Three-dimensional evaluation of maxillary tooth movement in extraction patients with three different miniscrew anchorage systems: a randomized controlled trial
Tóm tắt
To compare the three-dimensional (3-D) movement of maxillary teeth in response to three common miniscrew anchorage systems in extraction patients with maxillary dentoalveolar protrusion. The study employed a randomized controlled single-blinded design with three arms. Thirty extraction patients who required maximum anchorage to retract maxillary anterior teeth were included and randomly allocated into three treatment groups: space closure with direct miniscrew anchorage and low crimpable hooks (DL group), indirect miniscrew anchorage and low crimpable hooks (IL group), and direct miniscrew anchorage and high crimpable hooks (DH group). Cone beam computed tomography (CBCT) images of all included patients were obtained immediately before (T0) and after (T1) space closure. The outcomes were 3-D positional changes of maxillary central incisor, lateral incisor, canine, second premolar, and first molar. The repeated measures analysis of variance with post hoc LSD test was used to evaluate differences among groups. A significant intrusion (− 1.34 mm; 95% CI, − 1.60 mm, 1.08 mm) and buccal (− 6.92°; 95% CI, − 8.67°, − 5.13°) and distal (4.90°; 95% CI, 3.75°, 6.04°) inclination of the maxillary first molars were observed in the DL group, compared to the other two groups. The mesial movement (− 0.40 mm; 95% CI, − 0.83 mm, − 0.03 mm) of the maxillary first molars was found in the IL group, while the DL (0.44 mm; 95% CI, 0.15 mm, 0.73 mm) and IL (0.62 mm; 95% CI, 0.28 mm, 0.96 mm) groups exhibited distal movement. In the DH group, the lingual inclination changes of maxillary central incisor (5.04°; 95% CI, 2.82°, 7.26°) were significantly lower, which is indicative of good lingual root torque control of the maxillary anterior teeth. Three miniscrew anchorage systems produced significantly different 3-D maxillary tooth movement. The maxillary first molars were significantly buccally and distally inclined and intruded in patients using direct miniscrew anchorages with low crimpable hooks. Direct miniscrew anchorages with high crimpable hooks could help to achieve better lingual root torque control of the maxillary incisors. Trial registration The trial was registered at www.chictr.org.cn (ChiCTR1900026960). Registered 27 October 2019.
Tài liệu tham khảo
citation_journal_title=J Contemp Dent Pract; citation_title=En-masse retraction of upper anterior teeth in adult patients with maxillary or bimaxillary dentoalveolar protrusion: a systematic review and meta-analysis; citation_author=HN Khlef, MY Hajeer, MA Ajaj, O Heshmeh; citation_volume=20; citation_issue=1; citation_publication_date=2019; citation_pages=113-127; citation_doi=10.5005/jp-journals-10024-2485; citation_id=CR1
citation_journal_title=Am J Orthod Dentofacial Orthop; citation_title=Severe bidentoalveolar protrusion treated with orthodontic microimplant-dependent en-masse retraction; citation_author=KR Chung, G Nelson, SH Kim, YA Kook; citation_volume=132; citation_issue=1; citation_publication_date=2007; citation_pages=105-115; citation_doi=10.1016/j.ajodo.2005.09.035; citation_id=CR2
citation_journal_title=Angle Orthod; citation_title=Comparison of the effects of mini-implant and traditional anchorage on patients with maxillary dentoalveolar protrusion; citation_author=Y Xu, J Xie; citation_volume=87; citation_issue=2; citation_publication_date=2017; citation_pages=320-327; citation_doi=10.2319/051016-375.1; citation_id=CR3
citation_journal_title=Int J Implant Dent; citation_title=Efficacy of orthodontic mini implants for en masse retraction in the maxilla: a systematic review and meta-analysis; citation_author=K Becker, A Pliska, C Busch, B Wilmes, M Wolf, D Drescher; citation_volume=4; citation_issue=1; citation_publication_date=2018; citation_pages=35; citation_doi=10.1186/s40729-018-0144-4; citation_id=CR4
citation_journal_title=Am J Orthod Dentofacial Orthop; citation_title=Comparison of direct and indirect skeletal anchorage systems combined with 2 canine retraction techniques; citation_author=S Ozkan, M Bayram; citation_volume=150; citation_issue=5; citation_publication_date=2016; citation_pages=763-770; citation_doi=10.1016/j.ajodo.2016.04.023; citation_id=CR5
citation_journal_title=ISRN Dent; citation_title=Comparison of movement of the upper dentition according to anchorage method: orthodontic mini-implant versus conventional anchorage reinforcement in class I malocclusion; citation_author=AY Lee, YH Kim; citation_volume=2011; citation_publication_date=2011; citation_id=CR6
citation_journal_title=Eur J Orthod; citation_title=A prospective comparative study between differential moments and miniscrews in anchorage control; citation_author=AR Davoody, L Posada, A Utreja, N Janakiraman, WP Neace, F Uribe; citation_volume=35; citation_issue=5; citation_publication_date=2013; citation_pages=568-576; citation_doi=10.1093/ejo/cjs046; citation_id=CR7
