舌侧矫治技术在口腔正畸中的应用研究进展
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沈琴(1996.10-),女,浙江海宁人,本科,主要从事口腔美学美容方面工作

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R783.5

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Research Progress on the Application of Lingual Orthodontic Technique in Orthodontics
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    摘要:

    近年来成人正畸比例越来越高,因成人具有比较复杂的心理需求和社会需求,对矫治器具有更 加强烈的美观要求,部分患者甚至因为无法接受唇侧矫治器而拒绝治疗。和传统金属托槽相比较,陶瓷托 槽、塑料托槽虽然更加美观,但是其依然是可见的,尤其是在佩戴一端时间后发生染色的风险较高。舌侧 矫治系统不但能充分满足患者的美观需求,而且其还能实现三维控根移动,适用于疑难病例,具有较高的 适应证,且效果稳定。但舌侧矫治器适应时间更长,佩戴初期,会在一定程度上影响患者的咀嚼、发音。 对于临床医师而言,舌侧矫治对其具有更高的要求和更大的操作难度,而且缺乏循证医学证据,部分正畸 医师还并未充分认识舌侧矫治技术,进而对其发展造成一定阻碍。本文主要总结舌侧隐形正畸技术的发展 情况,分析临床常用的舌侧托槽特点与舌侧矫治技术在临床中的应用情况,探讨弓丝、矫治力及联用技术 的选择,以期为舌侧隐形正畸技术在临床中的应用提供一定参考。

    Abstract:

    In recent years, the proportion of adult orthodontics has been increasing. Due to adults' more complex psychological and social needs, they have stronger aesthetic requirements for orthodontic appliances. Some patients even refuse treatment because they cannot accept labial orthodontic appliances. Compared with traditional metal brackets, ceramic brackets and plastic brackets are more aesthetic, but they are still visible, especially with a high risk of staining after being worn for a period of time. The lingual orthodontic system can not only fully meet the patients' aesthetic needs, but also achieve three-dimensional root control movement, which is suitable for complex cases with high indications and stable effects. However, the adaptation time of lingual orthodontic appliances is longer, and in the early stage of wearing, it will affect patients' mastication and pronunciation to a certain extent. For clinicians, lingual orthodontics has higher requirements and greater operational difficulty, and lacks evidence-based medical evidence. Some orthodontists have not fully understood the lingual orthodontic technique, which hinders its development to a certain extent. This paper mainly summarizes the development of lingual invisible orthodontic technique, analyzes the characteristics of commonly used lingual brackets in clinical practice and the application of lingual orthodontic technique in clinical practice, and discusses the selection of archwire, orthodontic force and combined technique, in order to provide certain reference for the clinical application of lingual invisible orthodontic technique.

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沈琴.舌侧矫治技术在口腔正畸中的应用研究进展[J].医学美学美容,2025,34(12):195-198.

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  • 在线发布日期: 2025-08-12
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