自攻型微种植钉支抗与传统支抗在青少年上颌前突患者中的应用效果比较

摘要
图/表
参考文献(35)
相关文章 (15)

全文: PDF (0 KB) HTML (43 KB)
输出: BibTeX | EndNote (RIS)

摘要目的探讨自攻型微种植钉支抗与传统支抗在青少年上颌前突患者中的临床疗效。方法回顾性分析徐州市中心医院口腔科2016年1月～2019年1月收治的60 例上颌前突正畸需拔牙矫治的青少年患者的资料，按照采用支抗的类型分为支抗钉组（n=30）和传统组（n=30）。支抗钉组采用自攻型微种植钉加强支抗，传统组应用口外弓+腭杆加强支抗。比较两组患者治疗前后相关的头影测量值及治疗时间。结果 7 枚微种植支抗钉在治疗过程中松动脱落，脱落率为11.6%（7/60）。支抗钉组治疗后上颌中切牙突度及角度改变均大于传统组，差异有统计学意义（P＜0.05）；支抗钉组上颌第一磨牙近中移动量小于传统组，差异有统计学意义（P＜0.05）；治疗后支抗钉组上牙槽突度及上唇-E 线距改变均高于传统组，差异有统计学意义（P＜0.05）；支抗钉组的治疗时间短于传统组，差异有统计学意义（P＜0.05）。结论相对于口外弓配合腭杆传统支抗，自攻型微种植钉支抗作用更好，患者能获得更加协调的侧貌外形。

	服务

	把本文推荐给朋友
	加入我的书架
	加入引用管理器
	E-mail Alert
	RSS
	作者相关文章
	张静
	李晨晨
	陈彬
	孟箭

关键词 ：微种植钉支抗, 口外弓腭杆支抗, 青少年, 上颌前突

Abstract：Objective To investigate the therapeutic effects between self-tapping miniscrew implants anchorage and traditional anchorage in adolescent patients with maxillary protrusion.Methods From January 2016 to January 2019,the data of 60 adolescent patients with maxillary protrusion who need extract teeth were analyzed retrospectively from the Department of Stomatology,Xuzhou Central Hospital.According to the type of anchorage,they were divided into two groups: miniscrew implants anchorage group(n=30)and traditional group(n=30).Anchorage group received miniscrew implants and the traditional anchorage group applied with a transpalatal arch and extraoral arch.The cephalometric values and treatment time were compared between the two groups before and after treatment.Results The failure rate of the self-tapping microscrew implants was 11.6%(7/60).The changes of maxillary central incisor protrusion and angle in microscrew group were higher than those in traditional group after treatment and the significant difference between two groups were observed(P<0.05).The mesial movement of maxillary first molar in microscrew group was less than that of traditional group,the difference was statistically significant(P<0.05).The changes of upper alveolar protrusion and upper lip-E distance in the miniscrew anchorage group were higher than those in the traditional group after treatment and the difference was statistically significant(P<0.05).The treatment time of the miniscrew anchorage group was shorter than the traditional group,and the differences were statisticcally significant(P<0.05).Conclusion Compare with extraoral arch and transpalatal arch anchorage,microscrew implants could provide better anchorage control and the patients could achieve a more harmonious facial profile.

Key words： Microscrew implant anchorage Extraoral arch and transpalatal arch anchorage Adolescent Maxillary protrusion

基金资助:国家自然科学基金资助项目（31700814）；
江苏省徐州市科技项目（KC18032）

作者简介: 张静（1977-），女，河南洛阳人，博士，副主任医师，研究方向：干细胞治疗牙周炎，口腔正畸与牙周炎

引用本文:

张静;李晨晨;陈彬;孟箭. 自攻型微种植钉支抗与传统支抗在青少年上颌前突患者中的应用效果比较[J]. 中国当代医药, 2021, 28(18): 106-109转119.
ZHANG Jing ;LI Chen-chen ;CHEN Bin; MENG Jian. Comparison of application effects between self-tapping miniscrew implants anchorage and traditional anchorage in adolescent patients with maxillary protrusion. 中国当代医药, 2021, 28(18): 106-109转119.

