本文選題：自鎖托槽 + 非拔牙矯治　； 參考：《上�？谇会t(yī)學》2014年03期

【摘要】：目的:系統(tǒng)評價自鎖托槽與傳統(tǒng)托槽在非拔牙矯治中牙弓寬度的變化。方法 :檢索Cochrane Library、ScienceDirect、PubMed、CBM、CNKI、維普全文數(shù)據(jù)庫、萬方數(shù)據(jù)庫及Google文獻檢索,查找自鎖托槽與傳統(tǒng)托槽對非拔牙矯治牙弓形態(tài)影響的臨床研究,檢索時限從建庫截至2013年5月。由2名研究者獨立評價納入研究的質量并提取資料,采用Sata10.0軟件對納入的研究進行meta分析。結果:納入8項研究,共364例患者。Meta分析結果顯示,自鎖組與傳統(tǒng)組相比,矯治前、后在上頜第一前磨牙區(qū)[WMD=0.724,95%CI(0.288,1.160);PU㩳0.01]、下頜第一磨牙區(qū)[WMD=0.564,95%CI(0.219,0.909);PL㩳0.01]寬度增加量和上前牙傾斜度增加量有顯著差異。結論:現(xiàn)有的臨床證據(jù)表明,在輕中度擁擠非拔牙矯治中,自鎖托槽對上頜第一前磨牙和下頜第一磨牙區(qū)的擴弓效果優(yōu)于傳統(tǒng)托槽,且能更好地控制上前牙的傾斜度,但仍需更多高質量的臨床研究予以驗證。
[Abstract]:Objective: to evaluate the changes of arch width between self-locking brackets and traditional brackets in non-extraction orthodontics. Methods: to search the Cochrane Library Science Direct PubMedCBI, Weip full-text database, Wanfang database and Google literature search, to find out the clinical study of the effects of self-locking brackets and traditional brackets on the shape of non-extraction dental arch. The retrieval time was from the construction of the database to May 2013. The quality of the study was evaluated by two researchers and the data were extracted. Meta analysis was carried out with Sata10.0 software. Results: a total of 364 patients. Meta-analysis results showed that there were significant differences between the self-locking group and the traditional group before and after treatment in the maxillary first premolar region [WMD-0.72495CI0.288CI0.2881.160], and the mandibular first molar area [WMD0.56495CI0.2190.909PLP0.01]. Conclusion: the available clinical evidence shows that in the treatment of mild and moderate crowding and non-extraction, the effect of self-locking brackets on the expansion of maxillary first premolar and mandibular first molar region is superior to that of traditional brackets, and the inclination of anterior teeth can be better controlled. But more high-quality clinical studies are needed.
【作者單位】： 青島大學附屬醫(yī)院東區(qū)口腔科;
【分類號】：R783.5

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