舌侧固定矫治与唇侧固定矫治治疗效果和不良影响的系统评价  

Lingual vs.labial fixed orthodontic appliances:systematic review and meta-analysis of therapeutic outcomes and side effects

作　　者：林君彦 戴佳韵 潘永初[1] 李丹丹 Lin Junyan;Dai Jiayun;Pan Yongchu;Li Dandan(Jiangsu Province Key Laboratory of Oral Diseases,Jiangsu Province Engineering Research Center of Stomatological Translational Medicine,Department of Orthodontic,The Affiliated Stomatological Hospital of Nanjing Medical University,Nanjing 210029,China)

机构地区：[1]江苏省口腔疾病研究重点实验室、江苏省口腔转化医学工程研究中心、南京医科大学附属口腔医院正畸科,南京210029

出　　处：《中华口腔正畸学杂志》2023年第4期203-208,共6页Chinese Journal of Orthodontics

摘　　要：目的比较舌侧固定矫治和唇侧固定矫治的治疗效果和不良影响。方法采用PubMed、Cochrane图书馆、中国生物医学文献数据库、中国期刊全文数据库及万方数据库检索并筛选。使用Stata/MP数据统计分析软件对唇舌侧矫治器治疗结果及不良影响进行Meta分析。结果23篇文献纳入系统评价;10篇文献纳入Meta分析。舌侧与唇侧矫治的总体治疗效果无统计学差异(PAR评分P=0.050;ABO-OGS评分P=0.624)。舌侧矫治器对语音影响较大,且矫治12周时牙龈指数较高(P=0.042)。两种矫治器造成的牙根吸收没有统计学差异。结论两种矫治器在整体治疗效果、牙根吸收方面无统计学差异,但舌侧矫治器对语音影响更大,牙龈指数上升更多。Objective To compare the therapeutic outcomes and side effects of lingual and labial fixed appliances.Methods PubMed,Cochrane Library,CBM,CNKI and Wanfang databases were used for retrieval.Meta-analysis was conducted using Stata/MP 16.Results The systematic review included 23 studies,and the meta-analysis included 10 of these studies.There was no significant difference in the overall treatment outcomes between lingual and labial appliances(PAR:P=0.050;ABO-OGS:P=0.624).However,the lingual appliance showed more issues in terms of the gingival index at the 12th week of treatment(P=0.042)and speech articulation.There was no significant difference in root resorption.Conclusions There is no significant difference in treatment outcomes and root resorption between lingual and labial appliance.However,lingual appliances had a greater impact on speech and the gingival index.

关 键 词：舌侧矫治 唇侧矫治 治疗效果 不良影响 META分析 

分 类 号：R781.57[医药卫生—口腔医学]