比较传统树脂和流体树脂在无托槽隐形矫治中的应用

›› 2021, Vol. 41 ›› Issue (11): 992-994.

比较传统树脂和流体树脂在无托槽隐形矫治中的应用

顾月光¹,岳莉¹,李雷¹,王笑辰¹,倪洁丽²,郭舒瑜²,张阳²

1. 连云港市第一人民医院口腔分院
2. 南京医科大学附属口腔医院正畸科

收稿日期:2021-05-07 修回日期:2021-08-05 出版日期:2021-11-28 发布日期:2021-11-29
通讯作者: 张阳 E-mail:zyorth@njmu.edu.cn
基金资助:
国家自然科学基金

Comparison between attachments made of traditional resin and flowable resin with their application in invisalign treatment without brackets

Received:2021-05-07 Revised:2021-08-05 Online:2021-11-28 Published:2021-11-29
Contact: yang yangzhang E-mail:zyorth@njmu.edu.cn

摘要/Abstract

摘要： 目的比较传统树脂和流体树脂这两种树脂材料制作的附件在无托槽隐形矫治中的应用。方法选取连云港市口腔医院2019年至2020年无托槽隐形矫治患者22例，共232个附件，比较传统树脂和流体树脂这两种树脂材料制作附件的操作时间差异，并比较粘结当时和粘结一年后附件缺损、附件脱落方面的差异及不同附件形态和不同牙位间脱落率间的差异。结果流体树脂制作的附件在操作时间方面短于传统树脂，差异有统计学意义（P<0.05）。粘结当时及粘结一年后，优化附件的脱落率低于传统附件，差异有统计学意义（P<0.05）。粘结当时，前牙附件脱落率低于后牙，差异有统计学意义（P<0.05）。结论在无托槽隐形矫治中，使用流体树脂制作的附件较适用于临床；临床选择附件时尽量选择优化附件；在粘结附件时，后牙区模板可以剪断以减少后牙附件脱落。

关键词: [关键词] 隐形矫治, 附件, 流体树脂, 正畸

Abstract: Objective To compare the application of attachments made of traditional resin and flowable resin in invisalign treatment without brackets. Methods Twentytwo patients, 232 attachments in total were selected from the Stomatology Hospital of Lianyungang from 2019 to 2020. Operation time was compared; defect, shedding rate of two kinds of attachments, differences in different shapes of attachments and different positions of the tooth were compared at the time of bonding and one year after the bonding. Results The operation time of attachments made of flowable resin was shorter than traditional resin; the difference was statistically significant (P<0.05). At the time of bonding and one year after bonding, the shedding rate of the optimized attachment was lower than that of the traditional attachment; difference was statistically significant (P<0.05). At the time of bonding, the shedding rate of the anterior attachment was lower than that of the posterior attachment; difference was statistically significant (P<0.05). Conclusion In invisalign treatment without brackets, attachments made of flowable resins are suitable for the clinic; the optimized attachment is more suitable for the clinic than the traditional attachment; when the attachments are bonded, the template for posterior area can be cut to reduce the loss of the attachment.

Key words: Key Words:invisalign, attachment, flowable resin, orthodontics

中图分类号:

R783.5

顾月光岳莉李雷王笑辰倪洁丽郭舒瑜张阳. 比较传统树脂和流体树脂在无托槽隐形矫治中的应用[J]. 口腔医学, 2021, 41(11): 992-994.

参考文献

[1]White DW, Julien KC, Jacob H, et al.Discomfort associated with Invisalign and traditional brackets: a randomized,prospective trial[J].Angle Orthod,2017,87(6):801-808
[2]Flores-Mir C, Brandelli J, Pacheco-Pereira C.Patient satisfaction and quality of life status after 2 treatment modalities: Invisalign and conventional fixed appliances[J].Am J Orthod Dentofacial Orthop,2018,154(5):639-644
[3]沈强.无托槽隐形矫治技术在口腔正畸中的应用分析[J].中国继续医学教育,2015,7(19):89-90
[4]Comba B, Parrini S, Rossini G,et al. A three dimensional finite element analysis of upper-canine distalization with clear aligners,composite attachments,and Class IIElastics[J].JCO,2017,51(1):24-28
[5]白玉兴.口腔正畸无托槽隐形正畸矫治临床指南[J].北京,人民军医出版社, 2008,12:77-98
[6]何爱娥，高婵，肖云鹤，等.无托槽隐形矫技术中附件粘接的临床体会[J].临床口腔医学杂志, 2015,31(4):229-230
[7]Cardoso PC, Espinosa DG, Mecenas P, et al.Pain level between clear aligners and fixed appliances: A systematic review[J].Prog Orthod, 2020,21(1):3-6
[8]Ravera S, Castro?orio T, Garino F, et al.Maxillary molar distalization with aligners in adult patients: a multicenter retrospective study[J].Prog Orthod,2016,17(1):12-21
[9]初可嘉,王海慧,郑之峻,等.3 种无托槽隐形矫治附件粘接法的比较研究[J].华西口腔医学杂志,2015,33(5):497-499
[10]袁东辉，李立国，吴彦伟，等.无托槽隐形矫治技术附件的临床粘接技巧[J].口腔医学研究, 2012,28(5):493-494
[11]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.
[12]Mjor IA, Moorhead JE, Dahl JE.Selection of restorative materials in permanent teeth in general dental practice[J].Acta Odontol Scand, 1999,5(4):257-262
[13]Latmlla R, Lambrcchta E, Van Meetbeek B.Shrinkage and elasticity of flowable composites and filled adhesives[J].Dent Mater,1999, 15(2):128-137
[14]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
[15]Kusy RP, Leinfelder KF. Pattern of wear in posterior composite restorations[J].J Dent Res,1997, 56(5):544-545
[16]Cao L, Zhao X, Gong X, Zhao S. An in vitro investigation of wear resistance and hardness of composite resins[J].Int J ClinExp Med,2013,26(6):423-430
[17]袁婷，许方清，吕夏杨.固体树脂和流体树脂在无托槽隐形矫治首次附件粘接效果的比较[J].全科口腔医学杂志,2018,5(20):32-33
[18]韩磊, 赵丹, 季骏.应用4种光固化纳米树脂粘接无托槽隐形矫治器附件的临床比较研究[J].口腔医学研究,2018,34 (7):784-787
[19]Graciela J ,Barreda1 Elizabeth A, Dzierewianko1 Karina A. Surface wear of resin composites used for Invisalign? attachments[J]. Acta Odontol,2017,30(2):90-95
[20]Bowman Feinberg K, Souccar NM, Kau CH,et al.Translucency, Stain Resistance, and Hardness of composites used for Invisalign Attachments[J]. JCO,2016,50(3):170-176