Univ Sci Technol (Med Sci), 2013,33(2):303-308.
[11] Alrbata RH, Yu W, Kyung HM . Biomechanical effe-ctiveness of cortical bone thickness on orthodontic microimplant stability: an evaluation based on the load share between cortical and cancellous bone[J]. Am J Orthod Dentofacial Orthop, 2014,146(2):175-182.
[12] Tseng YC, Hsieh CH, Chen CH , et al. The applica-tion of mini-implants for orthodontic anchorage[J]. Int J Oral Maxillofac Surg, 2006,35(8):704-707.
[13] Park HS, Jeong SH, Kwon OW . Factors affecting the clinical success of screw implants used as orthodontic anchorage[J]. Am J Orthod Dentofacial Orthop, 2006,130(1):18-25.
[14] Papadopoulos MA, Papageorgiou SN, Zogakis IP . Clinical effectiveness of orthodontic miniscrew im-plants: a meta-analysis[J]. J Dent Res, 2011,90(8):969-976.
[15] Tepedino M, Masedu F, Chimenti C . Comparative evaluation of insertion torque and mechanical sta-bility for self-tapping and self-drilling orthodontic miniscrews—an in vitro study[J]. Head Face Med, 2017,13(1):10.
[16] Zhang Q, Zhao LX, Wu YK , et al. The effect of var-ying healing times on orthodontic mini-implant sta-bility: a microscopic computerized tomographic and biomechanical analysis[J]. Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 2011,112(4):423-429.
[17] Katić V, Kamenar E, Blažević D , et al. Geometrical design characteristics of orthodontic mini-implants predicting maximum insertion torque[J]. Korean J Orthod, 2014,44(4):177-183.
[18] Meira TM, Tanaka OM, Ronsani MM , et al. Insertion torque, pull-out strength and cortical bone thickness in contact with orthodontic mini-implants at different insertion angles[J]. Eur J Orthod, 2013,35(6):766-771.
[19] Marquezan M, Mattos CT, Sant’Anna EF , et al. Does cortical thickness influence the primary stability of miniscrews? A systematic review and meta-analysis[J]. Angle Orthod, 2014,84(6):1093-1103.
[20] Holm L, Cunningham SJ, Petrie A , et al. An in vitro study of factors affecting the primary stability of orthodontic mini-implants[J]. Angle Orthod, 2012,82(6):1022-1028.
[21] Xu ZR, Wu YK, Zhao LX , et al. Effect of placement Angle on the stability of loaded titanium microscrews in beagle jaws[J]. Angle Orthod, 2013,83(4):659-666.
[22] Zhao LX, Xu ZR, Wei X , et al. Effect of placement Angle on the stability of loaded titanium microscrews: a microcomputed tomographic and biomechanical analysis[J]. Am J Orthod Dentofacial Orthop, 2011,139(5):628-635.
[23] Araghbidikashani M, Golshah A, Nikkerdar N , et al. In-vitro impact of insertion Angle on primary stability of miniscrews[J]. Am J Orthod Dentofacial Orthop, 2016,150(3):436-443.
[24] Romano FL, Consolaro A. Why are mini-implants lost: the value of the implantation technique[J]. Dental Press J Orthod, 2015,20(1):23-29.
[25] Motoyoshi M, Uchida Y, Inaba M , et al. Are assess-ments of damping capacity and placement torque useful in estimating root proximity of orthodontic anchor screws[J]. Am J Orthod Dentofacial Orthop, 2016,150(1):124-129.
[26] Motoyoshi M, Uemura M, Ono A , et al. Factors affe-cting the long-term stability of orthodontic mini-implants[J]. Am J Orthod Dentofacial Orthop, 2010, 137(5):588.e1-588.e5.
[27] Motoyoshi M . Clinical indices for orthodontic mini-implants[J]. J Oral Sci, 2011,53(4):407-412.
[28] 于海璐, 蔡兴伟, 马龙 , 等. 不同植入角度及载荷方向对微种植体稳定性影响的三维有限元分析[J]. 解放军医学院学报, 2016,37(3):261-265, 270.
Yu HL, Cai XW, Ma L , et al. Effect of inserting An-gle and direction of orthodontic force on stability of micro-implants evaluated by 3-dimensional finite element analysis[J]. Acad J Chin PLA Med Sch, 2016,37(3):261-265, 270.
[29] Mohammed H, Wafaie K, Rizk MZ , et al. Role of anatomical sites and correlated risk factors on the survival of orthodontic miniscrew implants: a syste-matic review and meta-analysis[J]. Prog Orthod, 2018,19(1):36.
[30] 孙吉成, 胡赟, 郑雷蕾 , 等. 拔牙创愈合对邻近微种植体骨界面生长因子影响的研究[J]. 四川大学学报(医学版), 2015,46(2):222-227.
Sun JC, Hu Y, Zheng LL , et al. Influence of healing process of extraction on related growth factors in microscrew-bone interface of implanted titanium microscrews near the extraction wounds[J]. J Sichuan Univ (Med Sci Ed), 2015,46(2):222-227.
