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首页> 外文期刊>American Journal of Orthodontics and Dentofacial Orthopedics >Survival analysis of a miniplate and tube device designed to provide skeletal anchorage
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Survival analysis of a miniplate and tube device designed to provide skeletal anchorage

机译:用于提供骨骼锚固的微型板和管装置的生存分析

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Introduction: The aim of this prospective cohort study was to compute the clinical survival and complication rates of a miniplate with a tube device (C-tube) used for orthodontic treatment. Methods: From August 2003 to May 2012, 217 patients were recruited. They received 341 C-tube miniplates. Some C-tube miniplates were removed because orthodontic treatment ended. Others remained beyond the study period and were recorded as censored data. Survival was classified as a C-tube miniplate that functioned in the mouth regardless of any complications. Success was defined as survival without complications. From the data, the effects of these clinical variables on the survival of the C-tube miniplates were evaluated: sex, age, jaw, placement sites, oral hygiene, tube clearance, inflammation, miniplate shape, number of screws, and length of the fixation screws. Survival analyses using the Kaplan-Meier method and the Cox proportional hazard model were applied. Results: Of the 341 miniplates, 14 failed, and 32 had complications. Two-year survival and success rates were 0.91 and 0.80, respectively. In terms of the simple ratio statistic, this was equivalent to a success rate of 96%. The status of oral hygiene maintenance and the operators' experience had significant associations with the complication rates (P<0.001). Conclusions: The C-tube miniplate has an advantage in versatility in terms of force application. When placing a miniplate, the most important factor is maintaining good tissue health by means of good oral hygiene. Even with good hygiene, the doctor's experience in performing the flap surgery was the second most important factor for success.
机译:简介:这项前瞻性队列研究的目的是计算用于正畸治疗的带有管装置(C型管)的小板的临床生存率和并发症发生率。方法:2003年8月至2012年5月,共招募217例患者。他们收到了341个C管微型板。由于正畸治疗结束,因此移除了一些C型管微孔板。其他的则超出了研究期,并被记录为审查数据。生存被归类为C型管微孔板,可在口腔中发挥作用,而无任何并发症。成功定义为无并发症的生存期。从数据中,评估了这些临床变量对C型管微孔板生存的影响:性别,年龄,下颌,放置部位,口腔卫生,管间隙,炎症,微孔板形状,螺钉数量和长度固定螺丝。应用Kaplan-Meier方法和Cox比例风险模型进行生存分析。结果:在341个微孔板中,有14个失败,有32个出现并发症。两年生存率和成功率分别为0.91和0.80。就简单比率统计而言,这相当于96%的成功率。口腔卫生维护状况和操作者的经验与并发症发生率有显着相关性(P <0.001)。结论:C型管微孔板在施力方面具有多功能性。放置小孔板时,最重要的因素是通过良好的口腔卫生来保持良好的组织健康。即使卫生状况良好,医生进行皮瓣手术的经验也是成功的第二重要因素。

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