无托槽隐形矫治器远移下颌磨牙的疗效

吴冬雪; 赵云山; 马萌; 张倩倩; 雷鹤; 王雅倩; 李悦珊; 陈曦

doi:10.11817/j.issn.1672-7347.2021.200391

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论著 | 更新时间：2022-04-07

无托槽隐形矫治器远移下颌磨牙的疗效
Efficacy of mandibular molar distalization by clear aligner treatment
中南大学学报(医学版) 中南大学学报(医学版) 2021年46卷第10期页码：1114-1121
作者机构：

1.重庆医科大学附属第一医院第一分院，重庆 400016
2.西安交通大学第一附属医院口腔科，西安 710061
作者简介：

吴冬雪，Email: 382213261@qq.com, ORCID: 0000-0003-1258-1503
陈曦，Email: 13038598996@qq.com, ORCID: 0000-0001-8593-3923
基金信息：

陕西省科技攻关项目(2018SF-037);西安交通大学第一附属医院新医疗新技术(XJYFY-2017ZD02)
DOI：10.11817/j.issn.1672-7347.2021.200391
中图分类号：
CSTR：

吴冬雪, 赵云山, 马萌, 等. 无托槽隐形矫治器远移下颌磨牙的疗效[J]. 中南大学学报(医学版), 2021,46(10):1114-1121.

Dongxue WU, Yunshan ZHAO, Meng MA, et al. Efficacy of mandibular molar distalization by clear aligner treatment[J]. Journal of Central South University. Medical Science, 2021,46(10):1114-1121.
吴冬雪, 赵云山, 马萌, 等. 无托槽隐形矫治器远移下颌磨牙的疗效[J]. 中南大学学报(医学版), 2021,46(10):1114-1121. DOI： 10.11817/j.issn.1672-7347.2021.200391.

Dongxue WU, Yunshan ZHAO, Meng MA, et al. Efficacy of mandibular molar distalization by clear aligner treatment[J]. Journal of Central South University. Medical Science, 2021,46(10):1114-1121. DOI： 10.11817/j.issn.1672-7347.2021.200391.

摘要

目的,2,当前隐形矫治远移磨牙的相关研究主要着眼于上颌，而下颌磨牙远移研究尚少。本研究旨在通过拍摄锥形束CT(cone beam CT，CBCT)，应用Dolphin软件三维评估无托槽隐形矫治器远移下颌磨牙的疗效。,方法,2,根据纳入和排除标准纳入20例无托槽隐形矫治器远移下颌磨牙的病例，在治疗前(T0)和下颌第1磨牙远移到位时(T1)拍摄CBCT，运用Dolphin软件测量下颌第1、2磨牙的牙冠牙根远中移动距离，计算下颌磨牙远移有效率，同时评估三维方向变化及对下中切牙和面部软硬组织的影响。,结果,2,下颌第2、1磨牙牙冠和牙根远移有效率分别为74%、49%和71%、47%；下颌第2、1磨牙均为远中颊尖点远移距离最大，分别为(2.15±0.91) mm、(1.85±1.09) mm；下颌第2、1磨牙远移后伴有压低、远中倾斜、颊向倾斜，分别为1.06 mm、2.10°、2.27°和0.91 mm、1.62°、1.91°，在T0和T1之间差异均有统计学意义(均,P,<,0.05)，下颌磨牙三维方向变化均具有统计学意义(均,P,<,0.05)，男女性别之间差异无统计学意义(均,P,>,0.05)；下颌中切牙在磨牙远移后表现为唇侧移动1.02 mm、压低0.82 mm、近中倾斜0.66°、冠唇向转矩1.51°，在T0和T1之间差异均有统计学意义(均,P,<,0.001)；面部软硬组织指标中仅下唇厚度增加0.1 cm，下唇长度增加0.1 cm，下颌面高缩短0.13 cm，在T0和T1之间差异均有统计学意义(均,P,<,0.05)。,结论,2,无托槽隐形矫治器能有效远移下颌磨牙，牙冠远移有效率高于牙根，为倾斜移动；下颌第2磨牙远移有效率、三维方向变化均高于下颌第1磨牙；磨牙远移使下颌切牙、面部软硬组织有少量变化。

Abstract

Objective,2,At present, the research on clear aligner of molar distalization mainly focuses on the upper jaw, while the research on mandibular molars is few.This study aims to evaluate the therapeutic effect of mandibular molars distalization with clear aligner via cone beam CT (CBCT) and Dolphin software.,Methods,2,Twenty cases of mandibular molars with clear aligner were included according to the inclusion and exclusion criteria. CBCT was taken before treatment (T0) and when the first molar was moved in place (T1). Dolphin software was used to measure the effectiveness of molar distalization. Three-dimensional changes in direction and the impact on the incisors and facial soft and hard tissues were evaluated.,Results,2,The effective rates of crown and root distalization of the second and first mandibular molars were 74%, 49%, and 71%, 47%, respectively. The second and first molars were both the distal buccal cusp with the largest distalization [(2.15 ± 0.91) mm and (1.85±1.09) mm], respectively, with significant difference between the T0 and T1 (,P,<,0.05). The second and first molars were accompanied by depression, distal tilt, and buccal tilt with 1.06 mm, 2.10°, 2.27°, and 0.91 mm, 1.62°, and 1.91°, respectively, with significant differences between the T0 and T1 (all ,P,<,0.05). There was no obvious difference between men and women. The mandibular central incisor showed a lip-side movement of 1.02 mm, a depression of 0.82 mm, a mesial incline of 0.66°, and a crown-lip torque of 1.51° after molar distalization, with significant differences between the T0 and T1 (all ,P,<,0.001). Only the lower lip thickness increased by 0.1 cm, the length of the lower lip increased by 0.1 cm, and the ANS-ME (distance from anterior nasal spine to submental point) decreased by 0.13 cm, with significant differences between the T0 and T1 (all ,P,<,0.05).,Conclusion,2,Clear aligner can effectively move mandibular molars farther, the crown is more effective than the root, and it is tilted. The second mandibular molar is more effective than the first mandibular molar in its distant displacement and three-dimensional changes. Molar distalization causes minor changes in mandibular incisors and facial soft and hard tissues.

