成人安氏Ⅱ类拔牙病例无托槽隐形矫治的支抗控制效果评估

doi:10.13591/j.cnki.kqyx.2023.09.010

Abstract

Abstract:

Objective To investigate the clinical application of Invisalign in treatment of Class Ⅱ malocclusion and evaluate its effect of anchorage control. Methods Thirty Class Ⅱ malocclusion patients were enrolled in the study, which was treated by Invisalign with premolar extraction. Terminal position in Clincheck was overcorrected based on CBCT. Cephalograms of pre-treatment and post-treatment were measured. The data were analyzed by SPSS 20.0. Results The overbite of all the 30 patients were back to normal and their lateral profile improved significantly after treatment. The skeletal analysis showed that only point A was significantly changed. SNA decreased by 1.63°±1.45°. The teeth analysis showed that upper and lower anterior teeth were retracted. After treatment, the distance of U1 to NA and L1 to NB reduced by (4.52±3.79) mm and (4.55±3.16) mm, respectively. The differences were statistically significant (P<0.05). The control of vertical direction were effective, while clockwise rotation occured on the occlusion plane. The maxillary first molar analysis showed that the distance of UMC to Ptm and UMA to Ptm increased by (1.51±1.42) mm and (0.99±1.59) mm. The differences were statistically significant (P<0.05). Conclusion Invisalign is an effective appliance for treating Angle Class Ⅱ case, and can control anchorage effectively.

Key words: clear aligner, anchorage, Class Ⅱ malocclusion

CLC Number:

R783.5

CHEN Yanling, ZHANG Sheng, MAI Lixiang, OU Bubin. Evaluation of the effect of anchorage control in adult Angle Class Ⅱ tooth extraction case with clear aligner[J]. Stomatology, 2023, 43(9): 819-824.

Figures/Tables 6

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References 21

[1]	Angle EH. Treatment of malocclusion of the teeth[M]. 7th ed. Philadelphia: S.S. White, 1907.
[2]	William Proffit, Henry Fields, Brent Larson, et al. Contemporary orthodontics[M]. 5th ed. St Louis: Mosby, 2018:112-140.
[3]	Balraj K, Shetty V, Hegde A. Association of sleep disturbances andcraniofacial characteristics in children with class ii malocclusion:An evaluative study[J]. Indian J Dent Res, 2021, 32(3):280-287. doi: 10.4103/ijdr.IJDR_226_19
[4]	Patterson BD, Foley PF, Ueno H, et al. Class II malocclusion correction with invisalign:Is it possible?[J]. Am J Orthod Dentofacial Orthop, 2021, 159(1):e41-e48. doi: 10.1016/j.ajodo.2020.08.016
[5]	Gao MY, Yan XY, Zhao R, et al. Comparison of pain perception, anxiety, and impacts on oral health-related quality of life between patients receiving clear aligners and fixed appliances during the initial stage of orthodontic treatment[J]. Eur J Orthod, 2021, 43(3):353-359. doi: 10.1093/ejo/cjaa037
[6]	Schmid-Herrmann CU, Delfs J, Mahaini L, et al. Retrospective investigation of the 3D effects of the Carriere Motion 3D appliance using model and cephalometric superimposition[J]. Clin Oral Investig, 2023, 27(2):631-643. doi: 10.1007/s00784-022-04768-4
[7]	Li YX, Xiao SZ, Jin Y, et al. Stress and movement trend of lower incisors with different IMPA intruded by clear aligner:A three-dimensional finite element analysis[J]. Prog Orthod, 2023, 24(1):5. doi: 10.1186/s40510-023-00454-7
[8]	张晟, 王春阳, 谢永建, 等. 无托槽隐形矫治技术治疗高角型开𬌗畸形[J]. 中华口腔医学研究杂志(电子版), 2018, 12(5):305-311.
[9]	Arnett GW, Bergman RT. Facial keys to orthodontic diagnosis and treatment planning. Part I[J]. Am J Orthod Dentofacial Orthop, 1993, 103(4):299-312. doi: 10.1016/0889-5406(93)70010-L
[10]	胡炜, 傅民魁. 正畸治疗中的支抗及支抗控制[J]. 中华口腔正畸学杂志, 1999, 6(3):135-138.
[11]	Machado RM. Space closure using aligners[J]. Dental Press J Orthod, 2020, 25(4):85-100. doi: S2176-94512020000400085 pmid: 32965392
[12]	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
[13]	Ball RL, Miner RM, Will LA, et al. Comparison of dental and apical base arch forms in Class II Division 1 and Class I malocclusions[J]. Am J Orthod Dentofacial Orthop, 2010, 138(1):41-50. doi: 10.1016/j.ajodo.2008.11.026
[14]	Scott JH. The shape of the dentalArches[J]. J Dent Res, 1957, 36(6):996-1003. doi: 10.1177/00220345570360062901
[15]	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
[16]	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
[17]	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
[18]	Baldwin DK, King G, Ramsay DS, et al. Activation time and material stiffness of sequential removable orthodontic appliances. Part 3:Premolar extraction patients[J]. Am J Orthod Dentofacial Orthop, 2008, 133(6):837-845. doi: 10.1016/j.ajodo.2006.06.025
[19]	Liu L, Song QX, Zhou J, et al. The effects of aligner overtreatment 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
[20]	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
[21]	Wang QY, Dai DN, Wang JR, et al. Biomechanical analysis of effective mandibular en-masse retraction using Class Ⅱ elastics with a clear aligner:A finite element study[J]. Prog Orthod, 2022, 23(1):23. doi: 10.1186/s40510-022-00417-4

观察指标	治疗前	治疗后	差值	t	P
SNA/(°)	81.38±2.98	79.75±3.10	1.63±1.45	6.42	0.000
SNB/(°)	77.43±3.21	77.21±3.54	0.22±1.83	0.60	0.562
ANB/(°)	4.11±0.93	2.45±0.93	1.66±1.83	5.07	0.000
MP-SN/(°)	36.76±5.24	36.44±5.57	0.32±2.05	0.79	0.447
OP-SN/(°)	17.43±3.86	21.22±4.66	-3.79±5.48	3.76	0.001
U1-SN/(°)	113.81±5.59	99.82±3.09	13.99±7.67	10.09	0.000
L1-MP/(°)	102.22±6.28	93.80±3.03	8.42±9.39	4.93	0.000
U1-NA距离/mm	8.27±2.65	3.75±1.49	4.52±3.79	6.51	0.000
L1-NB距离/mm	9.54±2.05	4.99±1.36	4.55±3.16	7.75	0.000
U1-L1/(°)	110.62±8.42	132.41±4.87	-21.79±15.71	7.57	0.000
覆盖/mm	4.28±2.05	2.25±1.21	2.03±2.74	4.16	0.001
覆??/mm	1.55±2.28	1.42±0.69	0.13±2.74	0.20	0.840
UM-PP/(°)	78.02±5.85	80.73±5.40	-2.71±3.52	4.20	0.001
UM-SN/(°)	72.06±6.30	74.06±5.49	-2.00±2.81	3.87	0.001
UMA-PP距离/mm	6.09±2.37	5.72±2.44	0.37±1.37	1.64	0.130
UMC-PP距离/mm	21.15±3.68	21.07±3.65	0.08±2.11	0.26	0.799
UMA- PtPt'距离/mm	23.35±4.19	24.34±4.68	0.99±1.59	3.12	0.010
UMC- PtPt'距离/mm	20.80±4.30	22.31±4.64	1.51±1.42	5.78	0.000

Evaluation of the effect of anchorage control in adult Angle Class Ⅱ tooth extraction case with clear aligner

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