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首页> 外文期刊>Dental Press Journal of Orthodontics >Average interradicular sites for miniscrew insertion: should dental crowding be considered?
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Average interradicular sites for miniscrew insertion: should dental crowding be considered?

机译:小螺钉插入的平均放射间隙位点:是否应考虑牙齿拥挤?

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ABSTRACT Objective: To define a map of interradicular spaces where miniscrew can be likely placed at a level covered by attached gingiva, and to assess if a correlation between crowding and availability of space exists. Methods: Panoramic radiographs and digital models of 40 patients were selected according to the inclusion criteria. Interradicular spaces were measured on panoramic radiographs, while tooth size-arch length discrepancy was assessed on digital models. Statistical analysis was performed to evaluate if interradicular spaces are influenced by the presence of crowding. Results: In the mandible, the most convenient sites for miniscrew insertion were in the spaces comprised between second molars and first premolars; in the maxilla, between first molars and second premolars as well as between canines and lateral incisors and between the two central incisors. The interradicular spaces between the maxillary canines and lateral incisors, and between mandibular first and second premolars revealed to be influenced by the presence of dental crowding. Conclusions: The average interradicular sites map hereby proposed can be used as a general guide for miniscrew insertion at the very beginning of orthodontic treatment planning. Then, the clinician should consider the amount of crowding: if this is large, the actual interradicular space in some areas might be significantly different from what reported on average. Individualized radiographs for every patient are still recommended.
机译:摘要目的:定义可在可能附着有牙龈的水平放置微螺钉的椎间间隙图,并评估拥挤与空间可用性之间是否存在相关性。方法:根据入选标准,选择40例患者的全景X线照片和数字化模型。在全景X光片上测量放射间隙,而在数字模型上评估牙齿的大小-牙弓长度的差异。进行统计分析,以评估是否存在拥挤影响椎间间隙。结果:在下颌骨中,微螺钉插入最方便的部位是第二磨牙和第一前磨牙之间的空间。在上颌中,在第一磨牙和第二前磨牙之间以及在犬齿和侧切牙之间以及在两个中切牙之间。上颌尖牙和侧切牙之间以及下颌第一和第二前磨牙之间的根尖间间隙被牙齿拥挤影响。结论:特此建议的平均放射间隙位置图可在正畸治疗计划开始时用作微螺钉插入的一般指南。然后,临床医生应考虑拥挤的数量:如果拥挤的数量很大,则某些区域的实际根际间隔可能与平均报道的显着不同。仍然建议为每位患者提供个性化的X光照片。

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