正畸间接粘接技术的研究进展
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摘要
托槽的精确定位是获得理想正畸矫治效果的必要条件。传统的托槽粘接技术存在一定局限性,如操作时间长与精确性差等。而间接粘接技术则是通过口内印模或扫描获取模型,在模型上精确定位和粘接托槽,再通过转移托盘将托槽准确粘接到口内牙冠上。本文将从间接粘接技术的转移托盘和粘接剂的研究进展、数字化技术在间接粘接中的应用、无托槽隐形矫治与间接粘接等方面对正畸间接粘接技术进行综述。文献复习结果表明,间接粘接技术定位托槽准确,操作简单,患者舒适度高,且可显著提高临床效率;光固化粘接剂是间接粘接技术的理想粘接剂。随着数字化技术的发展,间接粘接技术将能够越来越准确地定位托槽,从而实现牙齿的"数字化精准移动"。隐形矫治器附件的粘接技术本质上是一种间接粘接技术,它需要间接粘接技术与数字化技术的高度契合,通过电脑设计需要的附件来进行可视化的牙齿移动,并利用间接粘接技术准确粘接附件,最终让牙齿实现预期的移动。间接粘接技术将随着数字化技术和隐形矫治技术的发展,发挥越来越重要的作用。
Accurate positioning of brackets is a necessary condition for ideal orthodontic treatment. Traditionalbracket bonding technology has certain limitations, such as long operation time and poor accuracy. Indirect bondingtechnology is a method that bonding brackets on the model through intraoral impression or scanning, and then the brack-ets are accurately bonded to the tooth crowns using a transfer tray. In this article, the progression of transfer trays andadhesive agents, the application of digital technology in indirect bonding technology, indirect bonding for invisible appli-ances, and the prospect of this technology are reviewed. The literature review results show that indirect bonding technolo-gy can locate the bracket accurately, the operation is simple, the patient's experience is comfortable, and the clinical effi-ciency can be significantly improved, the photocurable adhesive is an ideal adhesive for indirect bonding technology.With the development of digital technology, indirect bonding technology will be able to locate the brackets with increasingaccuracy, thus achieving the "digital precision movement" of the teeth. The bonding technology of invisible appliance ac-cessories is essentially a type of indirect bonding technology, It requires indirect bonding technology and digital technolo-gy to highly fit the needs of computer design accessories for the visual tooth movement and the use of indirect bondingtechnology to accurately bond accessories, ultimately achieving the desired tooth movement. Indirect bonding technologywill play an increasingly important role with the development of digital technology and invisible correction technology.
Accurate positioning of brackets is a necessary condition for ideal orthodontic treatment. Traditionalbracket bonding technology has certain limitations, such as long operation time and poor accuracy. Indirect bondingtechnology is a method that bonding brackets on the model through intraoral impression or scanning, and then the brack-ets are accurately bonded to the tooth crowns using a transfer tray. In this article, the progression of transfer trays andadhesive agents, the application of digital technology in indirect bonding technology, indirect bonding for invisible appli-ances, and the prospect of this technology are reviewed. The literature review results show that indirect bonding technolo-gy can locate the bracket accurately, the operation is simple, the patient's experience is comfortable, and the clinical effi-ciency can be significantly improved, the photocurable adhesive is an ideal adhesive for indirect bonding technology.With the development of digital technology, indirect bonding technology will be able to locate the brackets with increasingaccuracy, thus achieving the "digital precision movement" of the teeth. The bonding technology of invisible appliance ac-cessories is essentially a type of indirect bonding technology, It requires indirect bonding technology and digital technolo-gy to highly fit the needs of computer design accessories for the visual tooth movement and the use of indirect bondingtechnology to accurately bond accessories, ultimately achieving the desired tooth movement. Indirect bonding technologywill play an increasingly important role with the development of digital technology and invisible correction technology.
引文
[1]Swetha M,Pai VS,Sanjay N,et al.Indirect versus direct bonding--a shear bond strength comparison:an in vitro study[J].J Contemp Dent Pract,2015,12(4):232-238.
[2]Flores T,Mayoral JR,Giner L,et al.Comparison of enamel-bracket bond strength using direct-and indirect-bonding techniques with a self-etching ion releasing S-PRG filler[J].Dent Mater J,2015,34(1):41-47.
