关于正畸微种植钉在前牙植入位点的系统评价.docVIP

关于正畸微种植钉在前牙植入位点的系统评价 　　[摘要]目的：通过采用CT或CBCT评估硬组织如牙槽骨厚度、骨深度、骨密度的参数，系统评价正畸种植钉在前牙区的植入位点。方法：检索CENTRAL, MEDLINE, EMBASE, 和CNKI共4个数据库。检索日期截止2013年3月1日。检索主题词为“CT”、“种植钉”。筛选符合纳入条件的植入区域“上颌前牙颊侧区域、上颌前牙腭侧区域、下颌前牙颊侧区域”。不同文章中的计量资料将用评分系统来定性。结果：检索到的831篇文献中，8篇符合笔者的纳入标准。正畸微种植钉在前牙的最适合植入位点是尖牙与第一前磨牙之间；最适替代区域是侧切牙与尖牙之间，在上颌腭侧区域则是中切牙间或侧切牙与尖牙之间。结论：虽然不同研究间异质性较大，但对于采用CT或是CBCT来评估前牙区理想植入位点，其不同的解剖学参数却共性很高。侧切牙与第一前磨牙间的区域是最适的前牙区植入位点，但根间距这一关键因素作为影响种植钉植入因素仍需学界进一步研究及评估。 　　[关键词]CT；种植钉；植入位点 　　[中图分类号]R783.5 [文献标识码]A [文章编号]1008-6455（2014）05-0389-06 　　 　　The systematic review to the insertion site of the mini-implant in the anterior alveolar region 　　CHEN Gui-ling1,AI Yi-Long1,YU Xing-hua1,SUN De-wen2 　　（1.Department of Orthodontics,Affiliated Stomatological Hospital,Foshan University,Foshan 528000,Guangdong,China;2.Collegeofmedicine,Foshan University） 　　 　　Abstract: ObjectiveTo perform a systematic review regard the adequacy of potential sites for insertion of orthodontic mini-implants (OMIs) in the anterior alveolar region which used CT or CBCT toinvestigate the anatomical hard tissue parameters, such as available space, bone thickness and bone density. MethodsCENTRAL, MEDLINE, EMBASE, and CNKI were searched to identify all relevant papers published between 1980 and March 2013. An extensive search strategy was performed that included the key words computerized (computed) tomography and mini-implants. Information was extracted from the eligible articles for three anatomical areas: maxillary anterior buccal, maxillary anterior palatal, and mandibular anterior buccal. Quantitative data obtained for each anatomical variable under study were evaluated qualitatively with a scoring system. ResultsEight studies met our inclusion criteria of the 831 articles identified by the search. The most favorable area for OMI insertion in the anterior maxilla (buccally and palatally) and mandible was between the canine and the first premolar.The best alternative area in the maxilla (buccally) and the mandible was bet