无托槽隐形矫治附件临床应用的研究进展

doi:10.13591/j.cnki.kqyx.2024.04.011

摘要/Abstract

摘要：

附件是无托槽隐形矫治的重要部件,正确使用附件有助于提高无托槽隐形矫治的牙齿移动效率,从而更好实现矫治目标。本文回顾了附件类型、附件设计中的考量因素和与附件精确度及脱落率相关的因素,以期为临床正畸医生提供参考。

Abstract:

The attachment is a crucial component in clear aligner treatment. The proper use of it is beneficial to tooth movement efficiency and thus to better achieve the goals of orthodontic treatment. This paper reviews research progress of the attachment including its types, considerations in design, and factors associated with the accuracy and loss rates, in order to provide reference for orthodontic clinicians.

Key words: clear aligner, attachment, clinical application

中图分类号:

R783.5

苏敬媛, 肖天, 雷婕, 郭杰. 无托槽隐形矫治附件临床应用的研究进展[J]. 口腔医学, 2024, 44(4): 297-302.

SU Jingyuan, XIAO Tian, LEI Jie, GUO Jie. Research progress of the attachment application in clear aligner treatment[J]. Stomatology, 2024, 44(4): 297-302.

图/表 1

参考文献 56

[1]	Buschang PH, Shaw SG, Ross M, et al. Comparative time efficiency of aligner therapy and conventional edgewise braces[J]. Angle Orthod, 2014, 84(3):391-396. doi: 10.2319/062113-466 pmid: 24749702
[2]	Djeu G, Shelton C, Maganzini A. Outcome assessment of Invisalign and traditional orthodontic treatment compared with the American Board of Orthodontics objective grading system[J]. Am J Orthod Dentofacial Orthop, 2005, 128(3):292-298;discussion 298. doi: 10.1016/j.ajodo.2005.06.002
[3]	Rossini G, Parrini S, Castroflorio T, et al. Efficacy of clear aligners in controlling orthodontic tooth movement: A systematic review[J]. Angle Orthod, 2015, 85(5):881-889. doi: 10.2319/061614-436.1 pmid: 25412265
[4]	Cai YQ, He BW, Yang XX, et al. Optimization of configuration of attachment in tooth translation with transparent tooth correction by appropriate moment-to-force ratios: Biomechanical analysis[J]. Biomed Mater Eng, 2015, 26(Suppl 1):S507-S517.
[5]	Weir T. Clear aligners in orthodontic treatment[J]. Aust Dent J, 2017, 62(Suppl 1):58-62.
[6]	Nucera R, Dolci C, Bellocchio AM, et al. Effects of composite attachments on orthodontic clear aligners therapy: A systematic review[J]. Materials, 2022, 15(2):533. doi: 10.3390/ma15020533
[7]	Khan W. New concepts in aligner therapy with the orthocaps system[J]. Orthod Fr, 2014, 85(3):253-264. doi: 10.1051/orthodfr/2014011
[8]	Liu YS, Li D, Cao J, et al. A method of fabricating computer aided design-computer aided manufacturing implant-supported provisional restorations with clear aligner attachments: A technical report[J]. J Esthet Restor Dent, 2022, 34(5):759-762. doi: 10.1111/jerd.v34.5
[9]	Savignano R, Valentino R, Razionale AV, et al. Biomechanical effects of different auxiliary-aligner designs for the extrusion of an upper central incisor: A finite element analysis[J]. J Healthc Eng, 2019:9687127.
[10]	Liu Y, Hu W. Force changes associated with different intrusion strategies for deep-bite correction by clear aligners[J]. Angle Orthod, 2018, 88(6):771-778. doi: 10.2319/121717-864.1 pmid: 30035613
