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- 2016
正畸用微种植钉种植成功的多因素分析
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Abstract:
摘要 目的:探讨影响正畸支抗用微种植钉临床成功的因素。方法:选择固定正畸治疗中的种植微种植钉患者114例,微种植钉253颗。应用Logistic回归(Logistic Regression)统计方法对15个与微种植钉种植失败有关的指标(性别、年龄、垂直骨面型、矢状骨面型、植入部位、上下颌骨、软组织类型、口腔卫生状况、种植体长度和直径、植入方式、植入角度、加载时机、加载强度、临床用途)进行回归分析。结果:种植成功224颗,16例共计29颗脱落失败,种植成功率88.54%。年龄、口腔卫生情况、垂直骨面型和上下颌骨是影响微种植钉成功的独立指标(P<0.05)。结论:为了减少正畸支抗用微种植钉的失败,要对患者加强口腔卫生的宣教和监督,特别是对年轻(尤其是<12岁)的高角患者的下颌植入时
[1] | Hoi-Jeong Lim, Chun-Sun Eun, Jin-Hyoung Cho, et al. Factors associated with initial stabilityof miniscrews for orthodontic treatment [J]. Am J OrthodDentofacialOrthop,2009,136∶236-242 |
[2] | Saud A., Nigel W.T. Quantifying plaque during orthodontic treatment:A systematic review [J]. Angle Orthod, 2012, 82∶748-753 |
[3] | Kuroda S, Sugawara Y, Deguchi T, et al. Clinical use of miniscrew implants as orthodontic anchorage: success rates and postoperative discomfort [J]. Am J OrthodDentofacialOrthop, 2007, 131∶9-15 |
[4] | Deguchi T, Takano-Yamamoto T, Kanomi R. The use of small titanium screws for orthodontic anchorage [J]. J Dent Res, 2003, 82∶377-381 |
[5] | Zitzmann NU, Berglundh T, Ericsson I, et al. Spontaneous progression of experimentally induced peri-implantitis [J]. J ClinPeriodontol, 2004, 31∶845-849 |
[6] | Motoyoshi M, Inaba M, Ono A, et al. The effect of cortical bone thickness on the stability of orthodontic mini-implants and on the stress distribution in surrounding bone [J]. Int J Oral Maxillofac Surg, 2009, 38∶13-18 |
[7] | Miyawaki S, Koyama I, Inoue M, et al. Factors associatedwith the stability of titanium screws placed in the posteriorregion for orthodontic anchorage [J]. Am J OrthodDentofacialOrthop, 2003, 124∶373-378 |
[8] | Wang Z, Zhao Z, Xue J, et al. Pullout strength of miniscrews placed in anterior mandibles of adult and adolescent dogs: a microcomputed tomographic analysis [J]. Am J OrthodDentofacialOrthop,2010, 137∶100-107 |
[9] | NikolaosTopouzelis, Phoebus Tsaousoglou. Clinical factors correlated with the success rate ofminiscrews in orthodontic treatment [J]. International Journal of Oral Science, 2012, 4∶38-44 |
[10] | Branemark PI, Aspegren K, Breine U. Microcirculatory studies in man by high resolution vital microscopy [J]. Angiology, 1964, 15∶329-332 |
[11] | Herrero DB. Implants as anchorage in orthodontics: a clinical case report [J]. J Oral Implantol, 1998, 24∶5-10 |
[12] | Heintze SD, Jost-Brinkmann PG, Finke C, et al. In: Oral Health for the Orthodontic Patient. 1st ed. Hanover Park, Ill: Quintessence Publishing Co.; 1998∶67-70 |
[13] | Chen Y, Kyung HM, Zhao WT, et al. Critical factors for the success of orthodontic mini-implants: a systematic review [J]. Am J OrthodDentofacialOrthop,2009,135∶284-291 |
[14] | Thibodeau GA, Patton KT, editors. Anthony’s textbook of anatomy and physiology. 18th ed [J]. St Louis: Mosby, 2007. p. 229-54 |
[15] | Manni A, Cozzani M, Tamborrino F, et al. Factors influencing the stability of miniscrews. A retrospective study on 300 miniscrews [J]. Eur J Orthod, 2011, 33∶388-95 |
[16] | Chen YJ, Chang HH, Huang CY, et al. A retrospective analysis of the failure rate of three different orthodontic skeletal anchorage systems [J]. Clin Oral Impl Res,2007,18∶768-775 |