链接本文:

http://dangdaiyiyao.com/CN/ 或 http://dangdaiyiyao.com/CN/Y2021/V28/I18/106

[1]	Ogundipe OK，Otuyemi OD.Surgical and orthodontic treatment methods in patients with bimaxillary protrusion-a systematic review[J].J West Afr Coll Surg，2017，7（2）：31-46.
[18]	Ohashi E，Pecho OE，Moron M，et al.Implants vs screw loading protocols in orthodontics[J].Angle Orthod，2006，76（4）：721-727．
[21]	嵇国平，于泉，沈刚．性别、年龄与微种植支抗钉稳定性的关系[J].上海口腔医学，2008，17（4）：360-363.
[25]	Han CM，Watanabe K，Tsatalis AE，et al.Evaluations of miniscrew type-dependent mechanical stability[J].Clin Biomech（Bristol，Avon），2019，69：21-27.
[2]	Hosseinzadeh-Nik T，Eftekhari A，Shahroudi AS，et al.Changes of the Mandible after Orthodontic Treatment with and without Extraction of Four Premolars[J].J Dent（Tehran），2016，13（3）：199-206.
[3]	Ganzer N，Feldmann I，Bondemark L.Anchorage reinforcement with miniscrews and molar blocks in adolescents：A randomized controlled trial[J].Am J Orthod Dentofacial Orthop，2018，154（6）：758-767.
[4]	Hong SY，Shin JW，Hong C，et al.Alveolar bone remodeling during maxillary incisor intrusion and retraction[J].Prog Orthod，2019，20（1）：47.
[5]	Maetevorakul S，Viteporn S.Factors influencing soft tissue profile changes following orthodontic treatment in patients with Class ⅡDivision Ⅰmalocclusion[J].Prog Orthod，2016，17：13.
[6]	Partal I，Aksu M.Changes in lips，cheeks and tongue pressures after upper incisor protrusion in Class Ⅱdivision 2 malocclusion：a prospective study[J].Prog Orthod，2017，18（1）：29.
[7]	Defne Kecik.Comparison of temporary anchorage devices and transpalatal arch-mediated anchorage reinforcement during canine retraction[J].Eur J Dent，2016，10（4）：512-516.
[8]	Gaur A，Maheshwari S，Verma SK.Correction of Class Ⅱmalocclusion and soft tissue profile in an adult patient[J].Contemp Clin Dent，2016，7（3）：382-385.
[9]	Hong SY，Shin JW，Hong C，et al.Alveolar bone remodeling during maxillary incisor intrusion and retraction[J].Prog Orthod，2019，20（1）：47.
[10]	Lu WX，Zhang X，Mei L，et al.Orthodontic incisor retraction caused changes in the soft tissue chin area：a retrospective study[J].BMC Oral Health，2020，20（1）：108.
[11]	Kim K，Choi SH，Choi EH，et al.Unpredictability of soft tissue changes after camouflage treatment of class II division 1 malocclusion with maximum anterior retraction using miniscrews[J].Angle Orthod，2017，87（2）：230-238.
[12]	Alharbi F，Almuzian M，Bearn D.Anchorage effectiveness of orthodontic miniscrews compared to headgear and transpalatal arches：a systematic review and meta-analysis[J].Acta Odontol Scand，2019，77（2）：88-98.
[13]	Liu H，W u X，Tan J，et al.Safe regions of miniscrew implantation for distalization of mandibular dentition with CBCT[J].Prog Orthod，2019，20（1）：45.
[14]	Alkadhimi A，Al-Awadhi EA.Miniscrews for orthodontic anchorage：a review of available systems[J].J Orthod，2018，45（2）：102-114.
[29]	Mah J，Bergstrand F.Temporary anchorage devices：a status report[J].J Clin Orthod，2005，39（3）：132-136.
