تقييم فعالية التثقيب العظمي الأصغري في إنقاص الزمن اللازم لعلاج ازدحام القواطع السفلية المعالجة بالراصفات الشفافة
الملخص
يهدف البحث إلى تقييم فعالية التثقيب العظمي الأصغري في إنقاص الزمن اللازم لعلاج ازدحام القواطع السفلية (دون قلع) المعالجة بالراصفات الشفافة. تألفت عينة البحث من (40) مريضاً بعمر وسطي: (22.3±1.3) سنة، تم توزيعهم عشوائياً إما إلى مجموعة التثقيب العظمي الأصغري أو إلى المجموعة الشاهدة بنسبة تخصيص (1:1). تم علاج ازدحام القواطع السفلية لمرضى كلتا المجموعتين بالراصفات الشفافة، وقبل تطبيق أول راصفة شفافة لمرضى مجموعة التثقيب العظمي الأصغري، تم إجراء 14 ثقباً قشرياً، ثقبان بكل مسافة بين سنية للقواطع السفلية من الناحية الدهليزية، تراوح قطر كل ثقب 1.2 ملم، وعمقه 1 ملم ضمن العظم القشري باستخدام سنبلة إرشاد مكان الزرعة السنية بعد إجراء تعديلات عليها. تم تقييم الزمن اللازم للمعالجة من خلال حساب عدد الأيام بين الزمنين T0 وT1 لمرضى كلتا المجموعتين. حيث أن: T0: هو زمن تطبيق أول راصفة شفافة (بدء خطة المعالجة المفترضة، والتي هي رصف القواطع السفلية المزدحمة دون قلع)، وT1: هو زمن إزالة آخر راصفة شفافة (نهاية خطة المعالجة المفترضة، وذلك عند حيادية الراصفة الشفافة الأخيرة). أظهرت نتائج الدراسة وجود فرق جوهري إحصائياً بين المجموعتين بالنسبة للزمن اللازم لعلاج ازدحام القواطع السفلية المعالجة بالراصفات الشفافة (P-value < 0.05)، كما كان المتوسط الحسابي للزمن اللازم للمعالجة في المجموعة المدروسة أقل ب 62 يوماً عن مثيله في المجموعة الشاهدة. يعتبر التثقيب العظمي الأصغري إجراء جراحي فعال في إنقاص الزمن اللازم لعلاج ازدحام القواطع السفلية (دون قلع) المعالجة بالراصفات الشفافة، حيث اختصر من المدة الزمنية اللازمة لإنجاز ذلك بمقدار 47.69% مقارنةً مع المجموعة الشاهدة (المعالجة بالراصفات الشفافة فقط).
المراجع
2) AL-KHALIFA, K. S. & BAESHEN, H. A. 2021. Micro-osteoperforations and Its Effect on the Rate of Tooth Movement: A Systematic Review. Eur J Dent, 15, 158-167.
3) ALANSARI, S., TEIXEIRA, C. C., SANGSUWON, C. & ALIKHANI, M. 2017. Introduction to Micro-osteoperforations. In: ALIKHANI, M. (ed.) Clinical Guide to Accelerated Orthodontics: With a Focus on Micro-Osteoperforations. Cham: Springer International Publishing.
4) ALFAILANY, D. T., HAJEER, M. Y., AL-BITAR, M. I., ALSINO, H. I., JABER, S. T., BRAD, B. & DARWICH, K. 2023. Effectiveness of Flapless Cortico-Alveolar Perforations Using Mechanical Drills Versus Traditional Corticotomy on the Retraction of Maxillary Canines in Class II Division 1 Malocclusion: A Three-Arm Randomized Controlled Clinical Trial. Cureus, 15, e44190.
5) ALFAWAL, A. M., HAJEER, M. Y., AJAJ, M. A., HAMADAH, O. & BRAD, B. 2016. Effectiveness of minimally invasive surgical procedures in the acceleration of tooth movement: a systematic review and meta-analysis. Prog Orthod, 17, 33.
6) ALFAWAL, A. M. H., BURHAN, A. S., MAHMOUD, G., AJAJ, M. A., NAWAYA, F. R. & HANAFI, I. 2022. The impact of non-extraction orthodontic treatment on oral health-related quality of life: clear aligners versus fixed appliances-a randomized controlled trial. Eur J Orthod, 44, 595-602.
