国际口腔医学杂志2025，Vol.52Issue(3)：366-379,14.DOI:10.7518/gjkq.2025036
不同尺寸和材料的初始弓丝对正畸治疗中初始疼痛影响的系统评价与贝叶斯网状Meta分析
Effects of initial archwires of different sizes and materials on initial pain during orthodontic treatment:a systema-tic review and Bayesian network meta-analysis
魏志 1刘畅 1王艳 1赖文莉1
作者信息
- 1. 口腔疾病防治全国重点实验室 国家口腔医学中心 国家口腔疾病临床医学研究中心四川大学华西口腔医院口腔正畸科 成都 610041
- 折叠
摘要
Abstract
Objective The effects of variations in the size and materials of initial archwires on initial pain during ortho-dontic treatment were explored.Methods Seven commonly used databases were searched from inception to October 1,2023 for publications related to orthodontic archwires and pain.Relevant literature was selected on the basis of inclusion criteria.Moreover,the methodological quality of the included studies was assessed using the risk of bias assessment tool for the nonrandomized studies of interventions recommended by Cochrane,and data were extracted accordingly.Net-work meta-analysis was performed using R software 4.3.2(calling JAGS 4.3.1)and GeMTC 0.14.3 software.Results A total of 11 studies involving 632 patients and 10 intervention measures were included.Among the 11 studies,three had low risk of bias,one had high risk of bias,and seven had unclear bias risk.One,two,and seven days after the initial place-ment of fixed orthodontic appliances,no statistically significant difference in the visual analog scale(VAS)scores of pain was found between any two of the 10 archwires.However,forest plots results show that the pain level of heat-activated nickel-titanium archwires(HANT)is lower than that of superelastic nickel-titanium archwires(P<0.05),and rank proba-bility plot analysis indicated that the material with the smallest VAS score was most likely the 0.012-inch(0.305 mm)HANT.Conclusion No difference in orthodontic pain intensity was found among the 10 initial archwires of different sizes and materials,and using the 0.012-inch HANT archwire as the initial archwire during fixed ortho-dontic treatment may cause the least amount of initial pain.关键词
正畸弓丝/疼痛/系统评价/视觉模拟评分Key words
orthodontic archwires/pain/systematic review/visual analog scale分类
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魏志,刘畅,王艳,赖文莉..不同尺寸和材料的初始弓丝对正畸治疗中初始疼痛影响的系统评价与贝叶斯网状Meta分析[J].国际口腔医学杂志,2025,52(3):366-379,14.