[30]	Maino BG，Mura P，Bednar J.Miniscrew implants：the spider screw anchorage system[J].Semin Orthod，2005，11（1）：40-46.
[15]	Eissa O，ElShennawy M，Gaballah S，et al.Treatment of ClassⅢmalocclusion using miniscrew-anchored inverted Forsus FRD：Controlled clinical trial[J].Angle Orthod，2018，88（6）：692-701.
[16]	Pisek P，Manosudprasit M，Wangsrimongkol T，et al.Treatment of a severe Class ⅡDivision 1 malocclusion combined with surgical miniscrew anchorage[J].Am J Orthod Dentofacial Orthop，2019，155（4）：572-583.
[17]	Wang XD，Zhang JN，Liu DW，et al.Nonsurgical correction using miniscrew-assisted vertical control of a severe high angle with mandibular retrusion and gummy smile in an adult[J].Am J Orthod Dentofacial Orthop，2017，151（5）：978-988.
[19]	Jing Z，Wu Y，Jiang W，et al.Factors affecting the clinical success rate of miniscrew implants for orthodontic treatment[J].Int J Oral Maxillofac Implants，2016，31（4）：835-841.
[20]	Woodall N，Tadepalli SC，Qian F，et al.Effect of miniscrew angulation on anchorage resistance[J].Am J Orthod Dentofacial Orthop，2011，139（2）：147-152.
[22]	Motoyoshi M，Yoshida T，Ono A，et al.Effect of cortical bone thickness and implant placement torque on stability of orthodontic mini-implants[J].Int J Oral Maxillofac Implants，2007，22（5）：779-784.
[23]	Haddad R，Saadeh M.Distance to alveolar crestal bone：a critical factor in the success of orthodontic mini-implants[J].Prog Orthod，2019，20（1）：19.
[24]	Ardani IGAW，Indharmawan R，Hamid T.The effect of miniscrew length and bone density on anchorage resistance：An in vitro study[J].Int Orthod，2019，17（3）：446-450.
[26]	Casana-Ruiz MD，Bellot-Arcís C，Paredes-Gallardo V，et al.Risk factors for orthodontic mini-implants in skeletal anchorage biological stability：a systematic literature review and meta-analysis[J].Sci Rep，2020，10（1）：5848.
[27]	Dalessandri D，Salgarello S，Dalessandri M，et al.Determinants for success rates of temporary anchorage devices in orthodontics：a meta-analysis（n>50）[J].Eur J Orthod，2014，36（3）：303-313.
[28]	Topouzelis N，Tsaousoglou P.Clinical factors correlated with the success rate of miniscrews in orthodontic treatment[J].Int J Oral Sci，2012，4（1）：38-44.
[31]	Chang C，Liu SS，Roberts WE.Primary failure rate for 1680 extra-alveolar mandibular buccal shelf mini-screws placed in movable mucosa or attached gingiva[J].Angle Orthod，2015，85（6）：905-910.
[32]	Liu Y，Yang ZJ，Zhou J，et al.Soft Tissue Changes in Patients With Dentoalveolar Protrusion Treated With Maximum Anchorage：A Systematic Review and Meta-analysis[J].J Evid Based Dent Pract，2019，19（4）：101310.
[33]	Liu Y，Yang ZJ，Zhou J，et al.Comparison of Anchorage Efficiency of Orthodontic Mini-implant and Conventional Anchorage Reinforcement in Patients Requiring Maximum Orthodontic Anchorage：A Systematic Review and Metaanalysis[J].J Evid Based Dent Pract，2020，20（2）：101401.
[34]	杨一帆，杨磊，丁寅.种植体支抗矫正双颌前突畸形疗效回顾性研究[J].中国实用口腔科杂志，2014，7（8）：475-478．
[35]	苏奇志，阎燕，闫红窈.微螺钉种植体支抗与口外弓增强支抗临床疗效的对比研究[J].中华口腔正畸学杂志，2009，16（3）：140-143.