7) ALIKHANI, M., ALYAMI, B. A., LEE, I. S., ALMOAMMAR, S., VONGTHONGLEUR, T., ALIKHANI, M., ALANSARI, S., SANGSUWON, C., CHOU, M. Y., KHOO, E., BOSKEY, A. L. & TEIXEIRA, C. C. 2015. Saturation of the biological response to orthodontic forces and its effect on the rate of tooth movement. Orthodontics & craniofacial research, 18 Suppl 1, 8-17.
8) ALIKHANI, M., CHOU, M. Y., KHOO, E., ALANSARI, S., KWAL, R., ELFERSI, T., ALMANSOUR, A., SANGSUWON, C., AL JEARAH, M. & NERVINA, J. M. 2018. Age-dependent biologic response to orthodontic forces. American Journal of Orthodontics and Dentofacial Orthopedics, 153, 632-644.
9) ALIKHANI, M., RAPTIS, M., ZOLDAN, B., SANGSUWON, C., LEE, Y. B., ALYAMI, B., CORPODIAN, C., BARRERA, L. M., ALANSARI, S., KHOO, E. & TEIXEIRA, C. 2013. Effect of micro-osteoperforations on the rate of tooth movement. Am J Orthod Dentofacial Orthop, 144, 639-48.
10) ALMOGBEL, A. 2023. Clear Aligner Therapy: Up to date review article. J Orthod Sci, 12, 37.
11) ALTMAN, D. G. & SCHULZ, K. F. 2001. Statistics notes: Concealing treatment allocation in randomised trials. Bmj, 323, 446-7.
12) BALOUL, S. S., GERSTENFELD, L. C., MORGAN, E. F., CARVALHO, R. S., VAN DYKE, T. E. & KANTARCI, A. 2011. Mechanism of action and morphologic changes in the alveolar bone in response to selective alveolar decortication-facilitated tooth movement. Am J Orthod Dentofacial Orthop, 139, S83-101.
13) BANSAL, M., SHARMA, R., KUMAR, D. & GUPTA, A. 2019. Effects of mini-implant facilitated micro-osteoperforations in alleviating mandibular anterior crowding: A randomized controlled clinical trial. J Orthod Sci, 8, 19.
14) BARONE, S., PAOLI, A., RAZIONALE, A. V. & SAVIGNANO, R. 2017. Computational design and engineering of polymeric orthodontic aligners. International journal for numerical methods in biomedical engineering, 33, e2839.
15) CASKO, J. S., VADEN, J. L., KOKICH, V. G., DAMONE, J., JAMES, R. D., CANGIALOSI, T. J., RIOLO, M. L., OWENS, S. E., JR. & BILLS, E. D. 1998. Objective grading system for dental casts and panoramic radiographs. American Board of Orthodontics. Am J Orthod Dentofacial Orthop, 114, 589-99.
16) CHARAVET, C., LECLOUX, G., BRUWIER, A., ROMPEN, E., MAES, N., LIMME, M. & LAMBERT, F. 2016. Localized Piezoelectric Alveolar Decortication for Orthodontic Treatment in Adults: A Randomized Controlled Trial. J Dent Res, 95, 1003-9.
17) DICKERSON, T. E. 2017. Invisalign with Photobiomodulation: Optimizing Tooth Movement and Treatment Efficacy with a Novel Self-Assessment Algorithm. J Clin Orthod, 51, 157-165.
18) EINI, E., MORADINEJHAD, M., CHAHARMAHALI, R. & RAHIM, F. 2022. The effect of micro-osteoperforations on the rate of orthodontic tooth movement in animal model: A systematic review and meta-analysis. J Oral Biol Craniofac Res, 12, 873-878.
19) FAHIM, F., EL SHARABY, F. & KANDIL, R. 2020. effects of corticision on orthodontic tooth movement a randomized controlled clinical trial. Egyptian dental journal, 64.
20) FROST, H. M. 1983. The regional acceleratory phenomenon: a review. Henry Ford Hosp Med J, 31, 3-9.
21) GANDEDKAR, N. H., DALCI, O. & DARENDELILER, M. A. 2024. Accelerated orthodontics (AO): The past, present and the future. Seminars in Orthodontics.
22) GIBREAL, O., HAJEER, M. Y. & BRAD, B. 2019. Efficacy of piezocision-based flapless corticotomy in the orthodontic correction of severely crowded lower anterior teeth: a randomized controlled trial. Eur J Orthod, 41, 188-195.
23) GUAN, X., CHANG, D. T., YAN, Y., ZHANG, Y. W., ZHOU, Y. H. & SONG, Y. 2017. [Clinical efficacy of clear aligners in treating bimaxillary protrusion]. Zhonghua Kou Qiang Yi Xue Za Zhi, 52, 549-553.
