Effect of supplemental vibration on orthodontic treatment with aligners: A randomized trial
Effect of supplemental vibration on orthodontic treatment with aligners: A randomized trial
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DOI：
10.1016/j.ajodo.2017.10.017
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发表时间：
2018-03-01
影响因子：
3
通讯作者：
Huang, Greg
中科院分区：
文献类型：
--
作者：
Katchooi, Mina;Cohanim, Bobby;Huang, Greg
简介：据报道，补充振动可以加速正畸牙齿移动并减少不适。我们的目的是研究AcceleDent对Invisalign治疗的影响。这项随机临床试验在2个正畸私人诊所进行，分配比例为1：1。研究方法：开始正畸治疗的成年患者被随机分配到主动（A）或假（B）AcceleDent Aura装置（OrthoAccel Technologies，Inc. Houston，TX）。所有患者均接受为期1周的矫正器更换方案，每3周评估一次适合性。结果是能够完成初始组的校准器和门牙不规则测量那些谁完成了他们的校准器方案。此外，从问卷调查中收集了矫正器依从性、疼痛程度和口腔健康相关的生活质量数据。受试者、研究者和评估者均对治疗组设盲。结果：27例受试者被随机分为2组（A和B），1例受试者中止治疗，每组13例受试者接受分析。Fisher精确检验显示两组之间的完成率无显著差异（A组，77%; B组，85%; P = 1）。独立样本t检验显示，两组之间的最终不规则指数或不规则指数变化之间无显著差异。两组的依从性相似。Wilcoxon秩和检验显示疼痛水平差异极小。两组的生活质量反应相似。未观察到严重损害。结论：我们没有发现任何证据表明AcceleDent Aura器械影响成年患者完成一系列矫正器的能力（1周更换方案）或最终矫正。当与Invisalign一起使用时，它对减少正畸疼痛或口腔健康相关的生活质量参数也没有显着影响。
Introduction: Supplemental vibration has been reported to accelerate orthodontic tooth movement and reduce discomfort. Our purpose was to investigate the effects of AcceleDent on Invisalign treatment. This randomized clinical trial was carried out in 2 orthodontic private practices with a 1:1 allocation ratio. Methods: Adult patients who were beginning their orthodontic treatment were randomly allocated to either an active (A) or a sham (B) AcceleDent Aura device (OrthoAccel Technologies, Inc. Houston, TX). All patients were placed on a 1-week aligner change regimen, and fit was evaluated every 3 weeks. The outcomes were the ability to complete the initial set of aligners and the incisor irregularity measurements for those who completed their regimen of aligners. In addition, aligner compliance, pain levels, and oral health-related quality of life data were gathered from questionnaires. The subjects, investigators, and assessors were all blinded to the treatment arms. Results: Twenty-seven subjects were randomized into 2 groups (A and B), 1 subject discontinued treatment, and 13 subjects were analyzed in each group. The Fisher exact test showed no significant difference in completion rates between the 2 groups (group A, 77%; group B, 85%; P = 1). Independent-sample t tests showed no significant difference between the final irregularity index or change in irregularity index between the 2 groups. Compliance was similar in both groups. The Wilcoxon rank sum test showed minimal differences in pain levels. Quality of life responses were similar in both groups. No serious harm was observed. Conclusions: We found no evidence that the AcceleDent Aura device impacts the ability to complete a series of aligners with a 1-week change regimen or the final alignment achieved in adult patients. It also had no significant effect on the reduction of orthodontic pain or oral health-related quality of life parameters when used with Invisalign.