五种预后因素在二极管激光切断术后腭阻生犬爆发中的作用：一个病例系列研究。

IF 3.1 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Dentistry Journal Pub Date : 2025-08-31 DOI:10.3390/dj13090399

Martina Horodynski, Francesca Crocamo, Adriana Assunta De Stefano, Gerardo La Monaca, Nicola Pranno, Gaspare Palaia, Umberto Romeo, Gabriella Galluccio

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The STL files were superimposed with the open-source software MeshLab (MeshLab 2023.12, Visual Computing Lab, Pisa, Italy), and the eruption values were measured. Through multiple linear regression analysis, the relationships between the five prognostic factors and the total spontaneous eruption value were analyzed. Results: The canines treated in this study responded with an average eruption of 4.70 mm. For the prognostic factors sex (p = 0.94) and angle α (p = 0.12), no statistically significant relationship with eruption was found. The variables age (p < 0.001), sector II (p = 0.02), sector III (p = 0.03), sector IV (p = 0.06), and inclusion height (p < 0.001) had negative linear coefficients. Consequently, as the values of these three prognostic factors increased, a lower eruption of the included element measured in millimeters was obtained. Conclusions: All canines successfully erupted following the disinclusion procedure, avoiding the use of orthodontic traction. 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引用次数: 0

摘要

背景：本病例系列研究旨在评估无正畸牵引二极管激光脱臼手术后埋伏犬自发出牙的情况，并分析其与年龄、患者性别、夹角α、夹角和犬夹角高度等5个预后因素的相关性。方法：15例13 ~ 30岁患者，20只腭阻生犬。收集患者病历，评估预后因素。所有患者均采用二极管激光（K-Laser, Eltech, Blue Derma）进行脱臼手术，术后在1周、8周（T1）和16周（T2）通过口腔内扫描和照片监测犬只。STL文件与开源软件MeshLab （MeshLab 2023.12, Visual Computing Lab, Pisa, Italy）叠加，测量喷发值。通过多元线性回归分析，分析5个预测因素与总爆发值之间的关系。结果：在本研究中治疗的犬的平均爆发为4.70 mm。影响预后因素性别（p = 0.94）和角度α (p = 0.12)与出疹无统计学意义。年龄（p < 0.001）、行业II （p = 0.02）、行业III （p = 0.03）、行业IV （p = 0.06）和纳入高度（p < 0.001）呈负线性系数。因此，随着这三个预测因子值的增加，所含元素的喷发以毫米为单位测量得到了较低的喷发。结论：所有犬在脱臼后均成功出牙，避免了正畸牵引的使用。患者性别和α嵌塞角不是预测出疹结局的可靠因素。相比之下，通过CBCT测量的年龄、部位和包涵高度具有很高的统计学意义，可以作为预测脱包术后爆发反应的预后因素。

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The Role of Five Prognostic Factors in the Eruption of Palatally Impacted Canines Following Diode Laser Disinclusion: A Case Series Study.

Background: This case series study aims to evaluate the spontaneous eruption of impacted canines following diode laser disinclusion surgery without orthodontic traction, and to analyze the correlation with five prognostic factors: age, sex of the patient, angle α, sector, and height of inclusion of the canine. Methods: The sample included 15 patients aged 13-30 years and 20 palatally impacted canines. The patients' records were collected, and prognostic factors were assessed. All patients underwent disinclusion surgery using a diode laser (K-Laser, Eltech, Blue Derma) and post-surgery, canines were monitored with intraoral scans and photos at 1 week, 8 weeks (T1), and 16 weeks (T2). The STL files were superimposed with the open-source software MeshLab (MeshLab 2023.12, Visual Computing Lab, Pisa, Italy), and the eruption values were measured. Through multiple linear regression analysis, the relationships between the five prognostic factors and the total spontaneous eruption value were analyzed. Results: The canines treated in this study responded with an average eruption of 4.70 mm. For the prognostic factors sex (p = 0.94) and angle α (p = 0.12), no statistically significant relationship with eruption was found. The variables age (p < 0.001), sector II (p = 0.02), sector III (p = 0.03), sector IV (p = 0.06), and inclusion height (p < 0.001) had negative linear coefficients. Consequently, as the values of these three prognostic factors increased, a lower eruption of the included element measured in millimeters was obtained. Conclusions: All canines successfully erupted following the disinclusion procedure, avoiding the use of orthodontic traction. Patient sex and the α angle of impaction were not reliable predictors of eruption outcomes. In contrast, age, sector, and inclusion height measured via CBCT showed high statistical significance and could be used as prognostic factors to predict the eruptive response following disinclusion surgery.