24) JABER, S. T., HAJEER, M. Y., BURHAN, A. S. & LATIFEH, Y. 2022. The Effect of Treatment With Clear Aligners Versus Fixed Appliances on Oral Health-Related Quality of Life in Patients With Severe Crowding: A One-Year Follow-Up Randomized Controlled Clinical Trial. Cureus, 14, e25472.
25) JOHAL, A., ALYAQOOBI, I., PATEL, R. & COX, S. 2015. The impact of orthodontic treatment on quality of life and self-esteem in adult patients. Eur J Orthod, 37, 233-7.
26) KAUR, H. & EL-BIALY, T. 2020. Shortening of Overall Orthodontic Treatment Duration with Low-Intensity Pulsed Ultrasound (LIPUS). Journal of Clinical Medicine, 9, 1303.
27) KIM, S. J., PARK, Y. G. & KANG, S. G. 2009. Effects of Corticision on paradental remodeling in orthodontic tooth movement. Angle Orthod, 79, 284-91.
28) LARENAS, J., FLORES, E., AGÜERO, I., VILLANUEVA, J. & DALLASERRA, M. 2023. Intervenciones quirúrgicas mínimamente invasivas complementarias a la ortodoncia quirúrgicamente asistida: Resumen estructurado de evidencia. International journal of interdisciplinary dentistry, 16, 89-96.
29) LI, X., XU, Z.-R., TANG, N., YE, C., ZHU, X.-L., ZHOU, T. & ZHAO, Z.-H. 2016. Effect of intervention using a messaging app on compliance and duration of treatment in orthodontic patients. Clinical oral investigations, 20, 1849-1859.
30) LITTLE, R. M. 1975. The irregularity index: a quantitative score of mandibular anterior alignment. Am J Orthod, 68, 554-63.
31) LÖE, H. 1967. The Gingival Index, the Plaque Index and the Retention Index Systems. J Periodontol, 38, Suppl:610-6.
32) MAVREAS, D. & ATHANASIOU, A. E. 2008. Factors affecting the duration of orthodontic treatment: a systematic review. Eur J Orthod, 30, 386-95.
33) MEHR, R. 2013. Efficiency of piezotome-corticision assisted orthodontics in alleviating mandibular anterior crowding-a randomized controlled clinical trial.
34) MOYA, S. P. & ZAFRA, J. L. 2021. Aligner Techniques in Orthodontics, Wiley.
35) NIMERI, G., KAU, C. H., ABOU-KHEIR, N. S. & CORONA, R. 2013. Acceleration of tooth movement during orthodontic treatment--a frontier in orthodontics. Prog Orthod, 14, 42.
36) PANDIS, N., POLYCHRONOPOULOU, A. & ELIADES, T. 2007. Self-ligating vs conventional brackets in the treatment of mandibular crowding: a prospective clinical trial of treatment duration and dental effects. Am J Orthod Dentofacial Orthop, 132, 208-15.
37) PROFFIT, W. R., FIELDS JR, H. W. & SARVER, D. M. 2012. Contemporary Orthodontics, 5e, Elsevier India.
38) RAGHAV, P., KHERA, A. K. & BHASIN, P. 2021. Effect of micro-osteoperforations on rate of space closure by mini-implant supported maxillary anterior en-masse retraction: A randomized clinical trial. J Oral Biol Craniofac Res, 11, 185-191.
39) RAJ, S. & RAJASEKARAN, A. 2021. Evaluation of physiodispenser assisted micro-osteoperforation on the rate of tooth movement and associated periodontal tissue status during individual canine retraction in first premolar extraction cases: A split-mouth randomized controlled clinical trial. Journal of the World Federation of Orthodontists, 10.
40) SACCOMANNO, S., SARAN, S., LAGANÀ, D., MASTRAPASQUA, R. F. & GRIPPAUDO, C. 2022. Motivation, Perception, and Behavior of the Adult Orthodontic Patient: A Survey Analysis. BioMed Research International, 2022, 2754051.
41) SANGSUWON, C., ALANSARI, S., LEE, Y. B., NERVINA, J. & ALIKHANI, M. 2017. Step-by-Step Guide for Performing Micro-osteoperforations. In: ALIKHANI, M. (ed.) Clinical Guide to Accelerated Orthodontics: With a Focus on Micro-Osteoperforations. Cham: Springer International Publishing.
