评估正畸保持方案及其对治疗稳定性的影响:一项三级医疗研究的启示。

IF 0.7 Q4 PHARMACOLOGY & PHARMACY
Journal of pharmacy & bioallied sciences Pub Date : 2024-07-01 Epub Date: 2024-07-31 DOI:10.4103/jpbs.jpbs_271_24
Biswaroop Mohanty, Preetham Ravuri, Ajay K Kubavat, Afreen Kauser, Shital Bansilal Wagh, Praveen Kumar Varma Datla, Priyanka R Pujari, Leela Venkata Soujanya Nallamilli
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引用次数: 0

摘要

背景:正畸治疗的目标是提供稳定的治疗效果和最佳的牙齿排列。正畸保持疗法对于避免治疗后复发至关重要;然而,关于最佳疗法的讨论仍在继续:方法:对在一家三级医疗中心接受治疗的正畸患者进行回顾性分析。方法:对在一家三级医疗中心接受治疗的正畸患者进行了回顾性分析,收集了有关随访评估、治疗技术、患者人口统计学和保持程序的信息。复发率和咬合特征是评估治疗稳定性的客观变量。统计分析评估了各种固位策略的有效性:在保持治疗稳定性方面,固定保持器的表现优于可摘式矫治器、Hawley保持器和Essix保持器。活动矫治器在咬合参数和复发率方面的平均变化更大,但Hawley和Essix保持器的表现一般。通过统计分析验证了固位技术的显著差异,固定保持器的表现优于替代性可摘保持器和活动矫治器。总之,与其他可分离保持器和活动矫治器相比,固定保持器在保持治疗稳定性方面更为成功。但是,必须根据每个患者的需求和治疗偏好来制定固位协议。患者依从性和保持时间的长短对治疗的稳定性起着至关重要的作用,这也强调了患者教育和持续监测的重要性。为了改善长期治疗效果并优化正畸保持技术,需要进一步的研究和技术发展。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Evaluation of Orthodontic Retention Protocols and Their Impact on Treatment Stability: Insights from a Tertiary Care Study.

Context: The goals of orthodontic therapy are to provide stable treatment results and the best possible tooth alignment. Orthodontic retention regimens are essential for avoiding relapses after treatment; however, there is ongoing discussion on the best regimen.

Methods: Orthodontic patients treated at a tertiary care center were the subject of a retrospective analysis. Information was gathered about follow-up evaluations, treatment techniques, patient demographics, and retention procedures. Relapse rates and occlusal characteristics were among the objective variables used to evaluate treatment stability. A statistical analysis evaluated the effectiveness of various retention strategies.

Findings: When it came to preserving treatment stability, fixed retainers outperformed detachable appliances, Hawley retainers, and Essix retainers. The mean changes in occlusal parameters and relapse rates were greater for removable appliances, but the performance of Hawley and Essix retainers was moderate. Significant variations in retention techniques were verified by statistical analysis, with fixed retainers outperforming alternative detachable retainers and removable appliances. In conclusion, compared to alternative detachable retainers and removable equipment, fixed retainers are more successful in preserving treatment stability. Retention protocols, however, must to be established with each patient's needs and treatment preferences in mind. The length of patient compliance and retention has a crucial role in determining the stability of therapy, underscoring the significance of patient education and continued monitoring. To improve long-term treatment results and optimize orthodontic retention techniques, further research and technical developments are required.

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