过矫治设计在无托槽隐形矫治中的应用现状

doi:10.13591/j.cnki.kqyx.2023.09.015

摘要/Abstract

摘要：

近年来,无托槽隐形矫治技术因其美观、舒适等优点而被广泛应用于临床。但由于牙齿移动趋势的复杂性及难预测性,矫治牙的预设位移量无法完全表达,且表达率因牙齿移动类型不同而异。因此无托槽隐形矫治技术引入过矫治设计以提高牙齿移动效率。该文就过矫治设计在无托槽隐形矫治扩弓、压低、纠正扭转和拔牙病例中的应用进行综述,为临床矫治设计提供参考意见。

关键词: 无托槽隐形矫治, 过矫治, 矫治效率, 应用

Abstract:

In recent years, clear aligners have been widely employed in clinical treatment because of its esthetics and comfort. However, due to the complexity and unpredictability of tooth movement, the preset displacement cannot be fully achieved. And the efficiency varies with types of movement. Hence overcorrection is applied in clear aligners to enhance the efficiency. This article reviews the application of overcorrection design in arch expansion, intrusion, derotation, and extraction cases with clear aligners and provides reference for clinical practice.

Key words: clear aligner, overcorrection, tooth movement efficiency, application

中图分类号:

R783.5

黄钖钖, 刘浩, 王诗语, 范典, 王鹏来, 袁长永. 过矫治设计在无托槽隐形矫治中的应用现状[J]. 口腔医学, 2023, 43(9): 849-853.

HUANG Yangyang, LIU Hao, WANG Shiyu, FAN Dian, WANG Penglai, YUAN Changyong. Application status of overcorrection design in clear aligner therapy[J]. Stomatology, 2023, 43(9): 849-853.