[11]	Haouili N, Kravitz ND, Vaid NR, et al. Has Invisalign improved?A prospective follow-up study on the efficacy of tooth movement with Invisalign[J]. Am J Orthod Dentofacial Orthop, 2020, 158(3):420-425. doi: 10.1016/j.ajodo.2019.12.015
[12]	Ferlias N, Dalstra M, Cornelis MA, et al. In vitro comparison of different invisalign and 3Shape attachment shapes to control premolar rotation[J]. Front Bioeng Biotechnol, 2022, 10:840622. doi: 10.3389/fbioe.2022.840622
[13]	Robert L, Boyd VW. Three-dimensional diagnosis andorthodontic treatment of complex malocclusions with the invisalign appliance[J]. Seminars in Orthod, 2001, 7(4):274-293. doi: 10.1053/sodo.2001.25414
[14]	Cortona A, Rossini G, Parrini S, et al. Clear aligner orthodontic therapy of rotated mandibular round-shaped teeth: A finite element study[J]. Angle Orthod, 2020, 90(2):247-254. doi: 10.2319/020719-86.1 pmid: 31469592
[15]	Papadimitriou A, Mousoulea S, Gkantidis N, et al. Clinical effectiveness of Invisalign orthodontic treatment: A systematic review[J]. Prog Orthod, 2018, 19(1):37. doi: 10.1186/s40510-018-0235-z pmid: 30264270
[16]	Charalampakis O, Iliadi A, Ueno H, et al. Accuracy of clear aligners: A retrospective study of patients who needed refinement[J]. Am J Orthod Dentofacial Orthop, 2018, 154(1):47-54. doi: 10.1016/j.ajodo.2017.11.028
[17]	普盼君, 封颖丽, 任亚男, 等. 无托槽隐形矫治牙齿旋转效率的研究[J]. 中华口腔正畸学杂志, 2019, 26(2):85-89.
[18]	Kim WH, Hong K, Lim D, et al. Optimal position of attachment for removable thermoplastic aligner on the lower canine using finite element analysis[J]. Materials, 2020, 13(15):3369. doi: 10.3390/ma13153369
[19]	陈周艳, 周容, 何淞, 等. 矩形附件厚度与位置变化对矫正尖牙扭转的影响[J]. 中国组织工程研究, 2020, 24(16):2513-2519.
[20]	Kravitz ND, Kusnoto B, Agran B, et al. Influence of attachments and interproximal reduction on the accuracy of canine rotation with Invisalign. A prospective clinical study[J]. Angle Orthod, 2008, 78(4):682-687. doi: 10.2319/0003-3219(2008)078[0682:IOAAIR]2.0.CO;2 pmid: 18302468
[21]	Simon M, Keilig L, Schwarze J, et al. Treatment outcome and efficacy of an aligner technique: Regarding incisor torque, premolar derotation and molar distalization[J]. BMC Oral Health, 2014, 14:68. doi: 10.1186/1472-6831-14-68
[22]	Brezniak N. The clear plastic appliance: A biomechanical point of view[J]. Angle Orthod, 2008, 78(2):381-382. doi: 10.2319/0003-3219(2008)078[0381:TCPA]2.0.CO;2 pmid: 18251593
[23]	Al-Balaa M, Li HY, Mohamed AM, et al. Predicted and actual outcome of anterior intrusion with Invisalign assessed with cone-beam computed tomography[J]. Am J Orthod Dentofacial Orthop, 2021, 159(3):e275-e280. doi: 10.1016/j.ajodo.2020.10.018
[24]	Jiang T, Wu RY, Wang JK, et al. Clear aligners for maxillary anterior en masse retraction: A 3D finite element study[J]. Sci Rep, 2020, 10(1):10156. doi: 10.1038/s41598-020-67273-2 pmid: 32576935
[25]	Kravitz ND, Kusnoto B, BeGole E, et al. How well does Invisalignwork?A prospective clinical study evaluating the efficacy of tooth movement with Invisalign[J]. Am J Orthod Dentofacial Orthop, 2009, 135(1):27-35. doi: 10.1016/j.ajodo.2007.05.018