42) SHAHABEE, M., SHAFAEE, H., ABTAHI, M., RANGRAZI, A. & BARDIDEH, E. 2020. Effect of micro-osteoperforation on the rate of orthodontic tooth movement-a systematic review and a meta-analysis. Eur J Orthod, 42, 211-221.
43) SHIPLEY, T., FAROUK, K. & EL-BIALY, T. 2019. Effect of high-frequency vibration on orthodontic tooth movement and bone density. J Orthod Sci, 8, 15.
44) SIMON, M., KEILIG, L., SCHWARZE, J., JUNG, B. A. & BOURAUEL, C. 2014. Forces and moments generated by removable thermoplastic aligners: incisor torque, premolar derotation, and molar distalization. Am J Orthod Dentofacial Orthop, 145, 728-36.
45) SIRRI, M. R., BURHAN, A. S., HAJEER, M. Y., NAWAYA, F. R. & ABDULHADI, A. 2020. Efficiency of Corticision in Accelerating Leveling and Alignment of Crowded Lower Anterior Teeth in Young Adult Patients: A Randomised Controlled Clinical Trial. JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH.
46) SUGIMORI, T., YAMAGUCHI, M., SHIMIZU, M., KIKUTA, J., HIKIDA, T., HIKIDA, M., MURAKAMI, Y., SUEMITSU, M., KUYAMA, K. & KASAI, K. 2018. Micro-osteoperforations accelerate orthodontic tooth movement by stimulating periodontal ligament cell cycles. Am J Orthod Dentofacial Orthop, 154, 788-796.
47) TALIC, N. F. 2011. Adverse effects of orthodontic treatment: A clinical perspective. Saudi Dent J, 23, 55-9.
48) TAMER, İ., ÖZTAŞ, E. & MARŞAN, G. 2019. Orthodontic Treatment with Clear Aligners and The Scientific Reality Behind Their Marketing: A Literature Review. Turk J Orthod, 32, 241-246.
49) TANNE, K., SAKUDA, M. & BURSTONE, C. J. 1987. Three-dimensional finite element analysis for stress in the periodontal tissue by orthodontic forces. Am J Orthod Dentofacial Orthop, 92, 499-505.
50) TEIXEIRA, C. C., KHOO, E., TRAN, J., CHARTRES, I., LIU, Y., THANT, L. M., KHABENSKY, I., GART, L. P., CISNEROS, G. & ALIKHANI, M. 2010. Cytokine expression and accelerated tooth movement. J Dent Res, 89, 1135-41.
51) THILANDER, B., PENA, L., INFANTE, C., PARADA, S. S. & DE MAYORGA, C. 2001. Prevalence of malocclusion and orthodontic treatment need in children and adolescents in Bogota, Colombia. An epidemiological study related to different stages of dental development. The European Journal of Orthodontics, 23, 153-168.
52) TIMM, L. H., FARRAG, G., BAXMANN, M. & SCHWENDICKE, F. 2021. Factors Influencing Patient Compliance during Clear Aligner Therapy: A Retrospective Cohort Study. J Clin Med, 10.
53) TORSELLO, F., D’AMICO, G., STADERINI, E., MARIGO, L., CORDARO, M. & CASTAGNOLA, R. 2022. Factors Influencing Appliance Wearing Time during Orthodontic Treatments: A Literature Review. Applied Sciences, 12, 7807.
54) URIBE, F., PADALA, S., ALLAREDDY, V. & NANDA, R. 2014. Patients', parents', and orthodontists' perceptions of the need for and costs of additional procedures to reduce treatment time. American Journal of Orthodontics and Dentofacial Orthopedics, 145, S65-S73.
55) VANDE VANNET, B. & GUSHCHIN, V. 2015. ORTHODONTIC TREATMENT MONITORING USING SMARTPHONE.
56) VARDIMON, A. D., ROBBINS, D. & BROSH, T. 2010. In-vivo von Mises strains during Invisalign treatment. Am J Orthod Dentofacial Orthop, 138, 399-409.
57) WEIR, T. 2017. Clear aligners in orthodontic treatment. Aust Dent J, 62 Suppl 1, 58-62.
58) WHEELER, T. T. Orthodontic clear aligner treatment. Seminars in Orthodontics, 2017. Elsevier, 83-89.
59) WILCKO, W. M., WILCKO, T., BOUQUOT, J. E. & FERGUSON, D. J. 2001. Rapid orthodontics with alveolar reshaping: two case reports of decrowding. Int J Periodontics Restorative Dent, 21, 9-19.