关键词

隐形矫治器下颌磨牙远移锥形束CT三维测量

Keywords

clear alignermolar distalizationcone beam CTthree-dimensional measurement

references

杨偲偲. 隐形矫治技术远中移动上颌磨牙疗效的CBCT评价[D]. 上海: 上海交通大学, 2015.

YANG Sisi. Efficacy of invisalign on upper molar distalization via CBCT evaluation[D]. Shanghai: Shanghai Jiaotong University, 2015.

Shipley TS. Effects of high frequency acceleration device on aligner treatment—A pilot study[J]. Dent J (Basel), 2018, 6(3): E32.

陈欣慰. 隐形矫治上颌磨牙整体远移的效率[D]. 济南: 山东大学, 2017.

CHEN Xinwei. The efficiency of upper molar totally distalization in clear system[D]. Jinan: Shandong University, 2017.

Ravera S, Castroflorio T, Garino F, et al. Maxillary molar distalization with aligners in adult patients: a multicenter retrospective study[J]. Prog Orthod, 2016, 17: 12.

Simon M, Keilig L, Schwarze J, et al. Treatment outcome and efficacy of an aligner technique: regarding incisor torque, premolar derotation and molar distalization[J]. BMC Oral Health, 2014, 14: 68.

姜雅楠. 无托槽隐形矫治技术远中移动上颌磨牙后稳定性的临床研究[D]. 大连: 大连医科大学, 2018.

JIANG Yanan. Clinical study on stability of maxillary molar distalization with clear aligner[D]. Dalian: Dalian Medical University, 2018.

李志芳, 王伟财, 麦理想. 无托槽隐形矫治技术远移磨牙治疗上前牙轻、中度拥挤的效果[J]. 口腔疾病防治, 2018, 26(5): 314-319.

LI Zhifang, WANG Weicai, MAI Lixiang. The clinical effects of Invisalign-aided molar distalization in the treatment of mild or moderate crowding in anterior teeth[J]. Journal of Prevention and Treatment for Stomatological Diseases, 2018, 26(5): 314-319.

周洁珉, 白玉兴, 郝玮. 无托槽隐形矫治技术远中移动磨牙效果的三维分析与评价[J]. 北京口腔医学, 2011, 19(3): 157-159.

ZHOU Jiemin, BAI Yuxing, HAO Wei. Three dimensional evaluation of maxillary molar distal movement using invisible bracketless appliance[J]. Beijing Journal of Stomatology, 2011, 19(3): 157-159.

陈琳, 吴嘉桦, 辜为怀, 等. 无托槽隐形矫治器远移上颌磨牙的疗效评价[J]. 实用口腔医学杂志, 2017, 33(2): 203-207.

CHEN Lin, WU Jiahua, GU Weihuai, et al. Evaluation of the invisible bracketless appliance on maxillary molar distalization[J]. Journal of Practical Stomatology, 2017, 33(2): 203-207.

Rossini G, Parrini S, Castroflorio T, et al. Efficacy of clear aligners in controlling orthodontic tooth movement: a systematic review[J]. Angle Orthod, 2015, 85(5): 881-889.

Zheng M, Liu R, Ni Z, et al. Efficiency, effectiveness and treatment stability of clear aligners: a systematic review and Meta-analysis[J]. Orthod Craniofac Res, 2017, 20(3): 127-133.

Kim SJ, Choi TH, Baik HS, et al. Mandibular posterior anatomic limit for molar distalization[J]. Am J Orthod Dentofacial Orthop, 2014, 146(2): 190-197.

Simon M, Keilig L, Schwarze J, et al. Forces and moments generated by removable thermoplastic aligners: incisor torque, premolar derotation, and molar distalization[J]. Am J Orthod Dentofacial Orthop, 2014, 145(6): 728-736.

Jo SY, Bayome M, Park J, et al. Comparison of treatment effects between four premolar extraction and total arch distalization using the modified C-palatal plate[J]. Korean J Orthod, 2018, 48(4): 224-235.

Papadimitriou A, Mousoulea S, Gkantidis N, et al. Clinical effectiveness of Invisalign® orthodontic treatment: a systematic review[J]. Prog Orthod, 2018, 19(1): 37.

Rapozo DC, Bernardazzi C, de Souza HS. Diet and microbiota in inflammatory bowel disease: The gut in disharmony[J]. World J Gastroenterol, 2017, 23(12): 2124-2140.

Lino AB, Vigorito JW. Evaluation of the vertical alterations of the upper second molars after the alignment and leveling phase using the MBT technique[J]. Dental Press J Orthod, 2013, 18(5): 115-120.

Kravitz ND, Kusnoto B, BeGole E, et al. How well does Invisalign work? A prospective clinical study evaluating the efficacy of tooth movement with Invisalign[J]. Am J Orthod Dentofacial Orthop, 2009, 135(1): 27-35.

张献, 黄桂月, 黄春明, 等. 无托槽隐形矫治器与固定矫治器的起源及优缺点[J]. 全科口腔医学电子杂志, 2018, 5(1): 6-8.

ZHANG Xian, HUANG Guiyue, HUANG Chunming, et al. The origin, advantages and disadvantages of the invisible bracketless appliance and fixed appliance[J]. Electronic Journal of General Stomatology, 2018, 5(1): 6-8.

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