鎳鈦拉簧和彈力橡皮鏈關閉拔牙間隙有效性和安全性的Meta分析_《中國循證醫學雜志》

作者：

陳燕 ¹ , 舒維娜 ² ,  何等旗 ¹

1. 蘭州大學第一醫院口腔科（蘭州 730000）；2. 甘肅省蘭州市口腔醫院（蘭州 730000）;

關鍵詞：

鎳鈦拉簧彈力橡皮鏈拔牙間隙隨機對照試驗 Meta分析系統評價

DOI：

10.7507/1672-2531.20120217

視頻：

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目的　系統評價鎳鈦拉簧和彈力橡皮鏈關閉拔牙間隙的有效性和安全性。
方法　計算機檢索PubMed、EMbase、The Cochrane Library、CBM、CNKI和VIP，檢索時限截至2012年2月，查找以上述兩種方式關閉拔牙間隙的RCT。由兩位研究者按照納入與排除標準獨立篩選文獻、提取資料并評價納入研究的方法學質量后，采用RevMan 5.0軟件進行Meta分析。
結果　共納入4個RCT，122例患者。Meta分析結果顯示：鎳鈦拉簧和彈力橡皮鏈在關閉拔牙間隙速度上差異有統計學意義［MD=0.30，95%CI（0.17，0.44），P lt;0.000 1］；亞組分析提示，無論是方法學質量較高亞組［MD=0.20，95%CI（0.07，0.34），P=0.003］還是方法學質量較低亞組［MD=0.40，95%CI（0.30，0.50），P lt;0.000 01］，兩組在關閉拔牙間隙速度方面差異均有統計學意義。
結論　當前臨床證據表明，鎳鈦拉簧在關閉拔牙間隙速度方面優于彈力橡皮鏈，但其遠期效果尚需更大樣本的隨機對照試驗進一步驗證。

引用本文： 陳燕,舒維娜,何等旗. 鎳鈦拉簧和彈力橡皮鏈關閉拔牙間隙有效性和安全性的Meta分析. 中國循證醫學雜志, 2012, 12(11): 1391-1395. doi: 10.7507/1672-2531.20120217 復制

