清除矫正器治疗II类错牙合的临床疗效:从儿童到成人病例综述。

IF 5.2 3区 医学 Q1 ENGINEERING, BIOMEDICAL
Gianna Dipalma, Grazia Marinelli, Francesco Inchingolo, Marialuisa Longo, Maral Di Giulio Cesare, Sharon Di Serio, Andrea Palermo, Massimo Del Fabbro, Alessio Danilo Inchingolo, Angelo Michele Inchingolo
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引用次数: 0

摘要

背景:II类错牙合是最常见和最具挑战性的正畸问题之一,通常需要复杂,漫长的治疗,有时涉及拔牙或手术。虽然传统的固定器具一直是黄金标准,但对美观和舒适治疗替代品的需求日益增长,使得清晰的矫正器成为普遍的选择。了解使用矫正器的具体生物力学、局限性和成功的临床策略,特别是在管理垂直尺寸和实现骨骼矫正(下颌前移)方面,对于扩大非侵入性治疗选择和改善大范围II类患者的预后至关重要。目的:本综述的目的是研究II类矫正中清除对准器在不同年龄组的有效性和临床方法,特别关注垂直控制,下颌推进方法,以及生长和完全成熟患者牙齿运动的可预测性。材料和方法:这篇综述叙述了最相关的临床发现和实用的策略,以管理二类错咬合与明确对准。特别关注辅助装置的整合,如弹性装置、附件和临时锚固装置(TADs),它们可以增强生物力学控制。结果:对准器与微型种植体和附着体的结合减少了过度的溢出,改善了面部轮廓,并在固定固位的支持下保持了长期的稳定性。在生长患者中,矫正受益于下颌推进方案和控制磨牙挤压,允许保留下颌平面角度。运动可预测性在前扭力运动中显示出较高的可靠性,而上颌切牙的侵入性仍然不太可预测。结论:清除矫正器,特别是在辅助装置的支持下,如微型种植体和附着物,为II类错颌的常规正畸治疗提供了可靠和美观的选择。然而,某些牙齿运动可能仍然难以预测,强调需要仔细规划,个性化的生物力学和持续的技术改进。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Clinical Efficacy of Clear Aligners in Class II Malocclusion: From Pediatric to Adult Cases-A Narrative Review.

Background: Class II malocclusion is one of the most common and challenging orthodontic problems, often requiring complex, lengthy treatment and sometimes involving extractions or surgery. While conventional fixed appliances have been the gold standard, the increasing demand for aesthetic and comfortable treatment alternatives has made clear aligners a prevalent choice. Understanding the specific biomechanics, limitations, and successful clinical strategies for using aligners-especially in managing vertical dimension and achieving skeletal correction (mandibular advancement)-is crucial for expanding non-invasive treatment options and improving outcomes for a broad range of Class II patients.

Objective: The objective of this review is to examine the effectiveness and clinical approaches of clear aligners in Class II correction across different age groups, with particular attention to vertical control, mandibular advancement methods, and the predictability of tooth movements in both growing and fully mature patients.

Materials and methods: This review narratively discusses the most relevant clinical findings and practical strategies for managing Class II malocclusions with clear aligners. Particular attention is given to the integration of auxiliary devices, such as elastics, attachments, and temporary anchorage devices (TADs), which can enhance biomechanical control.

Results: The combination of aligners with mini-implants and attachments resulted in a consequent decrease in excessive overjet, improvement in facial profile, and long-term stability supported by fixed retention. In growing patients, correction benefited from mandibular advancement protocols and control of molar extrusion, allowing for preservation of the mandibular plane angle. Movement predictability showed higher reliability in anterior torque movements, whereas maxillary incisor intrusion remained less predictable.

Conclusions: Clear aligners, especially when supported by auxiliary device, such as mini-implants and attachments, offer a reliable and aesthetic alternative to conventional orthodontic treatment for Class II malocclusions. However, certain tooth movements may still be less predictable, highlighting the need for careful planning, individualized biomechanics, and ongoing technological improvements.

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来源期刊
Journal of Functional Biomaterials
Journal of Functional Biomaterials Engineering-Biomedical Engineering
CiteScore
4.60
自引率
4.20%
发文量
226
审稿时长
11 weeks
期刊介绍: Journal of Functional Biomaterials (JFB, ISSN 2079-4983) is an international and interdisciplinary scientific journal that publishes regular research papers (articles), reviews and short communications about applications of materials for biomedical use. JFB covers subjects from chemistry, pharmacy, biology, physics over to engineering. The journal focuses on the preparation, performance and use of functional biomaterials in biomedical devices and their behaviour in physiological environments. Our aim is to encourage scientists to publish their results in as much detail as possible. Therefore, there is no restriction on the length of the papers. The full experimental details must be provided so that the results can be reproduced. Several topical special issues will be published. Scope: adhesion, adsorption, biocompatibility, biohybrid materials, bio-inert materials, biomaterials, biomedical devices, biomimetic materials, bone repair, cardiovascular devices, ceramics, composite materials, dental implants, dental materials, drug delivery systems, functional biopolymers, glasses, hyper branched polymers, molecularly imprinted polymers (MIPs), nanomedicine, nanoparticles, nanotechnology, natural materials, self-assembly smart materials, stimuli responsive materials, surface modification, tissue devices, tissue engineering, tissue-derived materials, urological devices.
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