- 期刊
矯正治療中加速牙齒移動技術的臨床選擇－文獻回顧
Clinical Options Available to Accelerate Tooth Movement of Orthodontic Treatment-Literature Review
摘要
由於矯正治療的普及加上現代人繁忙的生活方式，矯正患者對於尋求更快速的矯正治療表現出了很大的興趣。人們對於增加矯正治療的速度感到興趣最早可以追溯到1800年代後期，當時引入了一種稱為“手術性齒槽骨去骨皮質術”（Surgical Alveolar Decortication）的手術程序，即現在所稱的手術輔助矯正治療（Surgically Facilitated Orthodontic Therapies, SFOTs）。而後在2000年代初期，Dr. M. Wilcko和Dr. T. Wilcko改進了最初的術式，並促成了牙周輔助加速成骨矯正治療（Periodontally Accelerated Osteogenic Orthodontics, PAOO）的誕生。自2001年以來，已開發出各種技術來嘗試加快矯正治療時牙齒的移動速度，它們可分為侵入性（手術）和非侵入性。侵入性方式包括：皮質切開術、piezocision、微骨穿刺；非侵入性的方式則為低能量雷射治療和共振震動。本文回顧了有關加速牙齒移動的可能方式，並根據現有證據的綜述表明，諸如皮質切開術和微骨穿刺等侵入性技術可暫時縮短治療時間。而當前尚無足夠證據支持低能量雷射治療或振動裝置能在矯正治療中達到可預期的牙齒加速移動效果。
並列摘要
With the popularization of orthodontic treatment and the busy lifestyle of people nowadays, patients have shown some interests in seeking shorter orthodontic treatment. Surgical Alveolar Decortication was first introduced to fasten the orthodontic treatment in 1800's late. In the early 2000's, Dr. M. Wilcko and Dr. T. Wilcko proposed some refinements that improved the initial procedure of Surgical Alveolar Decortication and accelerated osteogenic orthodontics was born. Since 2001, various techniques have been developed to attempt to speed progression of orthodontic therapy and they can be classified as invasive (surgical) and non-invasive, include: corticotomy, piezocision, micro-osteoperforation, low level laser therapy and resonance vibration. The corticotomies and micro-perforations are potential modalities to accelerate tooth movement and shorten the treatment time temporarily in previous evidence-base. There is fewer evidence to support the low-level laser therapy or the use of vibration devices for accelerating orthodontic tooth movement in a predictable manner.