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2.	Thickett E, Cobourne MT. New developments in tooth whitening. The current status of external bleaching in orthodontics. J Orthod, 2009, 36(3): 194-201.
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14.	Third revision of the National Consensus on Diagnosis and Treatment of Breast Cancer (second of three parts). Ginecol Obstet Mex, 2010, 78(2): 138-150.
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21.	Geron S. Anchorage Considerations in Lingual Orthodontics. Seminars in Orthodontics, 2006, 12 (3): 167-177.
22.	王曉玲, 徐寶華, 梁偉. 舌側與頰側正畸上頜第一磨牙應力的有限元分析. 現代口腔醫學雜志, 2008, 22(5): 548-549.
23.	蒙宇, 譚漢提, 鄧文正, 等. 正畸治療中兩種關閉拔牙間隙方法的臨床比較. 右江民族醫學院學報, 2010, 1(1): 11-12.
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1. O’Connor BM. Contemporary trends in orthodontic practice: a national survey. Am J Orthod Dentofacial Orthop, 1993, 103(2): 163-170.
2. Thickett E, Cobourne MT. New developments in tooth whitening. The current status of external bleaching in orthodontics. J Orthod, 2009, 36(3): 194-201.
3. Oosterkamp BC, Dijkstra PU, Remmelink HJ, et al. Orthodontic space closure versus prosthetic replacement of missing upper lateral incisors in patients with bilateral cleft lip and palate. Cleft Palate Craniofac J, 2010, 47(6): 591-596.
4. Kalha AS, Kachiwala VA, Govardhan SN, et al. Redefining orthodontic space closure: sequential repetitive loading of the periodontal ligament–a clinical study. World J Orthod, 2010, 11(3): 221-229.
5. Saporito I, Butti AC, Salvato A, et al. A "typodont" study of rate of orthodontic space closure: self- ligating systems vs. conventional systems. Minerva Stomatol, 2011, 60(11-12): 555-565.
6. Dixon V, Read MJ, O’Brien KD, et al. A randomized clinical trial to compare three methods of orthodontic space closure. J Orthod, 2002, 29(1): 31-36.
7. Nightingale C, Jones SP. A clinical investigation of force delivery systems for orthodontic space closure. J Orthod, 2003, 30(3): 229-236.
8. Bokas J, Woods M. A clinical comparison between nickel titanium springs and elastomeric chains. Aust Orthod J, 2006, 22(1): 39-46.
9. 劉彥. 兩種彈性裝置關閉拔牙間隙的療效比較. 現代預防醫學, 2009, 36(10): 1990-1991.
10. Young J, Sandrik JL. The influence of preloading on stress relaxation of orthodontic elastic polymers. Angle Orthod, 1979, 49(2): 104-109.
11. Baty DL, Storie DJ, von Fraunhofer JA. Synthetic elastomeric chains: a literature review. Am J Orthod Dentofacial Orthop, 1994, 105(6): 536-542.
12. Erverdi N, Koyuturk O, Kucukkeles N. Nickel-titanium coil springs and repelling magnets: a comparison of two different intra-oral molar distalization techniques. Br J Orthod, 1997, 24(1): 47-53.
13. Antonarakis GS, Kiliaridis S. Maxillary molar distalization with noncompliance intramaxillary appliances in Class II malocclusion. A systematic review. Angle Orthod, 2008, 78(6): 1133-1140.
14. Third revision of the National Consensus on Diagnosis and Treatment of Breast Cancer (second of three parts). Ginecol Obstet Mex, 2010, 78(2): 138-150.
15. Daskalogiannakis J, McLachlan KR. Canine retraction with rare earth magnets: an investigation into the validity of the constant force hypothesis. Am J Orthod Dentofacial Orthop, 1996, 109(5): 489- 495.
16. Yee JA, Turk T, Elekdag-Turk S, et al. Rate of tooth movement under heavy and light continuous orthodontic forces. Am J Orthod Dentofacial Orthop, 2009, 136(2):150 e151-159; discussion 150-151.
17. Friedrich D, Rosarius N, Rau G, et al. Measuring system for in vivo recording of force systems in orthodontic treatment-concept and analysis of accuracy. J Biomech, 1999, 32(1): 81-85.
18. Storey E, Smith R. Force in orthodontics and its relation to tooth movement. The Australian Journal of Dentistry, 1952, 56: 11-18.
19. Quinn RS, Yoshikawa DK. A reassessment of force magnitude in orthodontics. Am J Orthod, 1985, 88(3): 252-260.
20. Han S, Quick DC. Nickel-titanium spring properties in a simulated oral environment. Angle Orthod, 1993, 63(1): 67-72.
21. Geron S. Anchorage Considerations in Lingual Orthodontics. Seminars in Orthodontics, 2006, 12 (3): 167-177.
22. 王曉玲, 徐寶華, 梁偉. 舌側與頰側正畸上頜第一磨牙應力的有限元分析. 現代口腔醫學雜志, 2008, 22(5): 548-549.
23. 蒙宇, 譚漢提, 鄧文正, 等. 正畸治療中兩種關閉拔牙間隙方法的臨床比較. 右江民族醫學院學報, 2010, 1(1): 11-12.
24. Schrumpf E, Soreide O, Aabakken L. How to report randomized controlled trials. The CONSORT statement. Consolidated Standards Of Reporting Trials. Scand J Gastroenterol, 1997, 32(12): 1185-1186.
25. Bousquet PJ, Calderon MA, Demoly P, et al. The Consolidated Standards of Reporting Trials (CONSORT) Statement applied to allergen-specific immunotherapy with inhalant allergens: a Global Allergy and Asthma European Network (GA(2)LEN) article. J Allergy Clin Immunol, 2011, 127(1): 49-56, 56 e41-11.

《中國循證醫學雜志》

鎳鈦拉簧和彈力橡皮鏈關閉拔牙間隙有效性和安全性的Meta分析

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《中國循證醫學雜志》

鎳鈦拉簧和彈力橡皮鏈關閉拔牙間隙有效性和安全性的Meta分析

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