隐适美矫治器矩形附件与优化附件远移尖牙效率的对比研究

doi:10.6040/j.issn.1671-7554.0.2019.092

摘要/Abstract

摘要： 目的比较隐适美矩形附件和优化附件在尖牙远中移动的控制效率。方法选取16例采用隐适美隐形矫治器治疗的拔除第一前磨牙的患者。利用ClinCheck软件设计下颌尖牙分别采用矩形附件组和优化附件。矫治前和矫治中模型数据通过三维数字化扫描仪获取,然后由Geomagic studio 12软件进行配准后,在同一坐标系中测量牙齿的转矩、轴倾角及旋转变化量。对数据进行整理后使用SPSS 20.0软件对各测量指标进行统计分析,对比矩形附件与优化附件对尖牙移动的效率。结果矩形附件与优化附件在尖牙近远中向、唇舌向、垂直向移动量差异无统计学意义(P>0.05)。两组矩形附件对轴倾角的控制力是优化附件的1.46倍(P<0.05)。两组转矩控制上差异无统计学意义。两组旋转的变化量差异有统计学意义(P<0.01)。矩形附件组整体移动效率比优化附件组高69.23%。结论拔牙病例中矩形附件相对于优化附件在牙齿整体移动的效率上具有更大的优势。

关键词: 隐适美矫治器, 矩形附件, 优化附件, 牙齿移动效率, 三维数字化

Abstract: Objective To compare the efficiency of the rectangular attachment and optimized attachment in the distal movement of canine on invisalign aligner. Methods Altogether 16 individuals who received first premolars extraction surgery and invisalign aligner treatment were enrolled in this study. The rectangular attachment and optimized attachment were placed on the 2 lower canines of each individual randomly using Clincheck. The 3D digital models obtained at the initial and the end of 16th aligners were aligned with Geomagic studio 12. Then the mesiodistal, vertical and labiolingual movement, inclination, angulation and rotation of canines were measured and calculated in the same coordinate system. All measurement indexes were analyzed using SPSS 20.0 software. Results No statistic differences were observed in the mesiodistal, vertical and labiolingual movement (P>0.05). The rectangular attachment was approximately 1.46 times as effective as optimized attachment in the control of angulation. There was no significant difference in torque changes between the two groups. Highly significant difference (P<0.01) was found in terms of rotation. The efficiency of holistic teeth movement in the rectangular attachment group was 69.23% higher than that in the optimized attachment group. Conclusion In teeth extraction, the rectangular attachment is more effective in canine bodily movement than the optimized attachment.

Key words: Invisalign aligner, Rectangular attachment, Optimized attachment, Tooth movement, 3D digitalization 〓山〓东〓大〓学〓学〓报〓(医〓学〓版)57卷4期〓-鞠博,等.隐适美矫治器矩形附件与优化附件远移尖牙效率的对比研究〓\=-

中图分类号:

R783.5

鞠博,李德水,刘盼盼,郭泾. 隐适美矫治器矩形附件与优化附件远移尖牙效率的对比研究[J]. 山东大学学报 (医学版), 2019, 57(4): 101-105.

JU Bo, LI Deshui, LIU Panpan, GUO Jing. Comparison of the efficiency of rectangular attachment and optimized attachment in the distal movement of canine on invisalign aligner[J]. Journal of Shandong University (Health Sciences), 2019, 57(4): 101-105.

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