轻型隐适美:对正畸医生治疗计划做法的横断面调查

Maurice J. Meade, Haylea Blundell, Eva A. Meade, Caitlin Giulieri, Tony Weir
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引用次数: 0

摘要

材料和方法从包含 17,000 多名患者的数据库中选取符合纳入和排除标准并接受过 Invisalign Lite 治疗的患者。结果大多数(n = 135;79.9%)患者为女性,年龄中位数(四分位距[IQR])为 30.5(23.8,43.1)岁。样本的矫治器数量中位数(IQR)为上颌23.0(14,28)个,下颌24(14,28)个。大多数患者(n = 122;72.2%)至少需要额外佩戴一系列矫治器。在所有患者的初始接受计划中,下颌(平均 1.91 [1.78])比上颌(1.03 [1.78];P < .024)有更多的位置需要进行近端间缩小(IPR)。在所有患者最初接受的方案中,上颌有更多的牙齿需要复合树脂(CR)附着体(P < .0001)。在正畸医生接受初始治疗方案之前,牙齿位置协议问题(n = 50;53.3%)和需要额外的 IPR(n = 68;45.3%)是导致治疗方案变更的原因。下颌更常见的是IPR处方,而上颌更常见的是CR附着体处方。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Invisalign Lite: a cross-sectional investigation of orthodontist treatment-planning practices
Objectives

To survey treatment-planning practices of orthodontists related to the Invisalign Lite clear aligner appliance (Align Technology, San Jose, Calif).

Materials and Methods

Patients satisfying inclusion and exclusion criteria and treated with Invisalign Lite were selected from a database containing more than 17,000 patients. Relevant data regarding treatment-planning practices were obtained from Align Technology’s treatment-planning facility, ClinCheck, and evaluated.

Results

Most (n = 135; 79.9%) patients were female and had a median (interquartile range [IQR]) age of 30.5 (23.8, 43.1) years. The median (IQR) number of aligners for the sample was 23.0 (14, 28) for the maxilla and 24 (14, 28) for the mandible. Most (n = 122; 72.2%) patients required at least one additional series of aligners. More locations for interproximal reduction (IPR) were prescribed in the mandible (mean 1.91 [1.78]) than in the maxilla (1.03 [1.78]; P < .024) in the initial accepted plan of all patients. More teeth were prescribed composite resin (CR) attachments in the maxilla (P < .0001) in the initial accepted plan of all patients. Issues regarding tooth position protocols (n = 50; 53.3%) and requirement for additional IPR (n = 68; 45.3%) were reasons for treatment plan changes before acceptance of the initial treatment plan by orthodontists.

Conclusions

More than 7 of 10 patients required at least one additional series of aligners after the initial series of Invisalign Lite aligners was completed. Prescription of IPR was more common in the mandible, and prescription of CR attachments was more common in the maxilla.

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