›› 2020, Vol. 40 ›› Issue (9): 820-824.

• 临床研究 • 上一篇    下一篇

透明压膜保持器戴用前后咬合变化的T-scan分析

汝一雯,张卫兵   

  1. 南京医科大学附属口腔医院
  • 收稿日期:2020-06-17 修回日期:2020-06-24 出版日期:2020-09-28 发布日期:2020-10-07
  • 通讯作者: 张卫兵 E-mail:zhangweibing@njmu.edu.cn
  • 作者简介:2020-08-31

Occlusal contacts changes with clear overlay retainers in a 3-month retention period analyzed with T-scan III

Wen YiRU1,   

  • Received:2020-06-17 Revised:2020-06-24 Online:2020-09-28 Published:2020-10-07

摘要: 目的 运用T-ScanⅢ数字化咬合分析系统采集分析正畸固定矫治结束患者戴用透明压膜保持器前后的咬合接触,探究透明压膜保持器在正畸保持期间对咬合产生的影响。 方法 选取结束固定矫治且在拆除矫治器后佩戴透明压膜保持器进行保持的患者34名。在患者固定矫治结束即刻(T0期)和戴用透明压膜保持器3个月(T1期)时采集患者最大牙尖交错位的咬合数据。对T0和T1期接触点数目、接触面积、力中心点矢状向位移等咬合参数进行统计分析。 结果 T0和T1期的咬合参数变化具有统计学差异。接触点总数和接触总面积显著减小,其中牙弓前部的接触点数目和接触面积增大,牙弓后部的接触点数目和接触面积减小;力中心点向近中发生移位。 结论 正畸固定治疗结束后,使用透明压膜保持器会改变患者的最大牙尖交错位的咬合;戴用透明压膜保持器3个月后最大牙尖交错位的总咬合接触点和咬合接触面积减小,其中后牙区减小而前牙区增加。

关键词: 透明压膜保持器, T-Scan, 咬合

Abstract: Objective  To analyze the change of occlusal contacts of patients before and after the wearing clear overlay retainers and explore the effect of clear overlay retainers on the occlusion during orthodontic retention. Methods  The T-Scan III digital occlusion analysis system was used to collect and analyze the occlusion contacts in maximum intercuspal position of 34 patients. The occlusion data was collected immediately after the end of fixed orthodontic treatment (T0) and after wearing clear overlay retainers for 3 months (T1). The number of occlusal contacts (NOC), the area of occlusal contacts (AOC) and sagittal displacement of the center point of force (COF) before and after wearing clear overlay retainers were compared. Paired t test and wilcoxon rank sum test were utilized in the data analysis. Results  The patients’ occlusal contacts in maximum intercuspal position changed after wearing clear overlay retainers for 3 months. From the end of fixed orthodontic treatment (T0) to wearing clear overlay retainers for 3 months (T1) ,the total number and area of occlusal contacts decreased significantly (p<0.05) , while the number and area of anterior dental arch increased (p<0.05) and posterior dental arch decreased (p<0.05). The center point of occlusal force was obviously shifted mesially (p<0.05). Conclusions  The use of clear overlay retainers changed the occlusion contacts of the patients after fixed orthodontic treatment. After wearing the clear overlay retainers for 3 months, the total occlusal contact in maximum intercuspal position became shallower, in which the posterior occlusal area got shallower and the anterior area got deeper.

Key words: Clear overlay retainers, T-Scan, Occlusal contacts

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