口腔疾病防治2024，Vol.32Issue(5)：367-375,9.DOI:10.12016/j.issn.2096-1456.2024.05.006
隐形矫治器远移成年患者上颌磨牙疗效的Meta分析
Meta-analysis of the efficacy of invisible orthodontic appliances for maxillary molar distalization in adult pa-tients
摘要
Abstract
Objective To evaluate the clinical efficacy of invisible orthodontic appliances without brackets for the distal movement of maxillary molars to improve the ability of orthodontists to predict treatment outcomes.Methods Web of Science,Cochrane Library,Embase,PubMed,Wanfang Database,CNKI Database,and VIP Database were searched for studies investigating the efficacy of invisible orthodontic appliances for distal movement of maxillary molars in adult patients and published from database inception to August 1,2023.A total of three researchers screened the studies and evaluated their quality and conducted a meta-analysis of those that met quality standards.Results This study included 13 pre-and postcontrol trials with a total sample size of 281 patients.The meta-analysis revealed no sig-nificant differences in the sagittal or vertical parameters of the jawbone after treatment when compared with those before treatment(P＞0.05).The displacement of the first molar was MD=-2.34,95％CI(-2.83,-1.85);the displacement was MD=-0.95,95％CI(-1.34,-0.56);and the inclination was MD=-2.51,95％CI(-3.56,-1.46).There was a statistically significant difference in the change in sagittal,vertical,and axial tilt of the first molar before and after treatment.After treatment,the average adduction distance of the incisors was MD=-0.82,95％CI(-1.54,-0.09),and the decrease in lip inclination was MD=-1.61,95％CI(-2.86,-0.36);these values were significantly different from those before treat-ment(P＜0.05).Conclusion Invisible orthodontic appliances can effectively move the upper molars in a distal direc-tion and control the vertical position of the molars.When the molars move further away,there is some degree of com-pression and distal tilt movement,which is beneficial for patients with high angles.The sagittal movement of incisors is beneficial for improving the patient's profile.关键词
Meta分析/隐形矫治器/磨牙远移/正畸/错(牙合)畸形/安氏Ⅱ类/牙齿移动/切牙内收Key words
Meta-analysis/invisible appliance/molar distalization/orthodontics/malocclusion/Angle ClassⅡ malocclusion/teeth movement/incisor adduction分类
医药卫生引用本文复制引用
康芙嘉,李欣鹏,张茜雅,石芯宁,常路广达,朱宪春..隐形矫治器远移成年患者上颌磨牙疗效的Meta分析[J].口腔疾病防治,2024,32(5):367-375,9.基金项目
This study was supported by Jilin Provincial Natural Science Foundation(No.YDZJ202201ZYTS057) （No.YDZJ202201ZYTS057）
Jilin Provincial Department of Science and Technology Science and Technology Development Plan Project(No.20210203064SF). 吉林省自然科学基金(YDZJ202201ZYTS057) （No.20210203064SF）
吉林省科技厅科技发展计划项目(20210203064SF) （20210203064SF）