[3]Premanand P,Shankar AJ.An in vivo comparison of the efficacy between direct and indirect bonding methods[J].Int J Dent Sci,2014,13(1):1-5.
[4]Sondhi A.Effective and efficient indirect bonding:the sondhi method[J].Semin Orthod,2007,13(1):43-57.
[5]Gruenheid T,Lee MS,Larson BE.Transfer accuracy of vinyl polysiloxane trays for indirect bonding[J].Angle Orthod,2016,86(3):468-474.
[6]Hickham JH.Predictable indirect bonding[J].J Clin Orthod,1993,27(4):215-217.
[7]Kalange JT.Prescription-based precision full arch indirect bonding[J].Semin Orthod,2007,13(1):19-42.
[8]Castilla AE,Crowe JJ,Moses JR,et al.Measurement and comparison of bracket transfer accuracy of five indirect bonding techniques[J].Angle Orthod,2014,84(4):607-614.
[9]李韩仪,董妮,冯格,等.双层硅橡胶转移技术对间接粘结托槽准确性的影响[J].西安交通大学学报(医学版),2016,37(6):901-905.
[10]Moskowitz EM.Indirect bonding with a thermal cured composite[J].Semin Orthod,2007,13(1):69-74.
[11]刘从华.双托盘间接粘接技术精确粘接APCⅡ托槽的临床应用[J].实用医学杂志,2008,24(16):2836-2837.
[12]Souza AC,Gon?alves FC,Anami LC,et al.Influence of insertion techniques for resin cement and mechanical cycling on the bond strength between fiber posts and root dentin[J].J Adhes Dent,2015,17(2):175-180.
[13]Jang JH,Lee MG,Woo SU,et al.Comparative study of the dentin bond strength of a new universal adhesive[J].Dent Mater J,2016,35(4):606-612.
[14]Zafar MS,Ahmed N.The effects of acid etching time on surface mechanical properties of dental hard tissues[J].Br Dent J,2015,34(3):315-320.
[15]Khan S,Verma SK,Maheshwari S.Effect of acid etching on bond strength of nanoionomer as an orthodontic bonding adhesive[J].JOrthod Sci,2015,4(4):113-117.
[16]赵信义,孙皎.口腔材料学[M].5版.北京:人民卫生出版社,2014:41-43.
[17]Mohammed RE,Abass S,Abubakr NH.Comparing orthodontic bond failures of light-cured composite resin with chemical-cured composite resin:a 12-month clinical trial[J].Am J Orthod Dentofac Orthop,2016,150(2):290-294.
[18]Sachdeva R,FrugéJF,FrugéAM,et al.Sure Smile:a report of clinical findings[J].J Clin Orthod,2005,39(5):297.
[19]万贤凤,王辉玲,刘震寰,等.托槽在数字化牙颌模型上位置与间接粘结转移后实际位置的一致性研究[J].口腔疾病防治,2017,25(5):311-315.
[20]Ciuffolo F,Epifania E,Duranti G,et al.Rapid prototyping:a new method of preparing trays for indirect bonding[J].Am J Orthod Dentofac Orthop,2006,129(1):75-77.
[21]周晶,郭宏铭,白玉兴.包括牙根三维牙颌模型在舌侧间接粘接系统中的应用[J].中华口腔正畸学杂志,2010,17(3):127-130.
[22]Lanteri V,Farronato G,Lanteri C,et al.The efficacy of orthodontic treatments for anterior crowding with Invisalign compared with fixed appliances using the peer assessment rating index[J].Quintessence Int,2018,49(7):581-587.
[23]White DW,Julien KC,Jacob H,et al.Discomfort associated with Invisalign and traditional brackets,a randomized,prospective trial[J].Angle Orthod,2017,87(6):801-808.
[24]初可嘉,王海慧,郑之峻,等.3种无托槽隐形矫治器附件粘接方法的比较研究[J].华西口腔医学杂志,2015,33(5):497-499.
[25]Feinberg KB,Souccar NM,Kau CH,et al.Translucency,stain resistance,and hardness of composites used for invisalign attachments[J].J Clin Orthod,2016,50(3):170-176.(编辑张琳,张晟)
[2]Flores T,Mayoral JR,Giner L,et al.Comparison of enamel-bracket bond strength using direct-and indirect-bonding techniques with a self-etching ion releasing S-PRG filler[J].Dent Mater J,2015,34(1):41-47.
