患者属性、种植体特征、手术技术和植入位置对年轻成人正畸微型种植体的成功有什么影响?系统回顾和元分析

IF 1.7 Q3 DENTISTRY, ORAL SURGERY & MEDICINE
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引用次数: 0

摘要

背景临时锚固装置(TAD)解决了传统正畸锚固中的难题,如患者的依从性和精确性,显著改善了临床疗效,尤其是对于需要最大锚固力的病例。科克伦偏倚方法小组的 ROBINS-I 工具评估了偏倚风险。数据分析包括分类变量和数字变量,使用随机效应模型中的科恩方法对分类变量进行分析,以考虑变异性。敏感性和异质性分别采用 "leave-one-out "方法和I2统计量进行评估。同时,还使用 Egger 检验法检查了发表偏倚,并通过森林图和漏斗图展示了研究结果。结果对涉及1981名患者和3272颗正畸微型种植体的15项研究进行了检查,确定了影响种植体稳定性的关键因素。受正畸微型种植体(OMI)的特征和植入部位、患者特异性变量以及操作者经验等因素的影响,失败率存在很大差异。值得注意的是,插入部位和种植体的特征(如大小)对失败率没有明显影响,但施加的力的大小与失败率之间存在负相关。临床意义这篇综述强调了微型种植体在不同患者人群中的疗效,强调了部位选择、颌骨位置和施力对提高成功率和指导定制治疗策略的重要性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
What is the impact of patient attributes, implant characteristics, surgical techniques, and placement location on the success of orthodontic mini-implants in young adults? A Systematic Review and Meta-Analysis

Background

Temporary anchorage devices (TADs) address challenges in traditional orthodontic anchorage like patient compliance and precision, showing significantly improved clinical outcomes, particularly for cases requiring maximum anchorage.

Materials and Methods

A systematic electronic search was performed in five research databases, focusing on studies published between 2015 and 2023. The ROBINS-I tool from the Cochrane Bias Methods Group assessed the risk of bias. Data analysis included categorical and numerical variables, with categorical variables analyzed using Cohen’s method in a random effects model to account for variability. Sensitivity and heterogeneity were evaluated using a ’leave-one-out’ approach and the I2 statistic, respectively. At the same time, publication bias was checked using Egger’s test, with findings presented through Forest and Funnel plots. Numerical variables were subjected to weighted regression analysis.

Results

Examination of 15 studies involving 1981 patients and 3272 orthodontic mini-implants identified key factors affecting implant stability. Failure rates varied significantly, influenced by factors such as the characteristics and insertion site of the orthodontic mini-implants (OMIs), patient-specific variables, and operator experience. Notably, the insertion site and implant characteristics like size did not significantly affect failure rates, but there was a negative correlation between the magnitude of force applied and failure rates.

Conclusion

The success of orthodontic mini-implants is broadly consistent across patient demographics and is not significantly impacted by gender or age, though failure rates were higher in males and when implants were placed in the maxilla. These findings suggest that higher applied forces might reduce failure rates.

Clinical Significance

This review underlines mini-implant efficacy across varied patient demographics, emphasizing the importance of site selection, jaw location, and force application in enhancing success rates and guiding tailored treatment strategies.

PROSPERO ID CRD42023411955.

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来源期刊
Saudi Dental Journal
Saudi Dental Journal DENTISTRY, ORAL SURGERY & MEDICINE-
CiteScore
3.60
自引率
0.00%
发文量
86
审稿时长
22 weeks
期刊介绍: Saudi Dental Journal is an English language, peer-reviewed scholarly publication in the area of dentistry. Saudi Dental Journal publishes original research and reviews on, but not limited to: • dental disease • clinical trials • dental equipment • new and experimental techniques • epidemiology and oral health • restorative dentistry • periodontology • endodontology • prosthodontics • paediatric dentistry • orthodontics and dental education Saudi Dental Journal is the official publication of the Saudi Dental Society and is published by King Saud University in collaboration with Elsevier and is edited by an international group of eminent researchers.
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