[31] Son S, Motoyoshi M, Uchida Y , et al. Comparative study of the primary stability of self-drilling and self-tapping orthodontic miniscrews[J]. Am J Orthod Dentofacial Orthop, 2014,145(4):480-485.
[32] Sharifi M, Ghassemi A, Bayani S . Effect of insertion method and postinsertion time interval prior to force application on the removal torque of orthodontic miniscrews[J]. Int J Oral Maxillofac Implants, 2015,30(1):35-40.
[33] Duaibis R, Kusnoto B, Natarajan R , et al. Factors affecting stresses in cortical bone around miniscrew implants: a three-dimensional finite element study[J]. Angle Orthod, 2012,82(5):875-880.
[34] 常少海, 常岚如, 张健娜 , 等. 转矩力作用下不同颈部构型对微种植体稳定性的影响[J]. 中山大学学报(医学科学版), 2016,37(2):248-253.
Chang SH, Chang LR, Zhang JN , et al. Influence of neck design on mini-implant primary stability after loading with torque force[J]. J Sun Yat-sen Univ (Med Sci), 2016,37(2):248-253.
[35] Scribante A, Montasser MA, Radwan ES , et al. Reliability of orthodontic miniscrews: bending and maximum load of different Ti-6Al-4V titanium and stainless steel temporary anchorage devices (TADs)[J]. Materials (Basel), 2018,11(7). doi: 10.3390/ma11071138.
[36] Radwan ES, Montasser MA, Maher A . Influence of geometric design characteristics on primary stability of orthodontic miniscrews[J]. J Orofac Orthop, 2018,79(3):191-203.
[37] Motoyoshi M, Yano S, Tsuruoka T , et al. Biomechanical effect of abutment on stability of orthodontic mini-implant. A finite element analysis[J]. Clin Oral Im-plants Res, 2005,16(4):480-485.
[38] Miyawaki S, Tomonari H, Yagi T , et al. Development of a novel spike-like auxiliary skeletal anchorage de- vice to enhance miniscrew stability[J]. Am J Orthod Dentofacial Orthop, 2015,148(2):338-344.
[39] 张强, 李平, 刘静 . 种植体周围炎危险因素及其预防研究进展[J]. 全科口腔医学电子杂志, 2018,5(14):19-21.
Zhang Q, Li P, Liu J . Research progress on risk fac-tors and prevention of peri-implant inflammation[J]. Gen J Stomatol, 2018,5(14):19-21.
[40] Oh HJ, Cha JY, Yu HS , et al. Histomorphometric evaluation of the bone surrounding orthodontic miniscrews according to their adjacent root pro-ximity[J]. Korean J Orthod, 2018,48(5):283-291.
[41] Suzuki M, Deguchi T, Watanabe H , et al. Evaluation of optimal length and insertion torque for miniscrews[J]. Am J Orthod Dentofacial Orthop, 2013,144(2):251-259.
[42] Albogha MH, Takahashi I . Effect of loaded orthodontic miniscrew implant on compressive stresses in adja-cent periodontal ligament[J]. Angle Orthod, 2019,89(2):235-241.
[43] Cho UH, Yu W, Kyung HM . Root contact during drilling for microimplant placement. Affect of sur-gery site and operator expertise[J]. Angle Orthod, 2010,80(1):130-136.
[44] Shigeeda T . Root proximity and stability of orthodontic anchor screws[J]. J Oral Sci, 2014,56(1):59-65.
[45] Inaba M . Evaluation of primary stability of inclined orthodontic mini-implants[J]. J Oral Sci, 2009,51(3):347-353.
[46] Shan LH, Guo N, Zhou GJ , et al. Finite element ana-lysis of bone stress for miniscrew implant proximal to root under occlusal force and implant loading[J]. J Craniofac Surg, 2015,26(7):2072-2076.
[47] Jeong JW, Kim JW, Lee NK , et al. Analysis of time to failure of orthodontic mini-implants after insertion or loading[J]. J Korean Assoc Oral Maxillofac Surg, 2015,41(5):240-245.
[48] Zhang LK, Zhao ZH, Li Y , et al. Osseointegration of orthodontic micro-screws after immediate and early loading[J]. Angle Orthod, 2010,80(2):354-360.
[49] 常立军, 唐甜, 张晓歌 , 等. 正畸应力刺激下Beagle犬微种植体周围炎的牙周组织变化[J]. 中国组织工程研究, 2018,22(34):5464-5468.
Chang LJ, Tang T, Zhang XG , et al. Periodontal tissue changes in a Beagle dog model of peri-implantitis under orthodontic force[J]. Chin J Tissue Eng Res, 2018,22(34):5464-5468.
[50] 王雨薇, 王了, 包崇云 . 种植体颈部的优化设计在预防种植体周围炎中的应用[J]. 口腔医学, 2018,38(2):177-180.
Wang YW, Wang L, Bao CY . Effect of cervical design of dental implant on peri-implantitis[J]. Stomatology, 2018,38(2):177-180.
[1] 和子慕, 李风兰. 数字化口腔定位支架在头颈部肿瘤放射治疗中的应用现状[J]. 国际口腔医学杂志, 2024, 51(1): 28-35.