参考文献 47

[1]	Tartaglia GM, Mapelli A, Maspero C, et al. Direct 3D printing of clear orthodontic aligners:Current state and future possibilities[J]. Materials(Basel), 2021, 14(7):1799.
[2]	Shokeen B, Viloria E, Duong E, et al. The impact of fixed orthodontic appliances and clear aligners on the oral microbiome and the association with clinical parameters:A longitudinal comparative study[J]. Am J Orthod Dentofacial Orthop, 2022, 161(5):e475-e485. doi: 10.1016/j.ajodo.2021.10.015
[3]	Li Y, Deng SY, Mei L, et al. Prevalence and severity of apical root resorption during orthodontic treatment with clear aligners and fixed appliances:A cone beam computed tomography study[J]. Prog Orthod, 2020, 21(1):1. doi: 10.1186/s40510-019-0301-1
[4]	Yassir YA, Nabbat SA, McIntyre GT, et al. Clinical effectiveness of clear aligner treatment compared to fixed appliance treatment:An overview of systematic reviews[J]. Clin Oral Investig, 2022, 26(3):2353-2370. doi: 10.1007/s00784-021-04361-1
[5]	Fiori A, Minervini G, Nucci L, et al. Predictability of crowding resolution in clear aligner treatment[J]. Prog Orthod, 2022, 23(1):43. doi: 10.1186/s40510-022-00438-z pmid: 36437397
[6]	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
[7]	赵志河. 基于治疗方案和牙移动方式的无托槽隐形矫治难度评估[J]. 国际口腔医学杂志, 2022, 49(4):373-379.
[8]	Krieger E, Seiferth J, Marinello I, et al. Invisalign treatment in the anterior region:Were the predicted tooth movements achieved?[J]. J Orofac Orthop, 2012, 73(5):365-376. pmid: 22890691
[9]	Robertson L, Kaur H, Fagundes NCF, et al. Effectiveness of clear aligner therapy for orthodontic treatment:A systematic review[J]. Orthod Craniofac Res, 2020, 23(2):133-142. doi: 10.1111/ocr.12353 pmid: 31651082
[10]	Cheng YX, Liu XL, Chen X, et al. The three-dimensional displacement tendency of teeth depending on incisor torque compensation with clear aligners of different thicknesses in cases of extraction:A finite element study[J]. BMC Oral Health, 2022, 22(1):499. doi: 10.1186/s12903-022-02521-7
[11]	Houle JP, Piedade L, Todescan R Jr, et al. The predictability of transverse changes with Invisalign[J]. Angle Orthod, 2017, 87(1):19-24. doi: 10.2319/122115-875.1
[12]	Zhou N, Guo J. Efficiency of upper arch expansion with the Invisalignsystem[J]. Angle Orthod, 2020, 90(1):23-30. doi: 10.2319/022719-151.1
[13]	Chamberland S, Proffit WR. Short-term and long-term stability of surgically assisted rapid palatal expansion revisited[J]. Am J Orthod Dentofacial Orthop, 2011, 139(6):815-822. e1. doi: 10.1016/j.ajodo.2010.04.032
[14]	Takahashi I, Sakamoto T, Ishii T, et al. Three-dimensional evaluation of change in maxillary alveolar arch after expansion in unilateral cleft lip and palate patients[J]. Bull Tokyo Dent Coll, 2020, 61(2):103-120. doi: 10.2209/tdcpublication.2019-0019 pmid: 32522935
[15]	Lione R, Paoloni V, Bartolommei L, et al. Maxillary arch development with Invisalign system:[J]. Angle Orthod, 2021, 91(4):433-440. doi: 10.2319/080520-687.1 pmid: 33570617
[16]	赵祥, 汪虹虹, 杨一鸣, 等. 无托槽隐形矫治上颌扩弓效率及其影响因素初探[J]. 中华口腔医学杂志, 2017, 52(9):543-548.
[17]	郭人铭, 李艺博, 刘盼明, 等. 无托槽隐形矫治上颌扩弓精准控制的初探[J]. 临床口腔医学杂志, 2021, 37(10):602-605.
[18]	Deregibus A, Tallone L, Rossini G, et al. Morphometric analysis of dental arch form changes in Class Ⅱ patients treated with clear aligners[J]. J Orofac Orthop, 2020, 81(4):229-238. doi: 10.1007/s00056-020-00224-8 pmid: 32291482
[19]	赵志河. 无托槽隐形矫治的风险及临床策略[J]. 中华口腔医学杂志, 2019, 54(12):798-802.
[20]	胡炜. 试论无托槽隐形矫治的垂直向控制[J]. 中华口腔医学杂志, 2020, 55(8):526-530.
[21]	González Espinosa D, de Oliveira Moreira PE, da Sousa AS, et al. Stability of anterior open bite treatment with molar intrusion using skeletal anchorage:A systematic review and meta-analysis[J]. Prog Orthod, 2020, 21(1):35. doi: 10.1186/s40510-020-00328-2
[22]	周勇全, 侯万邦, 余侠, 等. 无托槽隐形矫治器对成人拔牙患者上中切牙压低效率的影响[J]. 重庆医学, 2021, 50(16):2721-2725.
[23]	宋保龙, 王鹏, 李丹, 等. 无托槽隐形矫治技术压低前牙的效率分析[J]. 中华口腔正畸学杂志, 2018, 25(4):186-190.
[24]	Bilello G, Fazio M, Amato E, et al. Accuracy evaluation of orthodontic movements with aligners:A prospective observational study[J]. Prog Orthod, 2022, 23(1):12. doi: 10.1186/s40510-022-00406-7 pmid: 35399128
[25]	高尚, 吴珊珊, 周珊, 等. 无托槽隐形矫治器影响扭转牙矫治效能的相关因素分析[J]. 哈尔滨医科大学学报, 2021, 55(2):218-221.
[26]	向彪, 王星星, 杨颜菁, 等. 无托槽隐形矫治器联合附件扭转下颌左侧第二前磨牙的三维有限元分析[J]. 口腔医学研究, 2022, 38(12):1192-1198. doi: 10.13701/j.cnki.kqyxyj.2022.12.018
[27]	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
[28]	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
[29]	谢金辰. SmartTrack矫正扭转前牙的效能及其影响因素的最优尺度回归分析[D]. 南昌: 南昌大学, 2019.
[30]	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(Basel), 2020, 13(15):3369.
[31]	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.
[32]	Ke YY, Zhu YF, Zhu M. A comparison of treatment effectiveness between clear aligner and fixed appliance therapies[J]. BMC Oral Health, 2019, 19(1):24. doi: 10.1186/s12903-018-0695-z pmid: 30674307
[33]	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
[34]	杜丽玲, 陈红, 匡博渊, 等. Invisalign矫治器牙齿移动效率的研究进展[J]. 口腔医学, 2017, 37(2):166-169.
[35]	Zhang XJ, He L, Guo HM, et al. Integrated three-dimensional digital assessment of accuracy of anterior tooth movement using clear aligners[J]. Korean J Orthod, 2015, 45(6):275-281. doi: 10.4041/kjod.2015.45.6.275
[36]	张云帆, 李巍然. 无托槽隐形矫治的临床应用进展[J]. 中华口腔正畸学杂志, 2017, 24(2):82-85.
[37]	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
[38]	Zhu Y, Hu W, Li S. Force changes associated with differential activation of en-masse retraction and/or intrusion with clear aligners[J]. Korean J Orthod, 2021, 51(1):32-42. doi: 10.4041/kjod.2021.51.1.32 pmid: 33446619
[39]	Liu L, Song QX, Zhou J, et al. The effects of aligner overtreat-ment on torque control and intrusion of incisors for anterior retraction with clear aligners:A finite-element study[J]. Am J Orthod Dentofacial Orthop, 2022, 162(1):33-41. doi: 10.1016/j.ajodo.2021.02.020
[40]	Liu L, Zhan Q, Zhou J, et al. Effectiveness of an anterior mini-screw in achieving incisor intrusion and palatal root torque for anterior retraction with clear aligners[J]. Angle Orthod, 2021, 91(6):794-803. doi: 10.2319/120420-982.1 pmid: 34061964
[41]	梅里菲尔德. Tweed-Merrifield标准方丝弓矫治理论与实用技术[M]. 昆明医学院口腔医学系,第四军医大学口腔医学院,译. 天津: 天津科技翻译出版公司, 1998.
[42]	蒙明梅, 陈嵩. 减数四颗第一前磨牙的无托槽隐形矫治一例[J]. 中华口腔医学杂志, 2017, 52(9):554-556.
[43]	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
[44]	Feng XX, Jiang YR, Zhu YF, et al. Comparison between the designed and achieved mesiodistal angulation of maxillary canines and posterior teeth and influencing factors:First premolar extraction treatment with clear aligners[J]. Am J Orthod Dentofacial Orthop, 2022, 162(2):e63-e70. doi: 10.1016/j.ajodo.2022.05.006
[45]	宋云鹏, 徐宝华. 无托槽隐形矫治技术整体内收前牙时后牙不同备抗角度的三维有限元分析[J]. 中日友好医院学报, 2021, 35(5):284-287,256.
[46]	舒广. 对无托槽隐形矫治的移动表达研究与过矫治设计的思考[J]. 中华口腔正畸学杂志, 2021, 28(4):181-183.
[47]	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