中国人固定正畸矫治后牙齿脱矿情况的系统评价和Meta分析  

Dental Demineralization after Fixed Orthodontic Treatment in Chinese Population:A Systematic Review and Meta-analysis

作　　者：郎鑫 储梦诗 WASEEM SALEH AL-GUMAEI 邱震 郑艳[1] LANG Xin;CHU Mengshi;WASEEM SALEH AL-GUMAEI;QIU Zhen;ZHENG Yan(School of Stomatology,Lanzhou University,Lanzhou 730000,Gansu,China)

机构地区：[1]兰州大学口腔医学院,甘肃兰州730000

出　　处：《中国美容医学》2024年第1期138-145,共8页Chinese Journal of Aesthetic Medicine

摘　　要：目的:系统评价中国人固定矫治后牙齿的脱矿情况。方法:计算机检索PubMed、EMbase、The Cochrane Library、CNKI、CBM、WanFang Data和VIP数据库中关于中国人固定矫治后牙齿脱矿情况的横断面研究,检索时限从建库-2021年12月。经过两名研究者的筛选和方法学评估后,纳入的文献采用Stata 16.0软件进行Meta分析。结果:最终纳入25篇文献,共2355例患者,总牙数为29662颗。Meta分析结果显示,固定矫治结束后患者的脱矿发病率为51%[95%CI(46%,57%)];男性和女性脱矿发病率分别为49%[95%CI(38%,59%)]和51%[95%CI(37%,65%)],不同性别脱矿发病情况的比值比(OR)值为0.94[95%CI(0.73,1.21),P=0.66];牙齿的脱矿率为13%[95%CI(12%,14%)],上颌和下颌牙脱矿率分别为16%[95%CI(13%,18%)]和11%[95%CI(10%,12%)];不同牙位脱矿率:上侧切牙>上中切牙>上尖牙>下前磨牙>下侧切牙=下尖牙>下中切牙=上前磨牙>上第一磨牙=下第一磨牙。结论:中国固定矫治患者的脱矿发病率和牙脱矿率较高,但不同性别脱矿发病情况无明显差异,各牙脱矿率以上前牙最高。因此,正畸治疗中牙齿脱矿的防治是今后需要考虑的问题。Objective Systematic evaluation of the dental demineralization after fixed orthodontic treatment in Chinese population.Methods Cross-sectional studies of the dental demineralization after fixed orthodontic treatment in Chinese population were searched in PubMed,EMbase,The Cochrane Library,CNKI,CBM,WanFang Data and VIP databases up to December 2021.After screening and methodological evaluation by two researchers,meta-analysis was performed on the included literatures using Stata 16.0 software.Results 25 literatures were included,including 2355 patients,with a total number of 29662 teeth.Meta-analysis results showed that the incidence of the dental demineralization was 51%[95%CI(46%,57%)].The incidence of demineralization in males and females was 49%[95%CI(38%,59%)]and 51%[95%CI(37%,65%)],respectively.The odds ratios(OR)value of demineralization between the both of genders was 0.94[95%CI(0.73,1.21),P=0.66].The rate of dental demineralization was 13%[95%CI(12%,14%)],the demineralization rate of maxillary and mandibular teeth were 16%[95%CI(13%,18%)]and 11%[95%CI(10%,12%)],respectively.The demineralization rate of different teeth was as the following:upper lateral incisor>upper central incisor>upper canine>lower premolars>lower lateral incisor=lower canine>lower central incisor=upper premolars>upper first molar=lower first molar.Conclusion The incidence and the rate of the dental demineralization may be considered as a high in the Chinese patients after fixed orthodontic treatment,but there was no significant sexual dimorphism in the incidence of the dental demineralization.The dental demineralization rate of maxillary anterior teeth was the highest through the permanent dentition.So the prevention and treatment for the dental demineralization of orthodontic treatment should be considered in the future.

关 键 词：中国人 牙齿脱矿 龋白斑 固定正畸矫治 系统评价 META分析 

分 类 号：R783.5[医药卫生—口腔医学]