Modified miniplates for temporary skeletal anchorage in orthodontics: placement and removal surgeries.
Modified miniplates for temporary skeletal anchorage in orthodontics: placement and removal surgeries.
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DOI：
10.1016/j.joms.2008.01.037
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发表时间：
2008-07
期刊：
影响因子：
--
通讯作者：
Tulloch JF
中科院分区：
文献类型：
--
作者：
Cornelis MA;Scheffler NR;Mahy P;Siciliano S;De Clerck HJ;Tulloch JF
骨骼支抗系统越来越多地用于正畸。本文介绍了用于临时正畸支抗的改良手术微型钢板的放置和移除技术，并报告了外科医生对其使用的看法。我们连续招募了 97 名正畸患者，这些患者都放置了微型钢板作为治疗的辅助手段。 9 名口腔外科医生总共放置了 200 个微型板。患者和外科医生在放置和移除手术后完成了问卷调查。需要提前移除十五块微型板。通常在放置后开抗生素和抗炎药，但在切除手术后则不开药。大多数手术都是在局部麻醉下进行的。每个板的放置手术平均持续 15 至 30 分钟，外科医生认为非常容易到中等容易。移除微型钢板的手术被认为更容易并且花费的时间更少。患者的主要症状是肿胀，放置后平均持续 5.3 ± 2.8 天，取出后平均持续 4.5 ± 2.6 天。尽管微型钢板放置/移除手术需要抬高皮瓣，但这被认为是一种简单且相对较短的手术过程，通常可以在患者局部麻醉下进行，不会出现并发症，并且可以被认为是正畸治疗的安全有效的辅助手段。
Skeletal anchorage systems are increasingly used in orthodontics. This article describes the techniques of placement and removal of modified surgical miniplates used for temporary orthodontic anchorage and reports surgeons’ perceptions of their use. We enrolled 97 consecutive orthodontic patients having miniplates placed as an adjunct to treatment. A total of 200 miniplates were placed by 9 oral surgeons. Patients and surgeons completed questionnaires after placement and removal surgeries. Fifteen miniplates needed to be removed prematurely. Antibiotics and anti-inflammatories were generally prescribed after placement but not after removal surgery. Most surgeries were performed with the patient under local anesthesia. Placement surgery lasted on average between 15 and 30 minutes per plate and was considered by the surgeons to be very easy to moderately easy. The surgery to remove the miniplates was considered easier and took less time. The patients’ chief complaint was swelling, lasting on average 5.3 ± 2.8 days after placement and 4.5 ± 2.6 days after removal. Although miniplate placement/removal surgery requires the elevation of a flap, this was considered an easy and relatively short surgical procedure that can typically be performed with the patient under local anesthesia without complications, and it may be considered a safe and effective adjunct for orthodontic treatment.
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DOI：
10.1016/s0889-5406(99)70345-8
发表时间：
1999-02-01
影响因子：
3
作者：
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通讯作者：
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影响因子：
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2005-09-01
影响因子：
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影响因子：
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作者：
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DOI：
10.1016/s0889-5406(99)70204-0
发表时间：
1999-12-01
影响因子：
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作者：
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