[3]Premanand P,Shankar AJ.An in vivo comparison of the efficacy between direct and indirect bonding methods[J].Int J Dent Sci,2014,13(1):1-5.
[4]Sondhi A.Effective and efficient indirect bonding:the sondhi method[J].Semin Orthod,2007,13(1):43-57.
[5]Gruenheid T,Lee MS,Larson BE.Transfer accuracy of vinyl polysiloxane trays for indirect bonding[J].Angle Orthod,2016,86(3):468-474.
[6]Hickham JH.Predictable indirect bonding[J].J Clin Orthod,1993,27(4):215-217.
[7]Kalange JT.Prescription-based precision full arch indirect bonding[J].Semin Orthod,2007,13(1):19-42.
[8]Castilla AE,Crowe JJ,Moses JR,et al.Measurement and comparison of bracket transfer accuracy of five indirect bonding techniques[J].Angle Orthod,2014,84(4):607-614.
[9]李韩仪,董妮,冯格,等.双层硅橡胶转移技术对间接粘结托槽准确性的影响[J].西安交通大学学报(医学版),2016,37(6):901-905.
[10]Moskowitz EM.Indirect bonding with a thermal cured composite[J].Semin Orthod,2007,13(1):69-74.
[11]刘从华.双托盘间接粘接技术精确粘接APCⅡ托槽的临床应用[J].实用医学杂志,2008,24(16):2836-2837.
[12]Souza AC,Gon?alves FC,Anami LC,et al.Influence of insertion techniques for resin cement and mechanical cycling on the bond strength between fiber posts and root dentin[J].J Adhes Dent,2015,17(2):175-180.
[13]Jang JH,Lee MG,Woo SU,et al.Comparative study of the dentin bond strength of a new universal adhesive[J].Dent Mater J,2016,35(4):606-612.
[14]Zafar MS,Ahmed N.The effects of acid etching time on surface mechanical properties of dental hard tissues[J].Br Dent J,2015,34(3):315-320.
[15]Khan S,Verma SK,Maheshwari S.Effect of acid etching on bond strength of nanoionomer as an orthodontic bonding adhesive[J].JOrthod Sci,2015,4(4):113-117.
[16]赵信义,孙皎.口腔材料学[M].5版.北京:人民卫生出版社,2014:41-43.
[17]Mohammed RE,Abass S,Abubakr NH.Comparing orthodontic bond failures of light-cured composite resin with chemical-cured composite resin:a 12-month clinical trial[J].Am J Orthod Dentofac Orthop,2016,150(2):290-294.
[18]Sachdeva R,FrugéJF,FrugéAM,et al.Sure Smile:a report of clinical findings[J].J Clin Orthod,2005,39(5):297.
[19]万贤凤,王辉玲,刘震寰,等.托槽在数字化牙颌模型上位置与间接粘结转移后实际位置的一致性研究[J].口腔疾病防治,2017,25(5):311-315.
[20]Ciuffolo F,Epifania E,Duranti G,et al.Rapid prototyping:a new method of preparing trays for indirect bonding[J].Am J Orthod Dentofac Orthop,2006,129(1):75-77.
[21]周晶,郭宏铭,白玉兴.包括牙根三维牙颌模型在舌侧间接粘接系统中的应用[J].中华口腔正畸学杂志,2010,17(3):127-130.
[22]Lanteri V,Farronato G,Lanteri C,et al.The efficacy of orthodontic treatments for anterior crowding with Invisalign compared with fixed appliances using the peer assessment rating index[J].Quintessence Int,2018,49(7):581-587.
[23]White DW,Julien KC,Jacob H,et al.Discomfort associated with Invisalign and traditional brackets,a randomized,prospective trial[J].Angle Orthod,2017,87(6):801-808.
[24]初可嘉,王海慧,郑之峻,等.3种无托槽隐形矫治器附件粘接方法的比较研究[J].华西口腔医学杂志,2015,33(5):497-499.
[25]Feinberg KB,Souccar NM,Kau CH,et al.Translucency,stain resistance,and hardness of composites used for invisalign attachments[J].J Clin Orthod,2016,50(3):170-176.(编辑张琳,张晟)
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