[26]	Costa R, Calheiros FC, Ballester RY, et al. Effect of three different attachment designs in the extrusive forces generated by thermoplastic aligners in the maxillary central incisor[J]. Dental Press J Orthod, 2020, 25(3):46-53. doi: S2176-94512020000300046 pmid: 32844975
[27]	Kawamura J, Tamaya N. A finite element analysis of the effects of archwire size on orthodontic tooth movement in extraction space closure with miniscrew sliding mechanics[J]. Prog Orthod, 2019, 20(1):3. doi: 10.1186/s40510-018-0255-8 pmid: 30663006
[28]	Dai FF, Xu TM, Shu G. Comparison of achieved and predicted tooth movement of maxillary first molars and central incisors: First premolar extraction treatment with Invisalign[J]. Angle Orthod, 2019, 89(5):679-687. doi: 10.2319/090418-646.1
[29]	Castroflorio T, Garino F, Lazzaro A, et al. Upper-incisor root control with Invisalign appliances[J]. J Clin Orthod, 2013, 47(6):346-351;quiz387.
[30]	Ahmed T, Padmanabhan S, Pottipalli Sathyanarayana H. Effects of varying attachment positions on palatal displacement of maxillaryincisors with clear aligner therapy: A three-dimensional finite element analysis[J]. J Orofac Orthop, 2023, 84(3):178-188. doi: 10.1007/s00056-021-00374-3
[31]	Garino F, Castroflorio T, Daher S, et al. Effectiveness of composite attachments in controlling upper-molar movement with aligners[J]. J Clin Orthod, 2016, 50(6):341-347.
[32]	Gomez JP, Peña FM, Martínez V, et al. Initial force systems during bodily tooth movement with plastic aligners and composite attachments: A three-dimensional finite element analysis[J]. Angle Orthod, 2015, 85(3):454-460. doi: 10.2319/050714-330.1 pmid: 25181252
[33]	Ho CT, Huang YT, Chao CW, et al. Effects of different aligner materials and attachments on orthodontic behavior[J]. J Dent Sci, 2021, 16(3):1001-1009. doi: 10.1016/j.jds.2021.01.011
[34]	Ravera S, Castroflorio T, Garino F, et al. Maxillary molar distalization with aligners in adult patients: A multicenter retrospective study[J]. Prog Orthod, 2016, 17:12. doi: 10.1186/s40510-016-0126-0 pmid: 27041551
[35]	刘倩, 顾泽旭, 田杰, 等. 材料厚度对无托槽隐形矫治器固位力影响的实验研究[J]. 中华口腔正畸学杂志, 2013, 20(1):46-48.
[36]	Dasy H, Dasy A, Asatrian G, et al. Effects of variable attachment shapes and aligner material on aligner retention[J]. Angle Orthod, 2015, 85(6):934-940. doi: 10.2319/091014-637.1 pmid: 26516708
[37]	Boyd RL. Esthetic orthodontic treatment using the invisalign appliance for moderate to complex malocclusions[J]. J Dent Educ, 2008, 72(8):948-967. pmid: 18676803
[38]	通凯. 口腔正畸无托槽隐形矫治临床指南[M]. 白玉兴,译. 北京: 人民军医出版社, 2008:77-98.
[39]	唐娜, 赵志河, 王军, 等. 无托槽隐形矫治技术生物力学效应的有限元法研究[J]. 医用生物力学, 2010, 25(6):399-405.
[40]	潘晓岗. 无托槽隐形矫治在牙周病患者正畸治疗中的应用[J]. 中华口腔医学杂志, 2020, 55(8):546-550.
[41]	Low B, Lee W, Seneviratne CJ, et al. Ultrastructure and morphology of biofilms on thermoplastic orthodontic appliances in‘fast’ and ‘slow’plaque formers[J]. Eur J Orthod, 2011, 33(5):577-583. doi: 10.1093/ejo/cjq126
[42]	Eliades T, Papageorgiou SN, Ireland AJ. The use of attachments in aligner treatment: Analyzing the innovation of expanding the use of acid etching-mediated bonding of composites to enamel and its consequences[J]. Am J Orthod Dentofacial Orthop, 2020, 158(2):166-174. doi: 10.1016/j.ajodo.2020.04.008
