中南医学科学杂志2025,Vol.53Issue(2):241-244,4.DOI:10.15972/j.cnki.43-1509/r.2025.02.011
直丝弓与Invisalign矫治器在拔牙患者中的支抗需求及效果分析
Analysis of anchorage requirements and efficacy of straight wire appliance and Invisalign in extraction patients
摘要
Abstract
Aim To investigate the anchorage requirements and clinical efficacy of straight wire appliance(SWA)and In-visalign in the alignment stage of extraction patients.Methods A total of 100 patients with bimaxillary protrusion requiring ex-traction of four premolars were randomly divided into control group(SWA)and observation group(Invisalign),with 50 cases in each group.The treatment efficacy,orthodontic duration,periodontal health indicators[gingival index(GI),plaque index(PLI),sulcus bleeding index(SBI),probing depth(PD),and clinical attachment loss(CAL)],and anchorage requirements(tooth movement rate and undesired tooth movement rate)were compared between the two groups.Results The observation group showed lower total efficacy,tooth movement rate,and visual analog scale(VAS)scores,but longer treatment duration and higher undesired tooth move-ment rate and aesthetic satisfaction compared to the control group(P<0.05).Compared with pre-treatment,all periodontal indicators increased in the control group,while only PLI increased in the observation group.Post-treatment periodontal indicators in the observation group were lower than those in the control group(P<0.05).Conclusion Compared with SWA,Invisalign offers better aesthetics,periodontal health,and pain control,but requires higher anchorage,exhibits weaker treatment efficacy,and has a longer treatment duration.关键词
直丝弓矫治器/Invisalign矫治器/拔牙/排齐阶段/支抗需求Key words
straight wire appliance/Invisalign/tooth extraction/alignment stage/anchorage requirement分类
医药卫生引用本文复制引用
王蓓,季彤,徐万田..直丝弓与Invisalign矫治器在拔牙患者中的支抗需求及效果分析[J].中南医学科学杂志,2025,53(2):241-244,4.基金项目
江苏省自然科学基金(BK20171122) (BK20171122)