citation_journal_title=Angle Orthod; citation_title=Sliding mechanics with microscrew implant anchorage; citation_author=HS Park, TG Kwon; citation_volume=74; citation_issue=5; citation_publication_date=2004; citation_pages=703-710; citation_id=CR8
citation_journal_title=Prog Orthod; citation_title=Maxillary anterior en masse retraction using different antero-posterior position of mini screw: a 3D finite element study; citation_author=Z Hedayati, M Shomali; citation_volume=17; citation_issue=1; citation_publication_date=2016; citation_pages=31; citation_doi=10.1186/s40510-016-0143-z; citation_id=CR9
citation_journal_title=Am J Orthod Dentofacial Orthop; citation_title=Treatment effects of mini-implants for en-masse retraction of anterior teeth in bialveolar dental protrusion patients: a randomized controlled trial; citation_author=M Upadhyay, S Yadav, K Nagaraj, S Patil; citation_volume=134; citation_issue=1; citation_publication_date=2008; citation_pages=18-29.e1; citation_doi=10.1016/j.ajodo.2007.03.025; citation_id=CR10
citation_journal_title=Am J Orthod Dentofacial Orthop; citation_title=Mini-implant anchorage for en-masse retraction of maxillary anterior teeth: a clinical cephalometric study; citation_author=M Upadhyay, S Yadav, S Patil; citation_volume=134; citation_issue=6; citation_publication_date=2008; citation_pages=803-810; citation_doi=10.1016/j.ajodo.2006.10.025; citation_id=CR11
citation_journal_title=Korean J Orthod; citation_title=Preliminary three-dimensional analysis of tooth movement and arch dimension change of the maxillary dentition in Class II division 1 malocclusion treated with first premolar extraction: conventional anchorage vs. mini-implant anchorage; citation_author=HM Park, BH Kim, IH Yang, SH Baek; citation_volume=42; citation_issue=6; citation_publication_date=2012; citation_pages=280-90; citation_doi=10.4041/kjod.2012.42.6.280; citation_id=CR12
citation_journal_title=Sci Rep; citation_title=Accuracy and reliability of maxillary digital model (MDM) superimposition in evaluating teeth movement in adults compared with CBCT maxillary superimposition; citation_author=Y Pan, X Wang, F Dai, G Chen, T Xu; citation_volume=10; citation_issue=1; citation_publication_date=2020; citation_pages=19384; citation_doi=10.1038/s41598-020-76537-w; citation_id=CR13
citation_journal_title=Am J Orthod Dentofacial Orthop; citation_title=Comparison and reproducibility of 2 regions of reference for maxillary regional registration with cone-beam computed tomography; citation_author=AC Ruellas, LT Huanca Ghislanzoni, MR Gomes, C Danesi, R Lione, T Nguyen; citation_volume=149; citation_issue=4; citation_publication_date=2016; citation_pages=533-542; citation_doi=10.1016/j.ajodo.2015.09.026; citation_id=CR14
citation_journal_title=Int J Surg; citation_title=CONSORT 2010 explanation and elaboration: updated guidelines for reporting parallel group randomised trials; citation_author=D Moher, S Hopewell, KF Schulz, V Montori, PC Gøtzsche, PJ Devereaux; citation_volume=10; citation_issue=1; citation_publication_date=2012; citation_pages=28-55; citation_doi=10.1016/j.ijsu.2011.10.001; citation_id=CR15
citation_journal_title=Med Biol Eng Comput; citation_title=Biomechanical influence of anchorages on orthodontic space closing mechanics by sliding method; citation_author=Z Liu, T Sun, Y Fan; citation_volume=58; citation_issue=5; citation_publication_date=2020; citation_pages=1091-1097; citation_doi=10.1007/s11517-020-02149-1; citation_id=CR16
citation_journal_title=Clin Oral Investig; citation_title=Novel low-dose protocols using cone beam computed tomography in dental medicine: a review focusing on indications, limitations, and future possibilities; citation_author=AWK Yeung, R Jacobs, MM Bornstein; citation_volume=23; citation_issue=6; citation_publication_date=2019; citation_pages=2573-2581; citation_doi=10.1007/s00784-019-02907-y; citation_id=CR17
citation_journal_title=J Contemp Dent Pract; citation_title=Cone beam computed tomography-based evaluation of the anterior teeth position changes obtained by passive self-ligating brackets; citation_author=FK Rhoden, L Maltagliati, AC Castro Ferreira Conti, RR Almeida-Pedrin, LC Filho, M Almeida Cardoso; citation_volume=17; citation_issue=8; citation_publication_date=2016; citation_pages=623-9; citation_doi=10.5005/jp-journals-10024-1901; citation_id=CR18
citation_journal_title=Am J Orthod Dentofacial Orthop; citation_title=Drift characteristics of miniscrews and molars for anchorage under orthodontic force: 3-dimensional computed tomography registration evaluation; citation_author=H Liu, T Lv, NN Wang, F Zhao, KT Wang, DX Liu; citation_volume=139; citation_issue=1; citation_publication_date=2011; citation_pages=e83-e89; citation_doi=10.1016/j.ajodo.2010.07.018; citation_id=CR19
