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正畸拔除前磨牙对下颌第三磨牙轴倾度影响的meta分析

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目的 分析青少年正畸治疗过程中拔除前磨牙对第三磨牙轴倾度的影响.方法 本次Meta分析已在PROSPERO注册,注册号为:CRD42022320819,计算机检索Cochrane图书馆、PubMed、Embase、中国知网、维普以及万方数据库,检索在2005年1月~2022年5月的所有期刊、学术报告及学位论文,对拔牙与非拔牙进行分组,应用RevMan5.3和STATE软件对数据结果进行Meta分析.结果 共纳入8篇研究,累计650个样本量.Meta分析结果显示:正畸拔除前磨牙治疗前后 △M3-HRP(WMD=3.627,95%CI=2.683~4.571,P<0.05);△M3-MP(WMD=-2.912,95%CI=-3.600~-2.224,P<0.05);拔除第二前磨牙比拔除第一前磨牙△ M3-HRP(WMD=2.309,95%CI=1.361~3.257,P<0.05).结论 正畸拔除前磨牙可以有效减小下颌第三磨牙的近中倾斜角度,且拔除第二前磨牙比拔除第一前磨牙对减小下颌第三磨牙近中倾斜角度的作用更大.
Effects of extraction of premolars on axial inclination of mandibular third molars during orthodontic treatment:A meta-analysis
Objective To evaluate the effect of premolar extraction on the axial inclination of the third molar during orthodontic treatment in adolescents.Methods This Meta-analysis is registered with Prospero,registration number CRD42022320819,We searched PubMed,Cochrane Library,Embase,CNKI,vip,and Wanfang.The search was conducted between January 2005 and May 2022.The patients were divided into extraction group and non-extraction Group.We conducted a meta-analysis using Revman 5.3 and STATE.Results A total of 650 samples were included in 8 studies.The results of meta-analysis showed that:The change of angle before and after orthodontic treatment of extraction of premolars:△ M3-HRP(WMD=3.627,95%CI=2.683~4.571,P<0.05);△ M3-MP(WMD=-2.912,95%CI=-3.600~-2.224,P<0.05),Extraction of the second premolar or extraction of the first premolar angle changes:△ M3-HRP(WMD=2.309,95%CI=1.361~3.257,P<0.05).Conclusion Orthodontic extraction of premolars can effectively reduce the axial inclination of Mandibular Third Molars.The second premolar extraction was more effective than the first premolar extraction in reducing the mesial inclination of the mandibular third molar.

Orthodontic treatmentThird molarExtraction of premolarAxial inclinationMeta-analysis

杨钒、常新、李博

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116023 大连医科大学附属第二医院

正畸 第三磨牙 拔除前磨牙 轴倾度 Meta分析

2024

现代口腔医学杂志
河北医科大学口腔医学院

现代口腔医学杂志

CSTPCD
影响因子:0.536
ISSN:1003-7632
年,卷(期):2024.38(3)
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