[43]	Eliades T, Koletsi D. Minimizing the aerosol-generating procedures in orthodontics in the era of a pandemic: Current evidence on the reduction of hazardous effects for the treatment team and patients[J]. Am J Orthod Dentofacial Orthop, 2020, 158(3):330-342. doi: 10.1016/j.ajodo.2020.06.002
[44]	Iliadi A, Koletsi D, Papageorgiou SN, et al. Safety considerations for thermoplastic-type appliances used as orthodontic aligners or retainers. A systematic review and meta-analysis of clinical and in-vitro research[J]. Materials, 2020, 13(8):1843. doi: 10.3390/ma13081843
[45]	Thai JK, Araujo E, McCray J, et al. Esthetic perception of clear aligner therapy attachments using eye-tracking technology[J]. Am J Orthod Dentofacial Orthop, 2020, 158(3):400-409. doi: 10.1016/j.ajodo.2019.09.014
[46]	Chen YS, Mohamed AM, Wang JB, et al. Risk factors of composite attachment loss in orthodontic patients during orthodontic clear aligner therapy: A prospective study[J]. Biomed Res Int, 2021, 2021:6620377.
[47]	黄荣彩, 熊国平, 林正深, 等. 无托槽隐形矫治器附件脱落影响因素分析[J]. 中华口腔正畸学杂志, 2018, 25(1):12-16.
[48]	Valeri C, Aloisio A, Mummolo S, et al. Performance of rigid and soft transfer templates using viscous and fluid resin-based composites in the attachment bonding process of clear aligners[J]. Int J Dent, 2022:1637594.
[49]	Sofan E, Sofan A, Palaia G, et al. Classification review of dental adhesive systems: From the Ⅳ generation to the universal type[J]. Ann Stomatol, 2017, 8(1):1-17.
[50]	连月梅, 白玉兴, 厉松. 正畸无托槽隐形矫治器附件两种粘结方法的比较[J]. 北京口腔医学, 2010, 18(2):108-109.
[51]	Chen Z. Accuracy of composite attachment position with four different indirect bonding techniques[D]. Chicago: University of Illinois, 2019.
[52]	Lin S, Huang L, Li JL, et al. Assessment of preparation time and 1-year Invisalign aligner attachment survival using flowable and packable composites[J]. Angle Orthod, 2021, 91(5):583-589. doi: 10.2319/063020-598.1 pmid: 33848325
[53]	Weckmann J, Scharf S, Graf I, et al. Influence of attachment bonding protocol on precision of the attachment in aligner treatments[J]. J Orofac Orthop, 2020, 81(1):30-40. doi: 10.1007/s00056-019-00204-7 pmid: 31834419
[54]	Satterthwaite JD, Maisuria A, Vogel K, et al. Effect of resin-composite filler particle size and shape on shrinkage-stress[J]. Dent Mater, 2012, 28(6):609-614. doi: 10.1016/j.dental.2012.01.007 pmid: 22342645
[55]	Mantovani E, Castroflorio E, Rossini G, et al. Scanning electron microscopy analysis of aligner fitting on anchorage attachments[J]. J Orofac Orthop, 2019, 80(2):79-87. doi: 10.1007/s00056-018-00167-1 pmid: 30673806
[56]	Barreda GJ, Dzierewianko EA, Muñoz KA, et al. Surface wear of resin composites used for Invisalign attachments[J]. Acta Odontol Latinoam, 2017, 30(2):90-95.

传统附件类型		作用	临床应用
椭圆形附件被动附件固位力及支抗力弱牙齿表面积有限、其他传统附件放置困难等
矩形附件	垂直矩形附件	被动附件固位力及支抗力强	前牙及前磨牙控根等
矩形附件	水平矩形附件	被动附件固位力及支抗力强	磨牙控根、辅助垂直向移动等
楔形附件	垂直楔形附件	主动附件,楔形面为加力面固位力及支抗力适中	去扭转、控根等
楔形附件	水平楔形附件	主动附件,楔形面为加力面固位力及支抗力适中	辅助垂直向移动等