citation_journal_title=Am J Orthod Dentofacial Orthop; citation_title=Quantitative and qualitative assessment of anchorage loss during en-masse retraction with indirectly loaded miniscrews in patients with bimaxillary protrusion; citation_author=N Monga, OP Kharbanda, V Samrit; citation_volume=150; citation_issue=2; citation_publication_date=2016; citation_pages=274-282; citation_doi=10.1016/j.ajodo.2016.02.014; citation_id=CR20
citation_journal_title=Am J Orthod Dentofacial Orthop; citation_title=Comparison and measurement of the amount of anchorage loss of the molars with and without the use of implant anchorage during canine retraction; citation_author=B Thiruvenkatachari, A Pavithranand, K Rajasigamani, HM Kyung; citation_volume=129; citation_issue=4; citation_publication_date=2006; citation_pages=551-554; citation_doi=10.1016/j.ajodo.2005.12.014; citation_id=CR21
citation_journal_title=Am J Orthod Dentofacial Orthop; citation_title=Longitudinal eruptive and posteruptive tooth movements, studied on oblique and lateral cephalograms with implants; citation_author=X Zhang, S Baumrind, G Chen, H Chen, Y Liang, T Xu; citation_volume=153; citation_issue=5; citation_publication_date=2018; citation_pages=673-684; citation_doi=10.1016/j.ajodo.2017.08.023; citation_id=CR22
citation_journal_title=Angle Orthod; citation_title=Duration and anchorage management of canine retraction with bodily versus tipping mechanics; citation_author=N Shpack, M Davidovitch, O Sarne, N Panayi, AD Vardimon; citation_volume=78; citation_issue=1; citation_publication_date=2008; citation_pages=95-100; citation_doi=10.2319/011707-24.1; citation_id=CR23
citation_journal_title=Indian J Dent Res; citation_title=Changes in alveolar bone thickness due to retraction of anterior teeth during orthodontic treatment: a cephalometric and computed tomography comparative study; citation_author=US Nayak Krishna, A Shetty, MP Girija, R Nayak; citation_volume=24; citation_issue=6; citation_publication_date=2013; citation_pages=736-741; citation_doi=10.4103/0970-9290.127623; citation_id=CR24
citation_journal_title=Angle Orthod; citation_title=Morphometric evaluation of changes in the alveolar bone and roots of the maxillary anterior teeth before and after en masse retraction using cone-beam computed tomography; citation_author=HW Ahn, SC Moon, SH Baek; citation_volume=83; citation_issue=2; citation_publication_date=2013; citation_pages=212-221; citation_doi=10.2319/041812-325.1; citation_id=CR25
citation_journal_title=Orthod Craniofac Res; citation_title=Alveolar bone changes in maxillary and mandibular anterior teeth during orthodontic treatment: a systematic review and meta-analysis; citation_author=R Guo, L Zhang, M Hu, Y Huang, W Li; citation_volume=24; citation_issue=2; citation_publication_date=2021; citation_pages=165-179; citation_doi=10.1111/ocr.12421; citation_id=CR26
citation_journal_title=J Clin Orthod; citation_title=Vertical force considerations in differential space closure; citation_author=B Melsen, V Fotis, CJ Burstone; citation_volume=24; citation_issue=11; citation_publication_date=1990; citation_pages=678-683; citation_id=CR27
citation_journal_title=Am J Orthod Dentofacial Orthop; citation_title=Displacement pattern of the maxillary arch depending on miniscrew position in sliding mechanics; citation_author=KJ Lee, YC Park, CJ Hwang, YJ Kim, TH Choi, HM Yoo; citation_volume=140; citation_issue=2; citation_publication_date=2011; citation_pages=224-232; citation_doi=10.1016/j.ajodo.2010.05.020; citation_id=CR28
citation_journal_title=Angle Orthod; citation_title=Optimal loading conditions for controlled movement of anterior teeth in sliding mechanics; citation_author=JY Tominaga, M Tanaka, Y Koga, C Gonzales, M Kobayashi, N Yoshida; citation_volume=79; citation_issue=6; citation_publication_date=2009; citation_pages=1102-1107; citation_doi=10.2319/111608-587R.1; citation_id=CR29
citation_journal_title=Am J Orthod Dentofacial Orthop; citation_title=Three-dimensional analysis of the tooth movement and arch dimension changes in Class I malocclusions treated with first premolar extractions: a guideline for virtual treatment planning; citation_author=MY Cho, JH Choi, SP Lee, SH Baek; citation_volume=138; citation_issue=6; citation_publication_date=2010; citation_pages=747-757; citation_doi=10.1016/j.ajodo.2008.11.033; citation_id=CR30
citation_journal_title=Eur J Orthod; citation_title=Assessment of changes following en-masse retraction with mini-implants anchorage compared to two-step retraction with conventional anchorage in patients with class II division 1 malocclusion: a randomized controlled trial; citation_author=S Al-Sibaie, MY Hajeer; citation_volume=36; citation_issue=3; citation_publication_date=2014; citation_pages=275-283; citation_doi=10.1093/ejo/cjt046; citation_id=CR31