[2] 傅豫, 何薇, 黄兰. 铁死亡在口腔疾病中的研究进展[J]. 国际口腔医学杂志, 2024, 51(1): 36-44.
[3] 李然,胡月,张宁,高瑞芳,王翔宇,葛学军. Toll样受体和白细胞介素-17单核苷酸多态性与口腔扁平苔藓易感性的相关性研究[J]. 国际口腔医学杂志, 2024, 51(1): 45-51.
[4] 周金阔,张晋弘,史晓晶,刘广顺,姜磊,刘倩峰. 长链非编码RNA小核仁RNA宿主基因22调控微小RNA-27b-3p对口腔鳞状细胞癌细胞增殖、侵袭和迁移的影响[J]. 国际口腔医学杂志, 2024, 51(1): 52-59.
[5] 李立恒,王蕊,王晓明,张智轶,张璇,安峰,王芹,张凡. 环状RNA hsa_circ_0085576调控微小RNA-498/B细胞特异性莫洛尼鼠白血病病毒整合位点1轴对口腔鳞状细胞癌细胞迁移和侵袭的影响[J]. 国际口腔医学杂志, 2024, 51(1): 60-67.
[6] 谭永臻,梁新华. 口腔局部麻醉药抗菌机制的研究进展[J]. 国际口腔医学杂志, 2024, 51(1): 74-81.
[7] 王楠楠,贺红,花放. 正畸相关釉质脱矿危险因素的研究进展[J]. 国际口腔医学杂志, 2024, 51(1): 91-98.
[8] 韩冲,何东宁,余飞燕,吴东潮. 口腔种植术后疼痛机制及治疗的研究进展[J]. 国际口腔医学杂志, 2024, 51(1): 99-106.
[9] 徐书奎,张珊,谢新宇,马文盛. 上颌前方牵引矫治骨性Ⅲ类错畸形远期疗效稳定性的研究进展[J]. 国际口腔医学杂志, 2023, 50(6): 646-652.
[10] 王素杰,谭芹,韦渊,王洁,范杰,岳二丽. 口腔扁平苔藓患者血清血管生成素-2水平与叉头翼状螺旋转录因子阳性调节性T细胞及疾病活动度的相关性分析[J]. 国际口腔医学杂志, 2023, 50(6): 674-678.
[11] 吴佳敏,夏斌,杨禾丰,许彪. 癌相关成纤维细胞在口腔鳞状细胞癌微环境中作用的研究进展[J]. 国际口腔医学杂志, 2023, 50(6): 711-717.
[12] 柳江龙, 买买提吐逊·吐尔地. 超声造影在口腔鳞状细胞癌颈部转移性淋巴结诊断中的研究进展[J]. 国际口腔医学杂志, 2023, 50(5): 514-520.
[13] 刘婷,武秀萍. 唐氏综合征的口腔-颅颌面表征及治疗进展[J]. 国际口腔医学杂志, 2023, 50(5): 618-622.
[14] 姜玥莹,何宇添,李婷,周蓉卉. 近红外荧光探针在口腔癌诊断中应用的研究进展[J]. 国际口腔医学杂志, 2023, 50(4): 407-413.
[15] 王铝亚,张竞心,林洁. 口腔术后聚维酮碘与氯己定控制感染效果的系统评价分析[J]. 国际口腔医学杂志, 2023, 50(4): 438-444.
Viewed
Full text


Abstract

Cited
  Shared   
  Discussed   
[1] 张新春. 桩冠修复与无髓牙的保护[J]. 国际口腔医学杂志, 1999, 26(06): .
[2] 王昆润. 长期单侧鼻呼吸对头颅发育有不利影响[J]. 国际口腔医学杂志, 1999, 26(05): .
[3] 彭国光. 颈淋巴清扫术中颈交感神经干的解剖变异[J]. 国际口腔医学杂志, 1999, 26(05): .
[4] 杨凯. 淋巴化疗的药物运载系统及其应用现状[J]. 国际口腔医学杂志, 1999, 26(05): .
[5] 康非吾. 种植义齿下部结构生物力学研究进展[J]. 国际口腔医学杂志, 1999, 26(05): .
[6] 柴枫. 可摘局部义齿用Co-Cr合金的激光焊接[J]. 国际口腔医学杂志, 1999, 26(04): .
[7] 孟姝,吴亚菲,杨禾. 伴放线放线杆菌产生的细胞致死膨胀毒素及其与牙周病的关系[J]. 国际口腔医学杂志, 2005, 32(06): 458 -460 .
[8] 费晓露,丁一,徐屹. 牙周可疑致病菌对口腔黏膜上皮的粘附和侵入[J]. 国际口腔医学杂志, 2005, 32(06): 452 -454 .
[9] 赵兴福,黄晓晶. 变形链球菌蛋白组学研究进展[J]. 国际口腔医学杂志, 2008, 35(S1): .
[10] 庞莉苹,姚江武. 抛光和上釉对陶瓷表面粗糙度、挠曲强度及磨损性能的影响[J]. 国际口腔医学杂志, 2008, 35(S1): .